Case study: Ensuring ongoing regulatory compliance for patient assistance programs and pharmacies
We tailored a new audit solution so this pharma giant’s PAP could ensure pharmacies delivering its critical oncology drug were in compliance with regulatory guidelines.
“Conduent’s partnership and proven approach made it very easy to get our audit program running smoothly. Conduent is always available and flexible to our schedules, assisting immediately with questions that come our way.”
— Biotech client —
Conduent is a preferred patient assistance program (PAP) auditing partner for pharmaceutical/biotech manufacturers and copayment foundations. Our 20-year track record of helping clients deter fraud, waste and abuse includes over 2,000 audits with 400+ institutions.
Ensure compliance
Validate adherence to program requirements and guidelines for patient eligibility, product dispensing and third-party billing.
Validate adherence to program requirements and guidelines for patient eligibility, product dispensing and third-party billing.
Identify risk exposure
Analyze third-party billing to government or commercial insurance and ensure disbursement of donated products to only qualified, eligible patients.
Analyze third-party billing to government or commercial insurance and ensure disbursement of donated products to only qualified, eligible patients.
Increase operational efficiency
Leverage audit results to improve program effectiveness through identification of gaps in policies and processes.
Leverage audit results to improve program effectiveness through identification of gaps in policies and processes.
