Provider Status is Expanding – Don’t Get Left Behind!

With so much focus on COVID-19, many pharmacists may not realize how quickly state legislatures and payers have broadened their coverage for pharmacist clinical services over the past year.  As awareness of the broad impact that pharmacists are making in rural and urban communities has increased, both changing regulations and new payer opportunities have enabled pharmacists to expand their scope of practice and improve access to clinical services.

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.