Your pharmacy could have provider agreements terminated or be excluded from Medicare Part B & D, and Medicaid
Extrapolation can kill your business
If you employ a person that is excluded from Federal Programs — you could pay a minimum fine of $10,000 plus triple the amount of claims the pharmacy was paid
A New York pharmacy paid $168,842 for employing an individual that it should have known was on the OIG Exclusion List
You could be forced to submit to unannounced compliance audits — and pay the costs
HIPAA violations carry fines up to $1.5 million per type of violation
Your pharmacy and pharmacists could lose their licenses, face fines, criminal charges, incarceration
PAAS National® is the industry-leading advocate and defender of community pharmacy dealings with Prescription Benefit Programs. PAAS helps fight for fair audit treatment, improved contract terms and is a guiding light, steering community pharmacists away from trouble and toward compliance with rules and regulations such as HIPAA and Fraud, Waste and Abuse.
PAAS will consistently continue to capture national recognition and respect as the best-in-class leader, setting cutting-edge industry standards by employing knowledge, support and service excellence to empower community pharmacies to thrive, not just survive
Your loyalty is special to every member of the PAAS team — we treasure it. Our credo includes honesty in all dealings, integrity — always doing the right thing even when it is not the easiest path, and service — working longer, harder and smarter so we meet your expectations and keep your loyalty.
You could, but with the average annual savings in audit chargeback reductions generated through the help of PAAS of $14,722, it will pay for a PAAS membership for the next 32 years — and that’s just 1 year of audits!
If you are honest, you will admit you cannot do this on your own!
That’s no joke. The team at PAAS National® is dedicated to helping you survive unilateral contracts, predatory audits, or whatever new trick that the PBMs are springing on you — and we have done this consistently since 1993.
PAAS National® is an advocate of community pharmacies and your resource for timely advice and support. PAAS National® fights for you to gain fair and equitable treatment in third-party dealings. We start with proactive education for you and your staff on safe filling and billing methods.
Chances are you have heard about PAAS from other pharmacy owners. The business climate today is tough — rules, regulations and audits make it tougher. Pharmacy audits are big profit centers for PBMs and plan sponsors — money straight from your pockets into theirs. Audits generate hundreds of millions of dollars every year.
Join PAAS now, do not wait another minute. Gain access to comprehensive array of benefits — audit assistance, contract reviews, fraud, waste and abuse compliance, HIPAA compliance and much more — real survival tools that will begin paying off the instant you join.
Ed Heckman has dedicated his life to helping independent pharmacists prosper — and he is good at it. He founded PAAS in 1993 to help community pharmacies defend themselves from unfair audit practices. Ed recently retired as the CEO of Compliant Pharmacy Alliance® and now devotes all of his attention to PAAS.
The PAAS team is dedicated to helping you. We have four full-time pharmacists and a complement of
technician analysts with an average of 8 years of experience. PAAS constantly updates their historical
database with information on hundreds of types of audits — in fact we even keep a scorecard on individual auditors.
GET TO KNOW THE PAAS TEAM
The PAAS National® compliance program for Fraud, Waste and Abuse plus HIPAA is all inclusive — ready to go to work for you. Everything you need at your fingertips available 24/7, helping you to effectively and efficiently manage your pharmacy’s compliance program. In fact the PAAS FWAC/HIPAA Program is the easiest and most complete available — and it is customized for YOU.
You pay one annual fee; then use PAAS as often as you need - no added charges. Some of our competitors charge a percentage of your audit chargeback - NOT PAAS! Our reward is the satisfaction gained from helping you keep your money.
PAAS is your advocate at your side from pre-audit preparations through post-audit discrepancies. After 27 years of Audits you name it — whether Caremark, ESI, Medicaid, Medicare Part D, DMEPOS Part B and many more — we have seen it.
Your first move after receiving notification of an audit — CONTACT PAAS! We have experience in over 59,000 prescription claims audits and give you the specifics on preparing for your audit.
Fear of the audit unknown can be unsettling - especially when it can hit your pocketbook. PAAS provides information so you will know what to expect.
We keep track of PBM’s habits. PAAS knows the focus of each Audit type, right down to individual auditor tactics. Plus PAAS helps you understand your rights during an audit.
Chances are your initial audit will demand over $10,000 in chargebacks. PAAS knows what documentation you need to collect, how to organize it and then the proper methods to submit the information.
We give you the best chance to resolve Audit discrepancies. On average with the help of PAAS, pharmacies will save $14,722 annually in audit chargebacks — keep money in your pocket.
Members receive this guide with proactive tips to help audit proof your pharmacy and save you money. Learn to utilize your PAAS membership to the fullest extent.
The PAAS monthly newsletter is a member favorite that provides important audit prevention tips and timely information on PBM audit tactics.
Any member of your staff can contact PAAS with filling and billing questions. Avoid issues that could trigger an audit.
Accept or reject — that is the question. Whether a new contract or an addendums or amendment, PAAS reviews contracts and points out potential risks and pitfalls. Our library of contracts and reviews numbers in the hundreds.
PAAS helps you with strategies to aid negotiations with PBMs. We use our profit model to project a plan’s profitability.
PAAS can provide templates for Sig Log Forms and Postcards. Or purchase PAAS Signature Logbooks — spiral bound, 400 pages and holds 10,000 signatures for only $12.99 + shipping.
PAAS provides an array of important forms for members. Signature Log Forms, Signature Logbooks, Signature Log Postcards, Patient Affidavits, Compounding Protocols and Discrepancy Report Forms, plus others help you address Third-Party requirements.
PAAS maintains a contact database of PBM and plan sponsor personnel. Bypass the unhelpful help desk. If you are tired of Help Desks staffed from remote areas of the world and need a contact and telephone number, check with PAAS.
PAAS provides handy charts that help you accurately transmit the correct day supply. Charts for Insulin, Inhalers, Nasal, Eye and Topicals help you prevent audit recoupments.
Form to help pharmacies collect signatures and the verification of prescription services for audit purposes.
Unfortunately some audits may require you to retain legal assistance. PAAS can assist in your search for legal representation and can provide attorney contact information.
The PAAS National® compliance programs are all inclusive. Everything you need at your fingertips, online, available 24/7. Easy to navigate yet the most complete pharmacy program available — customized to your pharmacy
Your pharmacy must have comprehensive compliance programs that meet ALL the standards for Fraud, Waste and Abuse Compliance as well as HIPAA Compliance — and Training is only one element.
The PAAS FWAC/HIPAA Program Guide contains all the pertinent information you need to develop a good understanding of compliance requirements and administering the program.
The Dashboard Monitor tells you the status of your program in real time. You also receive reminders and email alerts that will keep you ahead of the game.
PBMs want proof of your FWAC and HIPAA compliance programs — just click and print your Attestation Statement online at any time.
Proof and documentation are available on demand at any time. Print training certificates or Attestation Statements, check employee status, keep track of all your pharmacies — as often as necessary
Every day, PAAS scans all employees against the OIG & GSA Exclusion Lists for possible matches. When a match is found PAAS sends you urgent electronic notifications.
Internal auditing and monitoring tools required to track, document and reduce errors — includes Incident Reports.
We provide a step-by-step guide for investigating, reporting and taking action against FWA.
The PAAS compliance programs for Fraud, Waste and Abuse as well as HIPAA securely store your program data for you to retrieve in an instant.
CMS approved fraud, waste and abuse, and compliance training. Divided into narrated modules that are convenient and efficient training for your employees – all online and available 24/7. Training is required for new hires and all employees annually.
HIPAA required compliance training for employees in narrated modules that are convenient and efficient – all online and available 24/7. HIPAA training is required for new hires and all employees annually
Lost a certificate? No worries reprint training certificates at any time.
Your compliance program must be customized to reflect your pharmacy’s practices. If you own multiple pharmacies each must have its own unique program. From the responses you provide to our detailed survey, PAAS can accurately describe your pharmacy’s operations and policies & procedures.
From your input to our survey, PAAS creates your custom FWAC and HIPAA Policy & Procedure Manual.
Add FWA and HIPAA to your Employee Handbook. PAAS generates pages for you — just insert them into your pharmacy’s Employee Handbook.
Straight-forward, your pharmacy’s custom Code of Conduct Policy and Conflict of Interest Policy is ready to be printed and signed by your employees.
Customized to your pharmacy’s privacy practices that can be easily updated when you make changes. HIPAA requires your patients to receive the most current NOPP.
All the required notices, acknowledgements, requests, disclosures, checklists, worksheets and logs needed to administer a HIPAA compliance program.
You are required to obtain Business Associate Agreements — BAAs from your subcontractors exposed to PHI. Our templates help you ensure that you have a valid BAA form so you can meet the BAA requirements for even your smallest vendors.
Use our online questionnaire to assess your pharmacy’s threats and vulnerabilities to the security of electronic PHI. Let it guide you to identify administrative, physical and technical safeguards to minimize risks.
Using your Risk Analysis we guide you through the process to plan for disasters big and small. Get your pharmacy back up and running while still protecting your patient’s PHI.
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