PharmTalk: Innovative Practices in Billing for Patient Care Services


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.

Building a Meaningful Remote Position as a Working Parent and Clinical Pharmacist. Olivia Bentley

The Concierge Pharmacist. Crystal Cruz

The True Definition of Specialty Pharmacy. Stephen Davis 

Concept for Embedded Primary Care Pharmacist Practitioners (PCPPs): Addressing the Quadruple Aim through Value-Proposition. George MacKinnon

Flip the Pharmacy: Community Pharmacy Practice Transformation. Randy McDonough

Mirror, Mirror on the Wall: Which Primary Care Pharmacist Model is Ideal? Mary Mulrooney

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.
Olivia Bentley, PharmD, CFts, AAHIVP
Co-founder and W.I.T. (Whatever It Takes)
Avant Institute
Executive Vice President
Long Island University A&M Schwartz College of Pharmacy and Health Sciences
Stephen Davis, PharmD, MS, FASHP
Director, Health System Strategy
Shields Health Solutions
George MacKinnon, BPharm, MS, PhD, RPh
Founding Dean and Professor
Medical College of Wisconsin
Randal McDonough, PharmD, MS, BCPS, BCGP, FAPhA,
Towncrest Pharmacy
Mary Mulrooney, PharmD, MBA
Postdoctoral Primary Care Transformation Fellow
University of Connecticut, School of Pharmacy
Learning Level: Level 1
Track: PharmTalk
Session Time Slot(s): 
Saturday, March 21
3:00 PM - 4:30 PM
Gaylord National Resort - Chesapeake D-F
ACPE Pharmacist: 0202-0000-20-064-L04-P
CEUs Pharmacist: 0.15
Activity Type: