2023 Together - PH347 - Pharmacy-Led Revenue Cycle Program: Optimizing Medical Drug Reimbursement Capture - On Demand

With payor policies getting stricter and new-to-market drug costs on the rise, hospital infusion centers need to be seeking ways to optimize medical drug reimbursement capture. In this presentation, you will learn how to justify and implement pharmacy staff dedicated to revenue cycle roles in order to reduce provider workload and claim denial write-offs. The session will cover how to utilize pharmacists for systemwide peer-to-peers, proactively manage payor-preferred products, overcome site-of-care and pharmacy benefit manager (PBM) restrictions, optimize use of free drug programs, and closely monitor claim denials. 

Target Audience

 

  • Nurses
  • Pharmacists
  • Pharmacy Technicians
  • Physicians
  • Other Healthcare Professionals

Learning Objectives

  • Identify medical reimbursement gaps to justify dedicated pharmacy staff. 

  • Explain how to integrate pharmacy staff into prior authorization and claim denial workflows for buy-and-bill medications. 

  • Discuss how to optimize use of free drug programs in a large, multisite healthcare system. 

Course summary
Available credit: 
  • 0.50 ACPE Pharmacist
  • 0.50 ACPE Pharmacy Technician
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 ANCC
  • 0.50 General CE - Attendance
  • 0.50 Interprofessional Continuing Education (IPCE)
Course opens: 
09/07/2023
Course expires: 
09/22/2024
On Demand
United States

Faculty

Shannon Koch, PharmD, Pharmacy Revenue Cycle Manager, UChicago Medicine, Chicago, Ill. 

Parin Shah, PharmD, Clinical Pharmacist – Specialty Infusions, UChicago Medicine, Chicago, Ill. 

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.
 
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.
 
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.

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.
 
 

Credit Types

Interprofessional Continuing Education (IPCE)

This activity was planned by, and for, the healthcare team, and learners will receive 0.50 Interprofessional Continuing Education (IPCE) credits for learning and change.

 

Nurses (CNE)

Vizient, Inc. designates this enduring material for a maximum of 0.50 ANCC contacts hours.

Pharmacists (CPE)

Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for Pharmacists. 

Universal Activity Number: JA0006103-0000-23-192-H04-P

Pharmacy Technicians (CPE)

Vizient, Inc. designates this enduring material for a maximum of 0.50 contact hours for pharmacy technicians. 

Universal Activity Number: JA0006103-0000-23-192-H04-T

Physicians (CME)

Vizient, Inc. designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Healthcare Professionals (General CE Credit)

Vizient, Inc. will award a maximum of 0.50 contact hours to all other healthcare professionals who successfully complete the activity. These individuals will receive a Certificate of Participation indicating the maximum credits available.

Many state licensing 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

  • 0.50 ACPE Pharmacist
  • 0.50 ACPE Pharmacy Technician
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 ANCC
  • 0.50 General CE - Attendance
  • 0.50 Interprofessional Continuing Education (IPCE)
Please login or register to take this course.

 

Select the Obtain Credit button to access the activity.