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Program Integrity: Pharmacy Auditing and Dispensing Toolkit

The Pharmacy Auditing and Dispensing Toolkit focuses on areas of pharmacy that are prone to triggering audits that pharmacy health care professionals should examine.  This toolkit is a four-part series that covers prescribing practices, controlled substances, invoice management, and billing practices.  Useful tools and materials contained in this toolkit include videos, presentation handouts, booklets, job aids, a checklist, and a resource guide.

Image of several clear containers with various colored pills in each container.

Module 1

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 1 Prescribing Practices (presentation - January 2016)

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 1 Prescribing Practices (presentation handout - January 2016)

Control Practices to Improve Medicaid Program Integrity and Quality Patient Care - Booklet 1: Prescribing Practices (booklet - January 2016)


Module 2

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 2 Controlled Substance Management (presentation - January 2016)

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 2 Controlled Substance Management (presentation handout - January 2016)

Control Practices to Improve Medicaid Program Integrity and Quality Patient Care - Booklet 2: Controlled Substances (booklet - January 2016)


Module 3

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 3 Invoice Management (presentation - January 2016)

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 3 Invoice Management (presentation handout - January 2016)

Control Practices to Improve Medicaid Program Integrity and Quality Patient Care - Booklet 3: Invoice Management (booklet - January 2016)


Module 4

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 4 Billing Practices (presentation - January 2016)

Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 4 Billing Practices (presentation handout - January 2016)

Control Practices to Improve Medicaid Program Integrity and Quality Patient Care - Booklet 4: Billing Practices (booklet - January 2016)


Job Aids, Checklist, and Resource Guide

Pharmacy Auditing and Dispensing Job Aid: Billing Injectable Products

Pharmacy Auditing and Dispensing Job Aid: Billing Kits

Pharmacy Auditing and Dispensing Job Aid: Billing Oral Products

Pharmacy Auditing and Dispensing Job Aid: Billing Other Dosage Forms

Pharmacy Auditing and Dispensing: The Self-Audit Control Practices to Improve Medicaid Program Integrity and Quality Patient Care Checklist

Pharmacy Auditing and Dispensing Resource Handout
 

Please direct questions or requests to Medicaid Provider Education.

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