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Pharmacies Face Extra Audit Burdens That Threaten Their Existence

KFF Health News Original

Pharmacy benefit managers have curtailed in-person audits of pharmacy claims during the pandemic, switching to virtual audits done by computer. That has markedly increased the number of claims they can review — and the chances for payment denials — squeezing pharmacies and bringing in more cash for the benefit companies.

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KFF Health News Original

KHN executive editor Damon Darlin wades through mounds of health care policy stories — so you don’t have to.