Why desk audits deserve a careful response
Desk audits can look routine, but the findings letter is built from what you send. Missing pages, unreadable copies, or records that don’t match the claim as billed can all become findings. We help you understand exactly what was requested, gather it in one place, and check it against each selected claim before it goes out.
What we help you prepare
Depending on the request, the response can include prescription images, signature or delivery records, purchase invoices that support the quantities dispensed, and notes explaining anything that needs context. We organize the package claim by claim, in the order the auditor asked for it, so the reviewer can follow it easily.
If the findings arrive anyway
When a desk audit produces preliminary findings, we compare them with your purchase and dispensing records and identify which findings the evidence supports challenging. We then prepare a rebuttal and, where needed, appeal support. If the matter escalates, legal representation is available through licensed attorneys under a separate scope.
What to have ready when you call
Have the desk audit letter, the list of selected claims, and the response date in front of you. Tell us the PBM or payer name. Please don’t send patient information through the website; we’ll explain how to share records securely once we’re working together.
Questions about desk audit response
What is a pharmacy desk audit?
A desk audit is a remote audit. The PBM or payer selects a set of claims and asks the pharmacy to send documents that support them, such as prescriptions, signature logs and invoices. No one visits the pharmacy.
How much does help with a desk audit cost?
Audit defense is $295 per hour. The first 30–60 minute phone or Zoom consultation is free, one time, and you get a written estimate with a firm cost cap before any billable work begins.
Should I respond to a desk audit myself?
Many pharmacies do. The risk is sending incomplete or inconsistent records, which can turn into findings. A free consultation can help you decide whether you need support, and how much.
Published by Pharma360 Solutions LLC · Updated . Consulting information; legal representation is provided through licensed attorneys.