Government Price Reporting Compliance


Government Programs:  Medicaid, Medicare, Federal Supply Schedule, Public Health Service

Services Offered

  • Policies & Procedures development and implementation
  • Medicaid Rebate Program reporting and compliance
    • Average Manufacturer Price (AMP); Best Price (BP) reporting
    • Medicaid claims processing
  • Medicare Prescription Drug Program
    • Average Sales Price (ASP) reporting
  • Department of Veterans Affairs;
    • Federal Supply Schedule (FSS)
    • Public Health Service (PHS/340B)
  • Compliance Assessments, Audits and Restatements
  • Strategic Planning and Process Improvement
  • Bona Fide Fee for Services & Fair Market Valuation Analysis
Key Drivers:
  • ASP and AMP price reports have to be certified by the company’s CFO or designee;
  • Commercial Operations need to optimize operational efficiency while maximizing  compliance;
  • Government Programs require accurate price reporting
  • Price reporting requirements are complex and sometimes vague;
  • Some  transactions have a timing lag and therefore require estimation;
  • Volume and complexity of transactions make the calculations prone to errors;

 

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