The Burchfield Group to participate in the HCCA Managed Care Compliance Conference
Derek Frye, Audit & Compliance Practice Leader, will be presenting at the upcoming Health Care Compliance Association (HCCA) Managed Care Compliance Conference along with Sonya Henderson, Senior Vice President of Corporate Compliance & Government Programs at FirstCare Health Plans. They will be presenting "Deep Dive on DIR: CMS’ 2017 Focus on Enforcement for One-Third Financial Audits and Your Rebates". The event will take place in Scottsdale, AZ on January 29-February 1, 2017. For more information, go to


The Burchfield Group is a sponsor of the 2017 Health Action Council (HAC) health and wellness benefit conference in Ohio
Look for our representatives at the upcoming HAC conferences in Columbus, Ohio in January and Cleveland in February. Staff will be available to meet before and after the event to discuss upcoming industry changes, share insights on the latest pharmacy trends, and discuss your needs in the changing health care landscape. To set up a personal meeting contact Phil DeNucci at or at 651-389-5664.


CMS Industry-wide Timeliness Monitoring Starts Now
Recently, CMS announced a deadline for Industry-wide Appeals Timeliness Monitoring. Once you receive notice from an audit contractor, you only have 15 days to produce the required 7 ODAG universes and 10 CDAG universes, and these universes must be accurate and meet the 2016 program audit protocol requirements. Health Plans, are you ready? The Burchfield Group has experts that can help you validate the data formatting and verify that you have everything covered. Contact us for more information.


The Burchfield Group welcomes Kristin Gray to its team
Kristin Gray joins The Burchfield Group as a Strategic Consultant for the health plan market. As a strategic consultant, Kristin advises clients on how to most effectively manage their pharmacy benefit programs. Kristin brings 20 years of experience in a variety of healthcare settings, including specialty pharmaceuticals, strategies in GPO contracting and managed markets, and practice management to the Burchfield team. Her experience gives her deep insight into the pharmaceutical marketplace at the manufacturer, wholesale, and retail/physician provider levels. Kristin also brings a depth of experience in specialty pharmaceuticals life cycle management, self-injectables, generics and biosimilars.

Maximize Savings, Mitigate Risks and Optimize Effectiveness

We take a data-driven approach and work with you to develop and recommend a pharmacy program that fits your individual plan needs – helping you maximize savings, mitigate financial and regulatory risk, and optimize effectiveness. Contact us to learn more.