News You Can Use: BILLING

Pharmacy Talk Blog

This is Not Your Father’s MTM

You couldn’t ask for a better set of data than what pharmacists have in front of them every day – a treasure trove of therapy-based information, collected over many years from loyal patients. And when that data is normalized, organized and analyzed, unprofitable areas of the business are revealed and new opportunities are exposed.

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COVID-19 Vaccine Pharmacy Playbook

This playbook is designed to support the administration of the COVID-19 vaccine in the pharmacy setting, and will walk you through everything you need to know to prepare to successfully administer the vaccine at your pharmacy.

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MARKET MINUTE: Understanding COVID-19 Vaccine Billing

As you prepare to provide the COVID-19 vaccine at your pharmacy, it’s important to know that the reimbursement pathway looks different compared to the other vaccines you provide today. Check out this short video that outlines these differences and shares what your pharmacy needs to know as you prepare to administer the COVID-19 vaccine.

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What Technology is Needed for Pharmacists to Achieve Provider Status?

Pharmacists need solutions in place that help them understand their patients holistically, they need tools that help them efficiently and accurately document clinical encounters, and finally, they need technology that understands the language and practice of ICD-10 and CPT coding so that they can submit medical claims. Said more plainly, pharmacies will need a billing-enabled electronic health record (EHR).

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Don’t Miss Out on New MTM Opportunities

As the opportunity for pharmacists to expand into additional clinical services has grown, unfortunately so has misinformation about the process. Here we set the record straight on five common myths surrounding credentialing and contracting.

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MythBusters! Credentialing and Contracting

As the opportunity for pharmacists to expand into additional clinical services has grown, unfortunately so has misinformation about the process. Here we set the record straight on five common myths surrounding credentialing and contracting.

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Puzzle Pieces

New Decade, New Pharmacy Model

The pharmacy landscape is rapidly changing to include service-based approaches that are proving to be a major factor in healthcare reform. Pharmacists face a unique opportunity to embrace the role of a ‘primary-care pharmacist’ while maintaining their role as the purveyors of medicine.

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image of medical claim form and green piggy bank

Will the MBI Transition Impact Your Reimbursement?

Over the past four years, CMS has been transitioning from HICN to a new member number called the Medicare Beneficiary Identifier (MBI). Starting on January 1, all claims submitted to Medicare will require a MBI for claim reimbursement, even if the date of service is prior to January 1. Claims sent without a MBI will be rejected. 

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