Compliance is a cadence, not an event.
A mock audit tells you where you stand today. Compliance management is what stops the same finding from reappearing next year — monthly monitoring, a documented self-audit calendar, and someone whose job is to notice when policy and practice drift apart.
At a glance
- 01Model
- Monthly retainer
- 02Notice period
- 30 days
- 03Named consultant
- Yes
- 04Regulatory alerts
- Within 48 hours
Why programs drift
Almost no covered entity fails an audit because it did not know the rules. Programs drift because the pharmacy director who set them up moved on, because six new clinics were added without registering three of them, because a state changed its Medicaid managed care billing rule, or because the accumulator logic quietly stopped matching the way the pharmacy actually dispenses.
None of these produce an alert. They surface at recertification, at audit, or when a manufacturer sends a letter — by which point remediation is expensive and the exposure is historic.
Compliance management is a standing monitoring function, delivered as a retainer, with a named ACE-certified consultant who knows your program and reviews it on a fixed cadence.
What changes when Juris is involved
- 01Scattered policies
- 02Unclear responsibilities
- 03Outdated records
- 04Inconsistent documentation
- 05Last-minute audit prep
- 01Clear responsibilities
- 02Organized policies
- 03Regular reviews
- 04Better documentation
- 05Ongoing audit readiness
The monthly, quarterly and annual cycle
01Monthly
- What is reviewed
- Accumulator exception queue, new provider and location records, Medicaid Exclusion File status against actual billing, manufacturer restriction changes affecting your drug list
- Why it matters
- These are the items that change fastest and cost most when missed. A single unmapped provider can generate ineligible claims for months.
02Quarterly
- What is reviewed
- Contract pharmacy reconciliation evidence, claims sample test against patient definition, child site registration status versus the current cost report, self-audit documentation
- Why it matters
- HRSA looks for evidence of regular internal auditing. Quarterly testing creates that record as a by-product of doing the work.
03Annually
- What is reviewed
- Full policy set review and re-approval, recertification readiness, GPO prohibition purchasing pathway audit, full mock audit if contracted
- Why it matters
- Recertification is an attestation. It should be preceded by testing, not by hope.
04Event-driven
- What is reviewed
- New site openings, acquisitions, state law changes, manufacturer policy changes, leadership transitions, TPA changes
- Why it matters
- Most compliance failures begin with an event nobody flagged as a 340B event.
Priced by entity size, not by feature gating
Every tier includes the same monitoring discipline. What changes is the volume of sites, claims and contract pharmacies covered, and the amount of advisory access included.
- 01Named ACE-certified consultant assigned to your account
- 02Monthly monitoring report with exception detail and recommended action
- 03Advisory access by email and scheduled call
- 04Regulatory alerts within 48 hours of a development that affects you
- 05Annual policy review and recertification readiness check
- 06Escalation support if an audit notice or manufacturer letter arrives
Compliance management — common questions
01Is this a replacement for our TPA?
No. Your third-party administrator processes split billing and produces reports. We review whether those reports reflect reality, whether exceptions are being resolved, and whether your practice still matches your policy. We do not sell competing software and we work alongside every major TPA.
02Do we still need a mock audit if we have a retainer?
Most clients run one annually. Monitoring catches drift as it happens; a mock audit tests the whole program systematically against audit criteria. They answer different questions. Retainer clients typically bundle the annual audit at a reduced rate.
03What happens if we get an audit notice mid-retainer?
We shift into audit response mode immediately — prioritizing the areas most likely to be examined and assembling the evidence you will need to produce. Retainer clients are prioritized ahead of new engagements for exactly this reason.
04Can we start with monitoring and add services later?
Yes, and many clients do. Some start with a mock audit and convert to a retainer; others start with monitoring and add a recovery engagement once the compliance base is solid. There is no bundling requirement in either direction.
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Next step
Who is watching your program this month?
If the honest answer is "nobody in particular", that is the gap a monitoring retainer is designed to close.