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Pharmacy Audit

Are you sure you’re following all of your policies and procedures? 

The Features of the SpendMend Pharmacy Complete Suite of Solutions Includes:

Contract Price Verification

Complete solution for both GPO & 340B price audits

340B Contract Pharmacy Auditing

Facility pharma spend optimization for mixed-use environments

CDM Update

Review of E-pharmacy formulary file and financial system charge master

NDC Monitoring

NDC number validation for drugs with HCPCS code on outpatient claims

Value Analysis

Methodology to determine NDC number to be used in pharmacy

Contract Rx Audit Service

340B dispensing and replenishment compliance confirmation

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The Process

The process is completely hands-off for the hospital. Data is requested and received directly from the drug wholesaler. An existing and up-to-date historical price file from the 340B program as well as a complete portfolio of GPO pricing are accessed to perform the review. The client receives updates in phases to maximize their success and learn as the review progresses.

The overall solution will uncover some areas where clients don’t need any help at all and other areas where clients will see a significant impact. The client is only involved in the reviewing of presented credits and re-bills.

What our clients are saying

  • SpendMend's innovative process appears to leave no stone unturned and has identified and recovered significant dollars.

    Controller - Regional Health System
  • The SpendMend Client Portal allows me to review claims whenever I want – 24 hours a day – on my schedule; and without receiving stacks of paper, which makes the distance between our offices no problem

    Controller, Regional Health System
  • Not only did failures in a previous audit firm’s process result in lower recovery, but also some of the ‘claimed’ recovery dollars had to be paid back to vendors due to rejections. SpendMend has worked with vendors to ensure accurate, valid, approved claims; with better results.

    Manager, Accounts Payable, Medical Center, Northern US
  • SpendMend is a non-intrusive asset and great to work with; they build relationships with their clients and truly understand the Procure-to-Pay process.

    Material Manager, Midwest Healthcare Organization
  • If our team is finding money from recovery audits then I know there are many other non-profit hospital systems that would find value in executing this work as well.

    SCM Manager of Large Midwest IDN
  • I think the SpendMend staff is top notch and very professional and very knowledgeable. I work hand in hand with your people and I think you have great people and a great culture.

    Director of Finance, $11B/8500 Bed Healthcare System

Have questions or want to set a meeting?