Which is a common insurance audit trigger related to prescriptions?

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Incorrect doctor's address on prescriptions is a common insurance audit trigger because it can raise questions about the legitimacy of the prescription. Insurers want to verify that prescriptions are being written by authorized healthcare providers, and an incorrect address may indicate a potential issue, such as fraud or misuse. When auditors find discrepancies like an incorrect doctor's address, it may lead them to scrutinize the transaction more closely, as it could be indicative of a broader problem with the handling of that prescription.

In contrast, while having more than 5 prescriptions on a single blanket may seem unusual, it's not a definitive trigger for audits. Similarly, missing patient IDs or unapproved medication types can also raise concerns, but they are less directly linked to the accountability of the prescribing physician, making them less significant in triggering insurance audits. Proper documentation, including accurate addresses, is crucial for maintaining the integrity of prescription processes, which directly influences insurance auditing practices.

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