Simplifying Medicare Part B Billing

Medical Billing … Foot in the Door?

You may already have your foot in the door with a medical billing intermediary for COVID-19 vaccines. Kick that door open and take a look around. Pharmacists in a growing number of states have the authority to order labs, administer a point-of-care test, and initiate or modify drug therapy – either in their scope of practice or under a collaborative practice agreement. Come learn what success looks like for a pharmacy that submits claims to patients’ medical insurance for documenting patient evaluations and treatment plans for HIV PrEP and PEP and immunizations.

Pharmacist and Pharmacy Technician Learning Objectives:

  1. Compare and contrast health plan medical benefits and prescription benefits.
  2. Discuss the significance of the following terms: provider status, pharmacy payment parity, and provider credentialing.
  3. Assess the suitability of your practice site for one or more clinical services that could be reimbursed by a patient’s medical benefit.

ACPE UAN: 0207-0000-21-614-L04-P/T | 1 contact hour (0.1 CEU) | Activity Type: Knowledge-Based