Update Module 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. What is the scope of the consulting firm (i.e., 340B Program, pharmacy, finance, or general health care consulting)?

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

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

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

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

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

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

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* 14. How are ACEs used within your firm (what positions/roles do they hold in the firm)?

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

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

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

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* 19. In the past 3 years, what is the total number of HRSA audit CAPs for which the firm has provided assistance?

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* 20. 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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* 21. 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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* 22. From your perspective, what are the current “340B Hot Topics” in the marketplace right now that could potentially be discussed in the next Operations Certificate Update Module?

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* 23. If you are selected, are there particular topics/operational areas that you would be like to be assigned to write about as the consultant contributor?

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* 24. Any additional comments or feedback (i.e. anything specific you would like to share should there be 340B staff that is not an ACE and/or enrollee)?