Summary
Learn about the complexities of third-party payor policies and their value in applying quality controls in drug plan management.
Understand how billing and coding errors can trigger an audit, and how to minimize your risk and make responding to audit requests easier for you and your pharmacy team.
Familiarize yourself with the language of third-party payor policies and gain a better understanding of the components of a third-party payor agreement. Case studies are integrated in each module to assist in translating knowledge into practice.