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PrescriptionDrugProgram Book Medicaidprovider Hhs Mt  Form

PrescriptionDrugProgram Book Medicaidprovider Hhs Mt Form

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Welcome to the Pharmacy Self-Auditing: Control Practices to Improve Medicaid Program Integrity and Quality - Module 1: Prescribing Practices presentation. Pharmacies are subject to auditing from many agencies, including your State Medicaid agency (SMA), the Centers for Medicare & Medicaid Services (CMS), the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), Federal and State contractors, State pharmacy licensing authorities, the U.S. Drug Enforcement Administration (DEA) and third-party payers. Knowing what to expect and how to prevent deficiencies helps prevent fraud, waste, and abuse in your pharmacy. Let's take a moment to consider how rising pharmaceutical costs have increased the need for payers to audit pharmacies. Pharmaceutical expenditures in the United States were just over $1,000 per capita in 2012, which is 11.5 percent of total health care expenditures $8,745 per capita. Total health care expenditures represented 8 percent of the gross do

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