Of all types of PBM audit types, the most concerning ones are invoice shortage audits. PBMs and governmental programs treat invoice shortages as telltale signs of fraud and abuse. Countless pharmacies have lost their PBM contracts as a result of audit shortages findings. Adverse findings also result in payment holds, withholdings, terminations from PSAOs, and in some cases, criminal prosecutions.
AuditPilot is here to prepare pharmacies for invoice shortage audits. By combining our deep understanding of pharmacy practice with using sophisticated analytical tools, we are able to anticipate problems and highlight them so that pharmacy owners can act upon them before audits happen.