Auditing

Audits, whether state, insurance, or manufacturer, go best when documentation is in order. The best way to go about this are some of the following:

  • Reinforce with staff proper day’s supply calculation, dosage form, quantity, and correct DAW code.
  • Keep signature logs up to date: refrigerator, freezer, pharmacist.
  • Directions for “as directed” are clarified and documented on prescription and/or computer.
  • Diagnosis codes are included when required.
  • Policy and procedure manuals are up to date and being followed.

For more tips see Clinical Resource,Tips to Help Prevent and Survive a Pharmacy Insurance Audit. Pharmacist’s Letter/Prescriber’s Letter. January 2018.