Pharmacist compensation for ambulatory patient care services.
This activity is designed for pharmacists practicing in ambulatory, community, and managed care environments.


OBJECTIVE
To discuss issues involved in the transition from product-based to patient-care-based reimbursement and compensation systems for pharmacists.


OBJECTIVE
1. Differentiate between reimbursement and compensation. 2. Describe the limitations of current third-party reimbursement and compensation systems. 3. Describe ways in which compensation for seemingly identical products and services can vary. 4. Discuss the use of Medicare's Resource-Based Value Scale and the relative value unit. 5. Define and differentiate between ICD-9-CM codes and E/M CPT codes. 6. List the three key components needed to determine an E/M CPT code for a new patient seen in the pharmacy. 7. Describe and provide examples of the SOAP method of documentation. 8. Understand why the referral process is an important step in the compensation process. 9. Discuss the importance of Form HCFA-1500 and other documentation in the compensation process.
Bradberry
J C
JC
Department of Pharmacy Practice and Pharmacoeconomics, University of Tennessee College of Pharmacy, Memphis 38163, USA. cbradberry@utmem.edu
Srnka
Q
Q
D000043:Abstracting and Indexing / Q000592:standards; D000553:Ambulatory Care / Q000191:economics*; D004513:Education, Pharmacy, Continuing; D005245:Fee Schedules; D005252:Fees, Pharmaceutical; D007345:Insurance Claim Review; D007356:Insurance, Pharmaceutical Services; D008329:Managed Care Programs / Q000191:economics*; D010593:Pharmaceutical Services / Q000191:economics*; D010594:Pharmacies / Q000191:economics; D012456:Salaries and Fringe Benefits; D014481:United States