If you’re like most healthcare systems, you have a process in place to negotiate pricing from pharmacy wholesalers, but how can you be sure you’re getting the right price on every transaction? How can you ensure you’re following all tolerances and date stamps? Even the smallest mistakes can add up and lead to millions of dollars in loss.
SpendMend and its partners can help you ensure that the process you already have in place is working correctly. Our team of highly-skilled auditors and partners provides data analysis to help you contain or avoid unnecessary costs through price verification, contract compliance, and utilization trends.
Complete solution for both GPO & 340B price audits
Facility pharma spend optimization for mixed-use environments
Review of E-pharmacy formulary file and financial system charge master
NDC number validation for drugs with HCPCS code on outpatient claims
Methodology to determine NDC number to be used in pharmacy
340B dispensing and replenishment compliance confirmation
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.
SpendMend's innovative process appears to leave no stone unturned and has identified and recovered significant dollars.
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
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.
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.
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.
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.