Successful Implementation of Patient Assessment
and Proper Billing

The concepts taught in this training are based on the billing structure for pharmacist prescribers built at the direction of the Oregon legislature in order to increase access to hormonal contraceptives by leveraging the accessibility of pharmacists. These billing mechanics enable pharmacists to bill patient clinical assessments in the same category of medical billing as all other medical practitioners.As a public mission-based educational institution, Oregon State University College of Pharmacy often works at the behest of the Oregon legislature and the Oregon Health Authority in service to the state.

Topics covered in this course include an overview of the healthcare payer environment in the United States, how Medicaid is administered, credentialing/enrollment and billing mechanics utilized to build a pharmacist prescribing and reimbursement model, and the fundamentals of medical billing HCPS, CPT, and ICD10 codes. These elements equip pharmacists to appropriately utilize medical billing codes and recognize the professional implications, including audit responsibility and the associated liability.

Upon completing the post-exam, a pharmacist will receive a digital printable Certificate of Competence in the Successful Implementation of Patient and Assessment and Proper Billing. This certificate attests to the pharmacist’s understanding of billing context and assumption of Professional Responsibility. To bill as a provider for assessment and prescribing services in states other than Oregon, the individual pharmacist and pharmacy will need to engage with their credentialing and enrollment authorities.

Accreditation Council for Pharmacy Education Information:

This program has been planned and implemented in accordance with the policies of the Accreditation Council for Pharmacy Education through the sponsorship of OSU College of Pharmacy. The OSU College of Pharmacy is approved by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Upon completion of this activity, participants will receive a Certificate of Completion, and a Statement of Credit shall be uploaded to CPE Monitor. Completion requires 1) Registration for the course 2) Completion of all modules and 3) Completion of the program evaluation.

UAN: 0036-0000-22-050-H04-P
Activity Type: Knowledge
Activity Release Date: 7/1/2022
Activity Expiration Date: 7/1/2025