Getting Paid for Clinical Services: 5 Tips for Pharmacists
For pharmacists who want to be delegated as medical providers and get reimbursed for their clinical services, working with the legal systems of each state can be really frustrating. Expansion of scope of practice and decreasing revenues from distribution are requiring pharmacists to increasingly embrace clinical care services into their practices. Pharmacists should be able to receive payment in order for provision of clinical care to be sustainable. Reimbursement tips 1. Use established CPT/ ICD-10 codes when billing for medical provider services. 2. Track and measure the outcomes of the services you provide. 3. Sign up with the database service of National Council for Prescription Drug Programs (NCPDP) which permits a pharmacy to bill. 4. Pharmacists must use the latest pharmacy billing software – QS1. 5. Obtain a National Provider Identifier number if the billing for clinical services has to be done via a physician’s office. KEY POINTS TO REMEMBER Pharmacists who are billing for patients should remember to use their NPI number for service documentation and claim forms. To describe pharmacists' patient care services, Medication therapy management services (MTMS) codes (99605, 99606, and 99607) were developed in regards. It is indispensable to recognize and confirm whether the payer will pay for the services before the services or procedures are provided. Call now 888-357-3226 (Toll Free) info@medicalbillersandcoders.com
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