to the Apply For Membership Form in PDF format.

Transcription

to the Apply For Membership Form in PDF format.
to check out our website
Scan with your smartphone
Train your employees
with the help of
Freddy FraudBuster.
He will navigate your
employees through interactive
training modules that cover
important policies and
requirements of
Fraud, Waste & Abuse
and HIPAA Compliance.
Pay by check City______________________________ State______ Zip______________
Billing Address________________________________________________
Cardholder's Name ___________________________________________
Exp. _________________ Card Security Code ______________________
Card No._____________________________________________________
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Payment:
Send Payment to:
PAAS National®
160 Business Park Circle
Stoughton, WI 53589
Fax: 608-873-4009
Check Enclosed in the Amount of:
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WEBSITE
Cell Phone* ____________________________________________________
NCPDP#* ______________________ NPI#*_________________________ Phone* _____________________ Fax Number* ______________________
Address*______________________________________________________ Email Address*__________________________________________________
Pharmacy*_____________________________________________________ Contact Name*__________________________________________________
*Following information to be provided in *RED is REQUIRED*
*A PAAS National® FWAC/HIPAA Program Membership entitles a pharmacy up to 20 employees.
FWAC/HIPAA Program* –Take control of FWA and HIPAA today!
Pharmacy owners are the center of the PAAS National®
CUSTOMIZED – Tailored policies, procedures and forms to fit your store’s
needs. Implement what you have created.
COMPLETE – Everything that you need for FWA and HIPAA compliance all rolled into
one convenient package.
EASY – Access your store’s account anytime, 24/7, and know instantly what
steps you need to take toward completion.
• Pharmacies
failing to meet HIPAA requirements could be assessed fines up to $1.5 million
per type of violation.
• Violations
have caused pharmacies and pharmacists to lose their licenses, and face criminal
charges and incarceration.
• One
pharmacy cited for FWA Non-Compliance was required to submit to unannounced,
onsite audits on a quarterly basis for two years – and pay the audit costs!
• V
iolations have resulted in pharmacies being expelled from participation in
Medicaid and Medicare Part B and D.
• A
New York pharmacy self-disclosed to the OIG and agreed to pay $164,842.50 for allegedly
employing an individual that it knew or should have known was excluded.
• T here are many ways to be excluded including a previous contract dispute with the U.S.
Postal Service. Employing individuals on either the OIG or GSA Exclusion Lists can result in
minimum penalties of $10,000 and up to three times the amount of claims.
ALL pharmacies are contractually required to have a comprehensive compliance program.
– Avoid fines, penalties, audit problems and worse with the PAAS FWAC/HIPAA Program!