Internal Audits

The Health Resources and Services Administration (HRSA) oversees all 340B programs. Internal audits are required for contract pharmacy programs. Nuvem helps you maintain compliance with a full year of internal audits that evaluate claims processed, contract pharmacy utilization, oversight, and partners with you to build Corrective Action Plans (CAPs) to address any findings.

Audit claims capture, eligibility understanding, and business practices

Maintain accurate records in the OPA Information System (OPAIS) database

Review self-audit practices and save related reports

Partner with experts to build Corrective Action Plans

Program Compliance

Leverage Nuvem to review all policies and procedures from top to bottom: 340B eligibility determination, Pharmacy Service Agreements (PSAs), procurement documentation, OPAIS database accuracy, and diversion and duplicate discounts.

Claim Integrity

Secure the integrity of your 340B program by auditing claim sample size as advised by HRSA, reviewing the Contract Pharmacy Dispensation Report, verifying patient and provider eligibility in claim samples, adhering to state Medicaid requirements, and examining specific cases involving high-cost drugs.

Review of Your Entire Program

When conducting audits, our experts will review your entire pharmacy program, including pharmacies within and outside the Nuvem network. We deliver peace of mind through knowing that Nuvem auditors are thorough and complete in their claim investigations, so you can focus on patient care.

Active Support

When our team discovers non-compliant claims, we will work with you to build Corrective Action Plans (CAPs) to remedy the findings and prevent similar occurrences in the future. Our support team is also available to guide you and answer your compliance questions at any time.

Think Big. Move Forward.

SEND US A MESSAGE

Don’t Take Our Word for It… Take Theirs.

Nuvem delivers one comprehensive solution and streamlined experience for the industry’s best client and compliance support.

“Since the pandemic began, with the partnership of Nuvem, both our in-house pharmacy and contract pharmacies have grown to be 60% of total revenues. If not for this stable revenue base, we would have had to furlough staff and/or significantly reduce office hours.”

Chief Financial Officer

Community Health Center

“Your entire team has a wealth of experience matched with a caring heart and a fierce determination which has enabled you to accomplish so much and I thank you for sharing that well earned insight.”

Executive Director, Health Center

Brooklyn, NY