Experience

  • Hundreds of PBM audits conducted, including claim pricing, benefit implementation, pharmaceutical manufacturer rebate audits and Medicare Part D regulation compliance
  • All team members have extensive PBM backgrounds
  • Unsurpassed experience analyzing and investigating pharmacy claims data

Integrity

  • Unbiased audit approach produces valid and recoverable findings
  • No conflicting consulting services are offered, in compliance with Sarbanes-Oxley auditor independence standards
  • No fees based on contingencies or percent of recoveries

Results

  • Accurate and fair assessment of PBM performance and a plan to correct any deficiencies 
  • Efficient audit process leads to shortened audit timeframe and produces results
  • Advanced technological resources ensuring data security, confidentiality of PHI and compliance with HITECH standards

Our Clients

Tiber Creek Rx specializes in auditing PBMs for clients of all sizes and types.  Our team has extensive experience working with:

  • Independent health plans
  • BCBS plans
  • Medicaid Advantage, Part D, and SNP plans
  • Managed Medicaid plans
  • Third Party Administrators (TPAs)
  • Coalitions
  • Labor unions/Taft-Hartley funds
  • Workers compensation plans
  • Employer groups
  • Retirement funds

About Tiber Creek

Tiber Creek Rx is a division of Tiber Creek Consulting, Inc.  Tiber Creek provides scalable technology solutions that enable our customers to automate the collection, warehousing, visualization, and reporting of critical business data on dynamic, cloud-based infrastructures.

To learn more about Tiber Creek's Proven Solutions for a Data Driven World, please visit our parent company's main site at http://www.tibercreek.com.

 


The Case for Auditing Your PBM

One small, honest mistake in implementing pharmacy benefits can quickly lead to your plan and members incurring substantial overcharges. 

Click here to read our white paper on why you should audit your PBM.


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Industry Publications       book picture            

Pharmacy Benefits:

Plan Design and Management 

by F. Randy Vogenberg

Click here for more information on the author and how to order.

 

 

 

 

 

Contact Us

Tiber Creek Rx                

420 South Washington Street    
Suite 3    
North Attleboro, MA 02760    
Phone: (703) 539-6260      
Fax: (508) 699-3367    
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