2024 Reimbursement Series: The ABC & Ds of Reimbursement - Part B and C - On Demand

This activity will explore all things reimbursement related. Providers want to get paid for services rendered. This activity will bring knowledge around the process of reimbursement.

Bonnie will discuss proposed 2025 OPPS/CPS and PFS rule sets with necessary operational adjustments for successful implementation. She will help participants apply insights from IRA, the 340B Remedy Final Rule, Drug Price Negotiation Program and CMS Part B & D inflation rebates and articulate the transitions in business models from fee-for-service to capitated bundled payments, episode-of-care payments, and site-of-care changes.

Target Audience

  • Pharmacists
  • Pharmacy Technicians
  • Other Healthcare Professionals

Learning Objectives

At the completion of this activity pharmacists should be able to:
•    Discuss proposed 2025 OPPS/CPS and PFS rule sets with necessary operational adjustments for successful implementation.
•    Apply insights from IRA, the 340B Remedy Final Rule, Drug Price Negotiation Program and CMS Part B & D inflation rebates
•    Articulate the transitions in business models from fee-for-service to capitated bundled payments, episode-of-care payments, and site-of-care changes 

At the completion of this activity pharmacy technicians should be able to:
•    Apply insights from IRA, the 340B Remedy Final Rule, Drug Price Negotiation Program and CMS Part B & D inflation rebates and the Medicare Part D redesign to enhance health-system billing procedures
•    Discuss methods for maximizing reimbursement through effective 3rd-party management, contracting, and strategic purchasing options

Course summary
Available credit: 
  • 1.00 ACPE Pharmacist
  • 1.00 ACPE Pharmacy Technician
  • 1.00 General CE - Attendance
Course opens: 
09/27/2024
Course expires: 
09/26/2025

FACULTY & PLANNERS

Faculty
Bonnie Kirschenbaum, BScPharm, MS, FASHP, FCSHP
Consultant
Vizient, Inc.
Planning Committee

Stacy Lauderdale, PharmD, BCPS
AVP, Evidence-Based Medicine
Vizient, Inc.

Jackie Stokes, BBS
Program Services Manager
Vizient, Inc.

Samantha Gordon, MS 
CE Programs Manager              
Vizient, Inc.

Marilu Kelly, MSN, RN, NPD-BC, CHCP
Director, Continuing Education       
Vizient, Inc.

DISCLOSURE

As an accredited provider of continuing education, Vizient, Inc. is dedicated to ensuring this activity presents learners with only accurate, balanced, scientifically justified recommendations, and is free from promotion, marketing, and commercial bias. In accordance with The Standards for Integrity and Independence in Accredited Continuing Education, all planners, faculty, and others in control of the educational content have disclosed the absence or existence of all financial relationships (of any dollar amount) with ineligible companies within the past 24 months.
 
Ineligible companies – those companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
 
It is Vizient’s policy that owners and employees of ineligible companies, and any individuals who refuse to disclose the absence or existence of financial relationships with any ineligible companies are disqualified from participating as planners or faculty.
 
Disclosure Statements
 
Absence of Relevant Financial Relationships
 
None of the planners, faculty, or others in a position to control content 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.
 
Statement of Content Validity
 
Vizient, Inc. educational activities are intended to assist healthcare teams advance their professional responsibilities in accordance with the definition of continuing education. It is the policy of Vizient, Inc. to review and ensure that all content and recommendations for patient care within accredited CE is evidenced-based, based on current science and clinical reasoning while ensuring the content is fair and balanced. All recommendations must conform to the generally accepted standards of experimental design, data collection, analysis, and interpretation. Vizient, Inc. does not permit accredited continuing education if it advocates for unscientific approaches to diagnosis or therapy, or if the education promotes recommendations, treatment, or manners of practicing healthcare that are determined to have risks or dangers that outweigh the benefits or are known to be ineffective in the treatment of patients.
 
FDA Off-Label Use
 
Faculty presenters are also expected to disclose any discussion of (1) off-label or investigational uses of FDA approved commercial products or devices or (2) products or devices not yet approved in the United States.
 
Disclaimer
The education provided through this activity is for continuing education purposes only. The views and opinions expressed in this activity are those of the faculty/presenters and do not necessarily reflect the views of Vizient, Inc.

Joint Accreditation Statement

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.

 

Designation Statement(s)

Pharmacists (CPE)

Vizient, Inc. designates this enduring material for a maximum of 1.0 contact hours for Pharmacists.
 
Universal Activity Number: JA0006103-0000-24-097-H99-P
 
Pharmacy Technicians (CPE)
 
Vizient, Inc. designates this enduring material for a maximum of 1.0 contact hours for pharmacy technicians.
 
Universal Activity Number: JA0006103-0000-24-097-H99-T
 
Other Healthcare Professionals (General CE Credit)
 
Vizient, Inc. will award all other healthcare professionals who successfully complete the activity a Certificate of Participation.  Various state license boards and credentialing bodies accept certificates of participation from accredited CE activities to meet CE requirements for license renewals and re-certification. It is the responsibility of the participant to contact their state licensing board and/or certifying body for verification on credit eligibility reciprocity.

Available Credit

  • 1.00 ACPE Pharmacist
  • 1.00 ACPE Pharmacy Technician
  • 1.00 General CE - Attendance
Please login or register to take this course.

 

Select the “Obtain Credit” button to access the activity evaluation and to claim CE Credit.
 
Please Note: 
  • If the "Register/Take Course" tab is displayed instead of the "Obtain Credit" tab, you must first login to proceed with the credit claim process.
  • This activity requires learners to confirm their attendance using an activity code. An Access Denied error message indicates that your attendance was not recorded via SMS text or QR code scanning.
Please click here to enter the code you received at the end of the activity to verify your attendance if you have not already done so: https://continuingeducation.vizientinc.com/code

 

 

Required Hardware/software

 

The Vizient CE Learner Portal is compatible with most modern web browsers (such as Firefox, Google Chrome, Microsoft Edge, Apple Safari) and can also be accessed with mobile devices.