Identify risk early, correct concerns proactively, and protect your program.
340B compliance should not begin when an audit notice arrives.
Thrive340B provides ongoing monthly compliance audits designed to identify potential concerns, strengthen internal controls, and help covered entities maintain continuous readiness for HRSA review.
Our audit process evaluates the areas most likely to create compliance exposure, including patient eligibility, claims accuracy, provider relationships, contract pharmacy activity, and HRSA database information.
Request a Compliance Review
Proactive Oversight for a Complex Program
340B programs frequently involve multiple departments, providers, pharmacies, vendors, and data systems.
Even well-managed programs can develop compliance gaps when:
- Information is incomplete
- Workflows change
- Provider rosters are not updated
- New locations are added
- Vendor systems do not align
- Responsibilities are divided among multiple parties
- Corrective actions are not properly documented
Monthly auditing allows your organization to identify discrepancies before they become systemic concerns.
Thrive340B helps establish a repeatable process for:
- Reviewing program activity
- Documenting findings
- Assigning corrective actions
- Monitoring improvement
- Escalating unresolved concerns
- Preparing leadership reports
- Maintaining ongoing audit readiness
What Our Monthly Audits Review
Patient Definition Compliance
We evaluate whether sampled 340B activity is supported by an appropriate relationship between the patient, the covered entity, and the healthcare professional providing care.
Our reviews may include:
- Patient encounter documentation
- Covered entity responsibility for care
- Provider relationships
- Prescribing authority
- Service-location eligibility
- Consistency between clinical and dispensing records
340B Claims Validation
We review sampled claims to assess whether 340B utilization is accurate, supported by documentation, and consistent with applicable program requirements.
This may include:
- Prescription and encounter matching
- Date-of-service validation
- Provider verification
- Location verification
- Duplicate-discount controls
- Medicaid billing indicators
- Reversal activity
- Replenishment activity
HRSA Database Accuracy
We compare organizational information against the HRSA 340B database and identify records that may require review or updating.
This may include:
- Covered entity information
- Child-site registrations
- Contract pharmacy registrations
- Authorizing official information
- Primary contact information
- Program status
- Termination dates
- Site changes
- Pharmacy changes
Contract Pharmacy Oversight
Contract pharmacy arrangements require active covered entity oversight.
Our reviews may evaluate:
- Contract pharmacy eligibility
- Prescription capture processes
- Accumulator activity
- Replenishment practices
- Claims exclusions
- Duplicate-discount safeguards
- Written agreements
- Independent audit documentation
- Corrective-action follow-up
- Vendor reporting accuracy
Provider Data Integrity
We assess whether provider rosters and associated data accurately reflect the clinicians whose prescriptions may qualify under the covered entity’s 340B program.
This may include:
- Employment or contractual relationships
- Provider start dates
- Provider termination dates
- Service locations
- Credentialing status
- Prescribing authority
- Provider identifiers
- Roster updates across vendors and platforms
Identification of High-Risk Areas
We help identify patterns that may increase exposure during an HRSA audit, manufacturer review, or internal compliance assessment.
Potential concerns may include:
- Unsupported prescriptions
- Inaccurate provider rosters
- Unregistered locations
- Contract pharmacy discrepancies
- Inconsistent patient eligibility determinations
- Duplicate-discount concerns
- Incomplete policies
- Missing documentation
- Delayed corrective actions
- Unresolved vendor discrepancies
- Inadequate covered entity oversight
Clear Findings and Actionable Recommendations
Compliance reports should do more than identify problems.
They should help leadership understand:
- What happened
- Why it matters
- The potential level of risk
- Who should address it
- What corrective action is needed
- When the corrective action should be completed
- How resolution will be verified
Depending on the engagement, Thrive340B may provide:
- Written audit findings
- Risk classifications
- Supporting documentation
- Corrective-action recommendations
- Responsible-party assignments
- Target completion dates
- Follow-up testing
- Trend reporting
- Executive summaries
- Board-level reporting
Corrective-Action Support
Identifying a concern is only the first step.
Thrive340B can assist your organization with:
- Root-cause analysis
- Corrective-action planning
- Workflow revision
- Policy updates
- Provider roster corrections
- Vendor communication
- Data reconciliation
- Staff education
- Follow-up testing
- Resolution documentation
Our goal is to help ensure that findings are addressed, verified, and less likely to recur.
Strengthen Your Internal Controls
Regular audits help create accountability across clinical, pharmacy, operational, financial, compliance, and executive teams.
Monthly oversight can help your organization:
- Detect concerns before they expand
- Reduce repeated errors
- Improve data accuracy
- Strengthen vendor oversight
- Document corrective actions
- Prepare for HRSA or manufacturer review
- Protect eligible 340B savings
- Demonstrate responsible governance
- Improve communication between departments
- Maintain continuous program readiness
Be Prepared Before an Audit Notice Arrives
A sustainable 340B compliance program requires continuous oversight, accurate documentation, and timely corrective action.
Thrive340B helps covered entities replace reactive audit preparation with an ongoing compliance process integrated into monthly operations.
Do not wait for an audit notice to discover what should have been corrected months earlier.
Strengthen Your Compliance Program