Rx And Opioid Response

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Protiviti provides solutions to identify gaps in processes related to accurate documentation and billing for drugs, processes for securing and monitoring controlled substances, 340B compliance and improving the supply chain process for inpatient and retail pharmacies.

 
  • Advanced Analytics - monitoring prescribing practices, opioid predictive modeling
  • Opioid Stewardship - patient and provider education, referrals, assessment and monitoring tools etc.
  • Joint Commission Pain Management and Assessment requirements
  • Drug diversion prevention and monitoring
 
  • Evaluate overall pharmacy operations, including purchasing, receiving, and inventory management to identify areas of inefficiency or cost reduction opportunities.

 

 
  • Chargemaster reviews/defensible pricing
  • Appropriate documentation to support the bill
  • JW modifier reviews (compliantly bill for drug waste and identify areas of missed revenue) utilizing proprietary data analytics
 
Perform compliance assessment of 340B program to review policies and perform testing of:
 
  • Eligibility/diversion​

  • Usage split-billing systems​

  • Duplicate discounts​

  • Contract pharmacy relationships

Ready to work with us?