Reimbursement Series: The ABC & D’s of reimbursement – Part D - On Demand

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 The CDM is at the core of this, but unfortunately, often is bloated, cumbersome, outdated and missing critical elements.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.

Target Audience

This activity is intended for pharmacists and pharmacy technicians.

Learning Objectives

At the completion of this activity pharmacists should be able to:

  • Provide a basis for staff, new practitioners and clinicians to understand payment aspects of healthcare, a topic not often covered during their formative training
  • Identify drug payment/site of care requirements, where the information comes from and who’s responsible in a cross functional multidisciplinary approach to revenue cycle management

At the completion of this activity pharmacy technicians should be able to:

  • Identify what’s needed to get paid for a drug in 2022, where the information comes from and who’s responsible.

Additional Information

Course summary
Available credit: 
  • 1.00 ACPE Pharmacist
  • 1.00 ACPE Pharmacy Technician
Course opens: 
07/14/2022
Course expires: 
07/14/2023
On Demand Activity
United States

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.

FACULTY/PRESENTERS
Brian Hardy, MBA, RPh

AVP, Pharmacy Consulting
Vizient, Inc


PLANNERS

Jackie Stokes, BS
Manager, Pharmacy Program 
Vizient, Inc.

Gretchen Brummel, PharmD, BCPS
Consulting Solutions Director
Vizient, Inc.

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.

PHARMACY
Vizient, Inc. designates this activity for a maximum of 1.00 ACPE credit hours.

UAN JA0006103-0000-22-024-H03-P

UAN JA0006103-0000-22-024-H03-T

Available Credit

  • 1.00 ACPE Pharmacist
  • 1.00 ACPE Pharmacy Technician
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