Internal 340B audits and ongoing support
Keep oversight manageable with recurring claims reviews, program checks, and support tailored to your team.
What it is
Internal auditing helps an organization identify gaps and follow up on corrective work between external reviews. Services can be arranged monthly or on another agreed schedule.
Who it is for
Covered entities that need additional audit capacity, support for a small 340B team, or a more consistent approach to reviewing program activity.
What we do
Services may include the following, depending on your program and agreed scope.
1Claims review
- Risk-based sampling across relevant dispensing settings
- Eligibility and transaction checks
- Diversion and duplicate-discount review
2Program oversight
- OPAIS records and pharmacy relationships
- TPA and wholesaler reconciliation
- Policies and internal controls
3Readiness and documentation
- Organized evidence and audit records
- Policy and procedure updates
- Staff guidance and workflow support
4Reporting and follow-up
- Findings and corrective-action tracking
- Review of recurring issues
- Follow-up on agreed priorities
Ongoing support tailored to your entity
Ongoing support can include internal audits, OPAIS monitoring, policy updates, and staff assistance. We agree on services, frequency, deliverables, and fees after reviewing your program.
Common questions
Are monthly audits available?
Yes. Monthly reviews are one option. The frequency and depth of review are tailored to the entity, its transaction activity, and available internal resources.
How many claims are reviewed?
The sample is defined for the engagement based on the review objectives, dispensing settings, volume, and risk areas. There is no single sample size for every organization.
Can support extend beyond claims audits?
Yes. Support may include OPAIS monitoring, policies, readiness documentation, operational questions, and corrective-action follow-up, as agreed in scope.
Discuss the support your program needs
Tell us about your entity, priorities, and timing. We will discuss an appropriate scope.