Med D Compliance
Constant change. That’s one thing you can count on in the Medicare Part D world. Are you ready?
Recent Center for Medicare & Medicaid Services (CMS) regulations for prescription drugs covered under Medicare Part D required a pass-through pricing model with your PBM – and a new definition of “negotiated price.” This went into effect on January 1, 2010. Were you prepared for the change?
New CMS regulations for Medicare Part C and Part D reporting and data validation require third party oversight for a wide array of measures. The timeframe to successfully implement this complex program is increasingly short. Which begs the question: Are you ready?
Would it help you to know you have an experienced partner ready to help you navigate these compliance challenges? The Burchfield Group understands the nuances of pass-through pricing contract terms and the implications of the reporting and data validation regulations - both of which are vital to ensuring that you’re in compliance.
We’re here to help …
These are just the latest in Medicare Part D compliance dynamics. We’re here to help you, from keeping you updated on changing regulations to understanding the audit rights you have under your current PBM contract. Our experience with dozens of annual Medicare audits also allow us to identify areas of financial or other compliance exposure.
In other words…we’ll assure that you’re ready for that one constant in the Medicare Part D world: change.
