A fear that all independent pharmacies should keep in mind is the pharmacy audit. Hopefully, you’ll never have to worry about your pharmacy being audited, but if you do, having a reliable pharmacy audit checklist available is an important step to prepare yourself.
Why Your Pharmacy Might Get Audited
There are a number of reasons your independent pharmacy could be targeted for an audit. It all comes down to who your auditors are:
- Compliance Inspection: Catamaran audits, CMS onsite audits, state board inspections and medicare accreditation surveys are all examples of government compliance inspections that could stem from a specific issue or be routine.
- Pharmacy Benefit Manager Audit: An audit from your PBM could be triggered by an inability to produce requested documents or a failure to abide by the terms of the pharmacy agreement. The best way to safeguard against PBM audits is to avoid signing contracts that include any illegal auditing.
Preventing Pharmacy Audits
Planning ahead can ensure you avoid any issues that may result in a pharmacy audit. Here are the best pharmacy audit tips:
- Carefully Read Any Contracts, Compliance Requirements and Updated Regulations – Your best defense against a pharmacy inspection is a complete understanding of any laws and contracts your pharmacy needs to maintain compliance with. This includes government regulations and PBM agreements.
- Recordkeeping – A pharmacy inspection checklist won’t do you much good if you don’t have the records being requested or can’t easily obtain them. Good, organized recordkeeping and an inventory management system is the most important step to avoiding any accidental violations.
Pharmacy Audit Checklist
Of course, even the most well organized and prepared pharmacy may find themselves in need of a pharmacy checklist template. If your pharmacy is facing an audit, follow this pharmacy inspection checklist:
Preparing for Pharmacy Audit
- Keep a record of all communications with auditing entity.
- Organize all records and ensure you aren’t missing any important documents.
- Prepare your staff so they understand what to expect.
- Ensure your pharmacy is clean, your drug refrigerator and other equipment is in operation and any expired, recalled or damaged/altered drugs are stored or destroyed properly.
During Your Pharmacy Audit
- Ask questions about the audit’s scope and goals and record the answers given for your records.
- Protect your records. Don’t leave the auditor alone with your records and provide copies of any requested documents. Keep the originals and document any records you provide.
- Conduct an exit meeting to determine any issues identified in the audit and ask for the list of any discrepancies in writing.
Pharmacy Audit Followup
- Acknowledge any potential problems that arose during the audit. Consult with an attorney if you need clarification on whether a discrepancy occurred.
- Send a rebuttal before the deadline with copies of any supporting documentation needed.
- Once you receive a written report detailing the full audit findings, review it carefully to make sure it matches the notes you took during the audit.
- If any rebuttals or appeals are required, work with an attorney or consultant to form your response.
Hopefully these pharmacy auditing tips give you everything you need to get through your pharmacy audit in good shape. If you’re looking for more pharmacy advice, check out our 2018 Buyer’s Guide for Pharmacy Owners.