Follow-Up Assessment on a Previously Published Audit Report Managed Care Pharmacy Claims Paid to Encore Pharmacy #1
Learn how the AI-generated research projects were createdOverall Conclusion
Based on our assessment, Encore Pharmacy #1 fully resolved all reported audit issues. As a result, OIG Audit did not reissue any recommendations from the previous audit.
Source Document
Audit Scope
The scope of the assessment was limited to reviewing the resolution status of issues identified in the previously published audit report.
Key Findings Summary
Encore Pharmacy #1 fully resolved all reported audit issues identified in the prior audit; as a result, OIG Audit did not reissue any recommendations.
Resolution of the previously identified recommendations 1.1 and 1.2 as Fully Resolved.
AI-Assisted
AI Scope Summary
This follow-up builds on the prior audit objectives by confirming whether Encore Pharmacy #1’s remediation of Medicaid/CHIP claim submission and dispensing practices achieved sustainable resolution, and establishing a baseline for future follow-up assessments to verify ongoing compliance.
AI-Generated Insight
The follow-up confirms that Encore Pharmacy #1 implemented effective remediation, improving accuracy in dispensing labels and correct refill/refills counts, leading to resolution of prior issues and no further recommendations issued.
Audit Objectives
The objective of this follow-up assessment was to determine the resolution status of OIG Audit’s previously identified issues at Encore Pharmacy #1, which included testing the effectiveness of management activities designed to remediate identified issues.
Audit Findings (2)
Encore Pharmacy #1 fully resolved all reported audit issues identified in the prior audit; as a result, OIG Audit did not reissue any recommendations.
Resolution of the previously identified recommendations 1.1 and 1.2 as Fully Resolved.
Recommendations (0)
No recommendations provided for this audit