2024 Consultant Contributor Application

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* 1. Name of person submitting application

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* 2. Role/title

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* 3. Contact info (email address, phone number)

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* 4. Name of consulting firm

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* 5. Location (physical office address)

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* 6. Company website

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* 7. Is the consulting firm part of a parent company? If yes, what is the scope of the parent company?

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* 8. What is the scope of the consulting firm (e.g., 340B Program, pharmacy, finance, or general health care consulting)?

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* 9. What is the size of the consulting firm (e.g., number of consultants)?

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* 10. How many 340B dedicated consultants are within the firm?

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* 11. How many 340B ACEs (Apexus Advanced 340B Operations Certificate Experts) are in the firm and how many are currently enrolled in the 340B Operations Certificate Program?

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* 12. For how many years has the firm offered 340B consultation services?

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* 13. What role does the Apexus 340B Operations Certificate Program play in your organization (e.g., staff training, job requirement)?

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* 14. What are the education and training requirements for 340B dedicated consultants in your firm?

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* 15. Does your firm include an ACE on each client engagement?

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* 16. What positions and/or roles do 340B ACEs hold within the firm?

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* 17. List the 340B Program consulting solutions offered related to compliance (e.g., external annual audits, routine auditing, HRSA audit support)

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* 18. List the 340B Program consulting solutions offered related to optimization (e.g., contract pharmacy analysis)

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* 19. In the past 3 years, what is the total number of covered entity clients for which you have provided 340B consulting? Please list by entity type.

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* 20. In the past 3 years, what is the total number of HRSA audits the firm has supported?

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* 21. From your perspective, what are the current “340B Hot Topics” in the marketplace that could potentially be discussed in future Operations Certificate content (e.g. webinars, modules, tools)?

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* 22. The Operations Certificate team has planned webinars for the following topics in 2024: Billing & Coding/Revenue Integrity, Grantee Operations, Guide to Understanding 340B Operations for Non-CEs and Legislative update. 

If selected, which 340B program areas would your firm like to contribute towards as content contributors?  This can include areas listed, any evolving 340B program areas, or any 340B program operational areas that your firm has focused on and is well versed in.  Please elaborate to the best of your ability.

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* 23. What is your firm’s preference for mode of contribution towards the Operations Certificate program?  Please select all modes of contribution that the firm is comfortable with.  

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* 24. Why does your firm believe they should be selected as Consultant Contributors for the Apexus Advanced 340B Operations Certificate Program (think of what makes your firm unique, your areas of strength)?

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* 25. Do you consider the content in the Operations Certificate Program to be sufficient? If not, what topics do you think are missing that need to be added?

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* 26. Does your firm include the Apexus Advanced 340B Operations Certificate Program as a standard resource for client 340B education in your post engagement recommendations?

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* 27. Please enter any additional comments or feedback you have regarding your application.

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