Rx financial and margin assessment

• Rx financial and margin assessment
• Pharmacy startup and feasibility
• Pharmacy acquisition due diligence
• Break-even analysis
• Cash flow planning

PBM and reimbursement

• PBM and payer reimbursement analysis
• Reimbursement versus acquisition cost by NDC
• Effective rate reconciliation
• Below-cost reimbursement identification
• Dispensing fee analysis
• Prescription profitability by payer and category
• Specialty drug reimbursement analysis
• Contract term financial modeling

Billing and recovery

• Pharmacy claim workflow assessment
• Rejection research and denial management
• Reversal and rebilling controls
• Vaccine, infusion, specialty, and DMEPOS billing administration
• Legacy A/R recovery

Inventory and supply chain

• Inventory financial analysis
• Turnover and dead stock analysis
• Expiration risk reporting
• Wholesaler contract analysis
• Generic and brand acquisition cost analysis
• Reorder point planning
• Cycle count and physical inventory procedures
• Shrink and loss control
• Cold chain documentation
• DSCSA administrative workflow documentation
• GPO and rebate tracking
• Purchase-to-payment reconciliation

Strategic CFO and accounting

• Monthly reporting with commentary
• Budgeting and forecasting
• Working capital analysis
• Location and service-line profitability
• COGS analysis and gross margin monitoring
• Capital and financing modeling
• Owner distribution planning
• Executive and board dashboards
• Lender and investor reporting
• Bookkeeping
• Chart of accounts development
• Wholesaler invoice reconciliation
• Month-end close
• Internal controls including separation of duties and cash handling

Accreditation, licensing & 340B

• Accreditation readiness for NABP programs
• State and multi-state pharmacy licensing readiness
• 340B financial and operational review
• Contract pharmacy and TPA reconciliation
• Duplicate discount prevention workflows
• Medicaid carve-in and carve-out tracking
• Savings utilization reporting