URAC Pharmacy and Health Plan Audit Services

Advent helps URAC accredited pharmacy organizations and health plans meet the new measure data validation requirement

Advent is URAC-approved to perform your Pharmacy and Health Plan measure audit

URAC requires accredited pharmacy organizations to hire an independent third-party auditor to validate performance measure data submitted as part of its accreditation requirements. Beginning in 2018, URAC-accredited health plans also will be required to undergo an audit and may do so voluntarily in 2017.

Why choose Advent to validate your URAC measure data submissions

Efficient, client-centered audit program

Advent’s customized audit approach begins with the assignment of a dedicated client manager who starts with early discovery of client-specific Focus Areas to ensure your organization has sound capabilities for processing required data and a strong foundation for accurate reporting in compliance with URAC audit standards and technical specifications.

Our teams build personalized relationships and work collaboratively with you to develop a client-specific URAC Validation Audit Work Plan that transforms the complicated, resource-intensive process of measure and reporting production into a streamlined process to increase audit efficiency, decrease operational burden and ensure the most accurate results.

Your program includes our Core Client Support Services that provide continuous updates and education throughout the year, including:

  • Clarification and assessment of changes to URAC technical specifications
  • Real-time alerts impacting current URAC reporting
  • Special training for clients new to performance measure reporting
  • And more

Our proven approach, consistent results, and personalized attention and client support are why 100% of our clients say they are “very” satisfied with our services and would wholly recommend us to others.

Industry-leading experience

As a licensed compliance organization, Advent is a recognized leader in providing audit and measure certification services to pharmaceutical management and health care plans nationwide.

We have extensive experience with pharmacy organizations including annual reviews of data, systems and processes of over 20 PBMs and Medication Therapy Management Program (MTMP) vendors as part of our Medicare Data Validation (MDV) audit program.

Our experience with health plans is unsurpassed. In 2016 we partnered with more than 80 health plan clients and audited over 500 HEDIS® and MDV submissions—including more than 40 Qualified Health Plan (QHP) submissions. Every 2016 submission was delivered on time.

Request a proposal or price quote

At Advent, we’ve built our business by anticipating client needs and delivering customized audit solutions to meet emerging reporting challenges. If you are required to undergo a URAC performance measure audit, please contact Advent Advisory Group through the “form above or contact Heather Case at hcase@adventadvisorygroup.com.