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340B Consulting

Our team of 340B Apexus Certified Experts can assist your covered entity with everything from implementation and compliance to revenue optimization. See our detailed services list below.

Interested in receiving quarterly news and updates based on relevant 340B topics? If so, you can subscribe (and see what other newsletters we have) here.

Services Overview

Compliance Services

As HRSA continues to scrutinize the program and increase the number of audits it performs, we can assist you in navigating the compliance requirements. Our services include:

  • Policies and Procedures review
  • Quarterly compliance monitoring
  • Annual compliance audits
  • HRSA audit preparation and on-site assistance
  • Patient definition review
  • Medicaid duplicate discount review
  • Staff education and training
  • Third-party system review and selection
  • New implementation guidance
  • IT data extracts and transfer

Revenue Optimization

We can assist you in making sure that you are receiving the optimal financial benefit from the 340B Program relative to the inherent compliance risks of participating in the program.

We are offering a Complimentary Financial Analysis of your 340B Retail Pharmacy Program. If you would like one of our 340B consultants to analyze your retail program for possible revenue opportunities, feel free to contact us.

340B Implementation Assistance

  • Provider-Based location development
  • Revenue analysis
  • Medicare cost report compilation
  • Contract pharmacy negotiation
  • 340B software selection
  • HRSA registration
  • Program monitoring
340B & Telehealth: Opportunities Together

340B & Telehealth: Opportunities Together

With the roll-out of value-based care programs that focus on patient outcomes, health systems and health plans are using telehealth in a proactive way, reaching out to patients facing transitions in care, closing patient gaps in care and tracking treatment adherence for patients with chronic care management plans. Telehealth assists to create care management and […]

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As of October 1, 2019, CMS will Begin Enforcing Accounting Classification Rule for Crossover Bad Debts

CMS to Begin Enforcing Accounting Classification Rule for Crossover Bad Debts

On April 4, CMS announced that for cost reporting periods beginning on or after October 1, 2019, providers must comply with a “longstanding” rule to claim reimbursement for crossover bad debts from the Medicare program. After this point, providers will be denied reimbursement for their crossover bad debts unless the underlying balances are logged to […]

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Worksheet S-10 Update

Worksheet S-10 Update

Over the past six months, CMS instructed all MACs to complete audits of the FFY 2015 Medicare Cost Report Worksheet S-10s. Each MAC was required to complete 50 audits (approximately 25% of all DSH eligible providers nationally), and Blue & Co. represented providers in multiple MAC jurisdictions. Here’s what we learned. S-10 Audit Requests & […]

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Connect with our team.

To learn more about our reimbursement services, contact our team here.

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