Solutions
Comprehensive 340B ServicesSOLUTIONS
Comprehensive 340B Services
Let Alinea’s team of 340B industry-leading operational experts assist your covered entity with everything from implementation and compliance to revenue optimization.
Audit Services
As the cornerstone of our Comprehensive 340B Services, Alinea performs independent 340B audits to ensure covered entity compliance with 340B statutes and current HRSA guidelines. Alinea’s 340B audit service scope focuses on program statutes and prevailing guidance in all settings utilizing 340B, as outlined below:
Areas for 340B Compliance Adherence and Audit Testing:
340B Eligibility
340B Diversion
Medicaid Duplicate Discount
OPAIS Registration
GPO Prohibition or Orphan Drug Exclusion
Contract Pharmacy contract review and assessment
340B Policies & Procedures Integrity Review and Interpretation
340B Oversight, Education and Training, Self-Auditing, and Internal Controls
Alinea’s audit services may be adapted to meet a covered entity’s needs and scope preferences, however all audits serve to not only detect program risk, but also provide education to 340B management staff and organizational leadership on 340B program risk prevention.
Implementation
Over the past 20 years, as a legacy service, Alinea has assisted covered entities with their 340B setup and implementation. In some cases, we help providers re-architect their 340B program with updated software and processes by drawing on first-hand operational knowledge and guidance to help covered entities improve savings and maintain compliance. Alinea experts have a strong working knowledge of all 340B split-billing vendors, wholesalers, and billing systems, and we quickly digest and overcome issues to streamline 340B benefits.
Clients request our help with many different aspects of their program including, but not limited to, the following assistance:
340B compliance program development and design
Policy and procedure development
Development of contract pharmacy arrangements
340B registration assistance
Child site maximization
Split-billing software implementation assistance and operational enhancement
Optimization
Alinea’s experienced team members possess backgrounds from various hospital areas including revenue cycle management, reimbursement, pharmacy, regulatory, and hospital clinical management. With this pedigree, Alinea engages industry-leading 340B growth strategies and solutions, including technology-enabled analytics, to enhance 340B savings and revenues. Alinea provides optimization services within the following areas:
340B Hospital / Clinic Procurement Analytics and Enhancements
340B Contract Pharmacy Optimization and Expansion
Clinic Eligibility Strategies
Pricing and Charge Capture Design
340B Savings and Revenue Recovery
Prescription Referral Capture Improvement and Management
340B Reimbursement Net Revenue Enhancement
Specialty Drug Capture Strategies and Penetration
Contract Compliance and Negotiation
Ongoing Advisory
Alinea’s 340B ongoing advisory services range from providing specialized 340B sounding-board advice to full service interim 340B management assistance. We understand the challenges of maintaining compliance in a dynamic, evolving regulatory environment and engage a team of 340B experts with significant operational and regulatory experience in guiding and coaching 340B covered entities to successful program management and revenue optimization. Key areas for ongoing advisory include: