Emdeon Audit Advantage™

Emdeon Audit Advantage is a suite of services that can help pharmacies reduce the risk of state, federal and commercial audits. The suite, which integrates with standard workflows using existing pharmacy management systems, currently consists of two individual components that function within Emdeon's pre/post edit solution, Emdeon Edit^®. One component, the prescriber eligibility alert, identifies ineligible prescribers, while the other, the primary coverage alert, identifies state Medicaid claims that should have been billed to another plan instead.

Benefits

• Emdeon Audit Advantage automates prescriber eligibility and primary coverage checks in real time at point of sale.
• The solution is designed to reduce fraud, waste and abuse.
• Emdeon Audit Advantage reduces risk of state, federal and PBM audits and minimizes the risk of recouped pharmacy claims and fines that result from audits.
• Emdeon Audit Advantage increases pharmacy operating efficiency and streamlines workflow by working within existing claims processes.