Successful Implementation of Patient Assessment and Proper Billing

Successful Implementation of Patient Assessment
and Proper Billing

Topics covered in this course provide an overview of the healthcare payer environment in the United States, recognize how Medicaid is administered, credentialing/enrollment and billing mechanics utilized to build a pharmacist prescribing and reimbursement model, and the fundamentals of medical billing including HCPS, CPT and ICD10 codes.

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) Passing a final exam with 805 or higher and 4) Completion of the program evaluation.

At the completion of this activity the participant will be able to:
1) Provide an overview of the healthcare payer environment in the United States
2) Recognize how Medicaid is administered and define elements unique to Oregon Medicaid including the Prioritized List and the Funding Line
3) Discuss the credentialing/enrollment and billing mechanics utilized to build a pharmacist prescribing and reimbursement model
4) Explain the basic fundamentals of billing including an introduction of HCPS, CPT, and ICD10 codes

UAN: 0036-0000-22-050-H04-P
Target Audience: Pharmacists liscensed in Oregon
Activity Type: Knowledge
Activity Release Date: 7/1/2022
Activity Expiration Date: 7/1/2025
Faculty/Contributors:  Amy Burns, Pharmd; Paige Clark, BPharm.; Jennifer Davis, PharmD; Sharon Rask BPharm
Declarations: None of the contributors, designers, or peer reviewers for this course have any financial relationships with ineligible companies to disclose