Published in Mental Health Law Weekly, February 23rd, 2008
Auditing is a critical, yet often overlooked piece of the prescription benefits package. The pharmacy benefit itself is complex and presents a host of opportunities in which errors can occur. Fraud, hierarchical benefit rules and simple human error can place the payor at significant financial risk. Payors must regularly review the processing of pharmacy claims to ensure accurate adjudication is taking place. Case in point: in one...
Want to see the full article?
Welcome to NewsRx!
Learn more about a six-week, no-risk free trial of Mental Health Law Weekly
NewsRx also is available at LexisNexis, Gale, ProQuest, Factiva, Dialog, Thomson Reuters, NewsEdge, and Dow Jones.