Reimbursement Series: The ABC & D’s of Reimbursement – Part A
Despite the fact that the pharmacy retains the very significant financial responsibility for drug spend and concentrates on trying to limit this in a number of ways, in comparison, pharmacy spends very little time or effort or has very little involvement in ensuring payment for those very expensive high investment drugs or even in designing and implementing payment strategy. The CDM is at the core of this, but unfortunately, often is bloated, cumbersome, outdated and missing critical elements. Additionally, the session provides suggestions and tools for assessing current practice and making needed changes. It’s not only about money but about assuring data accuracy. The series will cover the entire reimbursement cycle including inpatient as well as retail and outpatient reimbursement rules and best practices.
This activity is intended for pharmacists and pharmacy technicians.
At the completion of this activity pharmacists should be able to:
Discuss reimbursement from Centers for Medicare and Medicaid Services for new medications.
Identify ways to stay informed of new and changing NTAP drug payments that exist
At the completion of this activity pharmacy technicians should be able to:
Recall the purpose of NTAP drug payments in the Inpatient Prospective Payment System (IPPS) and the requirements for eligibility
Absence of Relevant Financial Relationships
None of the planners for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
Carolyn Liptak, MBA, RPh
Pharmacy Executive Director
Jackie Stokes, BS
Manager, Pharmacy Program
Gretchen Brummel, PharmD, BCPS
Consulting Solutions Director
In support of improving patient care, Vizient, Inc. is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.
Vizient, Inc. designates this activity for a maximum of 1.00 ACPE credit hours.
Universal Activity Number: JA0006103-0000-22-020-L03-P
Universal Activity Number: JA0006103-0000-22-020-L03-T
- 1.00 ACPE Pharmacist
- 1.00 ACPE Pharmacy Technician