PharmTalk: Innovative Practices in Billing for Patient Care Services

Description

When it comes to billing, you have a growing list of options. Some pharmacists charge a third party, including federal, state, and/or local payers, using billing codes for specific services. Others are paid for value based on quality metrics, bonus payments, or other incentives. Come hear fellow pharmacists discuss the strategies that work in their practices.

  • Show Me the Money for Integrated Population Health Pharmacist Services. Marie Smith
  • Pharmacist-Led Medicare Annual Wellness Visits at a Family Medicine Clinic. Sara Wiedenfeld
  • Pharmacists Collaborating With Medical Providers to Impact MIPS, PCMH and Other Paid-for-Performance Models to Quality Measures. Olivia Bentley
  • Paradigm Shift: Getting Paid for CCM Services in a Community Pharmacy. Christina Nunemacher
  • The Washington State Experience: Successful Implementation of Paying Pharmacist Providers for Clinical Services. Shirley Reitz
  • Money Talks: Co-visits Help Pay the Way for Pharmacists. Irene Ulrich
     

Pharmacist Learning Objectives

At the completion of this knowledge-based activity, participants will be able to:

  1. Discuss strategies pharmacists use to obtain compensation for patient care services, including third-party billing and payments based on quality and value.
  2. Describe strategies pharmacists use to demonstrate the value of their patient care services.
  3. Explain pharmacists’ use of billing codes, including “incident to” services, chronic care management, facility fee, transitional care management, and annual wellness visit codes.
  4. Discuss strategies pharmacists use to contract for delivery of patient care services with various third-party entities.

Technician Learning Objectives

At the completion of this knowledge-based activity, participants will be able to:

  1. Discuss strategies pharmacists use to obtain compensation for patient care services, including third-party billing and payments based on quality and value.
  2. Describe strategies pharmacists use to demonstrate the value of their patient care services.
  3. Explain pharmacists’ use of billing codes, including “incident to” services, chronic care management, facility fee, transitional care management, and annual wellness visit codes.
  4. Discuss strategies pharmacists use to contract for delivery of patient care services with various third-party entities.
 
 
 
Speakers:
Marie
Marie Smith, PharmD, FNAP
Henry A Palmer Professor
UConn School of Pharmacy
 
Olivia
Olivia Bentley, PharmD
Clinical Community Pharmacist
Rx Clinic Pharmacy
 
Christina
Christina Nunemacher, PharmD, BCGP
Clinical Pharmacist
Realo
 
Sara
Sara Wiedenfeld, PharmD, BCPS
Assistant Clinical Professor
University of Iowa College of Pharmacy
 
Shirley
Shirley Reitz, PharmD
Clinical Pharmacist Client Manager
Regence Health Plan
 
Irene
Irene Ulrich, PharmD, BCACP, CPP
Clinical Pharmacist
Mountain Area Health Education Center, Inc.
 
Learning Level: Level 2
Track: PharmTalk, Pharmacy Management and Professional Leadership
Session Time Slot(s): 
Date: 
Saturday, March 23
Time: 
7:00 AM - 8:30 AM
Room: 
Washington State Convention Center - Room 618-620
ACPE Pharmacist: 0202-0000-19-030-L04-P
CEUs Pharmacist: .15
ACPE Pharmacy Technician: 0202-0000-19-030-L04-T
CEUs Pharmacy Technician: .15
Activity Type:
Knowledge-based