The Live LU Audit provides a daily review of LU codes built, identifying prescriptions at risk of clawback, allowing you to address them promptly. This guide will help you understand how to use the LU flag filter to manage and review LU codes effectively.
Accessing Live LU Audit
Log in to the Platform
Navigate to the PharmaGuide platform and log in with your credentials.
Navigate to the Live LU Audit Section
From the dashboard, select the "LU Audit" and “Live Audit” option from the main menu.
Using the LU Flag Filter
Open the LU Flag Filter
Click on the filter icon located at the top of the LU Audit table.
Filter by Status
Valid (Green): Low risk of clawback.
Invalid (Red): High risk of clawback.
Documentation Needed (Yellow): Moderate risk of clawback.
Filter by Type
Audited LU Codes: Select this option to view only the LU codes that have been audited.
All LU Codes Built: Select this option to view all LU codes, regardless of their audit status.
Reviewing LU Codes
Select the Date
Choose the date you want to review by using the date picker tool at the top of the LU Audit section.
Search Specific Criteria
Use the search bar to filter by specific criteria such as:
Prescription number
LU code
Patient name
DIN (Drug Identification Number)
Interpreting the LU Audit Table
Green: Indicates valid billings with a low risk of clawback.
Yellow: Indicates that documentation is needed, with a moderate risk of clawback.
Red: Indicates invalid billings with a high risk of clawback.
Review the LU Code Details
Click on any LU code in the table to review the reason for the flag.
A detailed view will open, showing the reason for the flag and possible actions to prevent potential clawbacks.
Regular Updates
Stay Updated
New LU codes will be added regularly. Ensure to review and manage these updates promptly to maintain compliance and minimize the risk of clawback.
By following these steps, you can effectively use the Live LU Audit feature to review and manage LU codes, minimizing the risk of clawback and ensuring proper documentation.