NDC reconciliation and pharmacy audit reporting

What the reconciliation examines

The review connects the claims in the audit window to purchase invoices and other supporting pharmacy records. We examine the product codes, quantities, pack sizes, and units of measure used in the comparison. Where an equivalent product was purchased under a different NDC, we assess the records supporting that relationship rather than treating a code difference alone as a complete explanation.

Four reporting deliverables

Depending on the agreed scope, the work can include a purchase-and-dispense reconciliation, an NDC mismatch analysis, a shortage valuation and exposure report, or a findings rebuttal workbook. A rebuttal package organizes the flagged claim reference, supporting invoice, quantity calculations, and relevant documents so the analysis can be checked against its source records.

Which records to discuss with our team

Tell us which audit period and claims are being reviewed, what findings the payer has issued, and which purchase and dispensing exports are available. The initial consultation establishes what data is needed for the assignment. A comparison report is only as complete as its source records; missing invoices and inconsistent exports may require further work.

A reporting engagement matched to your need

Standalone reporting can be scoped as standard consulting at $165 per hour, while audit-defense work is $295 per hour. The applicable scope and rate are established in writing before work begins. Every engagement includes a written estimate, firm cost cap, and itemized time logs. The team works with Philadelphia-area and nationwide pharmacies by phone and Zoom.

Questions about ndc reconciliation