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Course

Pharmacist Services Billed As Incident-To


Description

Explore Pharmacist Incident-To services and documentation requirements in this course. Learn about Medicare billing, essential requirements, and proper documentation. Discover the expanding role of pharmacists in patient care and maximize reimbursement opportunities.

Included Lessons:

  • What is Pharmacist Incident-To
  • Definitions
  • Pharmacist Direct Patient Care Services
  • Pharmacist and Medicare Reimbursement
  • Pharmacist Incident-to Requirements
  • Documentation Guidelines
  • Organization Impact
CEUs available for the following credentials:

AAPC

COC, CPC, CPC-P, CANPC, CASCC, CCC, CCPC, CCVTC, CDEI, CDEO, CEDC, CEMC, CENTC, CFPC, CGIC, CGSC, CHONC, CIC, CIMC, COBGC, COPC, COSC, CPB, CPCD, CPCO, CPEDC, CPMA, CPMS, CPPM, CPRC, CRC, CRHC, CSFAC, CUC

AHIMA

CCA, CCS, CCS-P, RHIT, RHIA, CDIP, CHDA, CHPS

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Key Takeaways

By taking this course, medical coders will be well-equipped to navigate the complex world of pharmacist services billing and contribute to efficient, compliant, and accurate healthcare reimbursement processes. Some key takeaways include:

  • Understanding Pharmacist Incident-To: A comprehensive understanding of what Pharmacist Incident-To services entail, including the rules and regulations governing billing.

  • Medicare Reimbursement: Knowledge of how Medicare reimburses pharmacist services when provided in a physician office setting, ensuring accurate billing and compliance.

  • Documentation Proficiency: Proficiency in proper documentation practices, aligning with medical record documentation guidelines and emphasizing medical necessity.

  • Nine Essential Requirements: Familiarity with the nine critical requirements that must be met for pharmacists to bill incident-to the provider, ensuring compliance with Medicare guidelines.

  • Scope of Practice: Insight into the scope of practice for pharmacists as dictated by state regulations and the Pharmacy Practice Act.

Benefits of Taking this Course

  • Expertise in Pharmacist Billing
  • Increased Compliance
  • Valuable Documentation Skills
  • Professional Growth

FAQs

What is Pharmacist Incident-To billing?

Pharmacist Incident-To billing allows pharmacists to provide services in a physician-based clinic, and these services can be billed under the physician's provider identifier (NPI) under certain conditions outlined by Medicare. It involves pharmacists offering direct patient care services while operating within specific guidelines.

What is the significance of proper documentation in Pharmacist Incident-To billing?

Proper documentation is crucial for billing accuracy and compliance. It ensures that the services provided by pharmacists are medically necessary and align with Medicare guidelines. Accurate documentation also aids in establishing the patient's plan of care and authorization, contributing to proper reimbursement.

About our Medical Coding Courses

HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for more than three decades—offers a comprehensive online education platform for medical coders. With a catalog of over 200 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection approved by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPTE/M, ICD-10-CMICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatientoutpatientprofee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CMICD-10-PCSCPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams. 

Overview
Price
Price : $35.99
Courses
Courses : 1
CEUs
AHIMA CEUs : 1
CEUs
AAPC CEUs : 1
Code Type