Sec. 4.2. (a) A third party payer may cause an onsite audit to occur at a particular pharmacy location not more than one (1) time per calendar year.
(b) A company that conducts an audit for a third party payer may conduct an onsite audit at a particular pharmacy location not more than one (1) time per calendar year for each third party payer. However, if the audit results in a finding of a particular problem at the pharmacy, the auditor may return within the calendar year to determine ongoing compliance.
As added by P.L.159-2012, SEC.9.
Structure Indiana Code
Title 25. Professions and Occupations
Article 26. Pharmacists, Pharmacies, Drug Stores
25-26-22-1. Definitions Applicable to Chapter
25-26-22-3. "Extrapolation Audit"
25-26-22-4.2. Third Party Payer Onsite Audit Limitations
25-26-22-5. Audit Requirements
25-26-22-6. Written Audit Reports
25-26-22-7. Clerical Errors; Fraud; Recoupment of Payment
25-26-22-8. Overpayment and Underpayment Audit Findings
25-26-22-9. Audit Report; Distribution; Interest Accrual
25-26-22-10. Prohibition of Extrapolation Audits for Calculating Recoupments or Penalties
25-26-22-11. Application of Chapter for Investigative Audits