Reimbursement Tool Kit
Fundamentals of Drug Reimbursement:
An Online Tool Kit to Build Your Expertise!
Reimbursement is changing at lightning speed, and if you’re not accessing the latest resources on these changes, the financial future of your health system is at stake.
Fortunately, Pharmacy Practice News’ Fundamentals of Reimbursement tool kit can help you keep pace and become a financial star for your facility.
Authored by Bonnie Kirschenbaum, MS, FASHP, FCSHP, the tool kit will cover essential pharmacy payment rules. We’ll begin with the very basics, with problems to solve and cases to resolve, and build gradually to the complex reimbursement structure facing practice today and proposed for 2020.
New modules added weekly. To access, click on topics below.
Ideas for future modules? Send email to BKirschenbaum@gmail.com
Suggested users: pharmacists, pharmacy technicians, pharmacy managers, residents, interns and students.
Being an Effective Prior Authorization Player
Module 6 focused on how health care payment models are continuing to evolve as the burden of cost rises steeply. In many cases the payor decides which expensive high investment drugs will be reimbursed and under what circumstances.
JULY 31, 2019
Injectable Drug Administration
Module 5: This module will delve into an often underappreciated revenue source, injectable drug administration in the outpatient setting.
JULY 18, 2019
I've Heard You Can Bill for Drug Waste ...
Module 4: This module focuses on a common problem: although pharmacists tend to concentrate on trying to bring down the cost of the medications and biologics that a health system purchases and spend an inordinate amount of time on formulary management, they often tread lightly (if at all) when getting involved in the reimbursement picture.
JULY 12, 2019
Paying for Part B Drugs—It’s Alphabet Soup!
Module 3 of Fundamentals of Reimbursement: An Online Toolkit offers a key reminder that reimbursement is everyone’s responsibility; it’s simply not acceptable for clinicians to ignore the financial toxicity of expensive treatments both, to their patients and their facilities.
FEBRUARY 7, 2019
Drug Reimbursement: How Do All the Pieces Fit Together?
Module 2 of Fundamentals of Reimbursement: An Online Toolkit reviews some of the the basic principles of drug reimbursement under Medicare, with the goal of telling the patient’s story completely and accurately in a manner that can be coded and sent electronically to payors.
JANUARY 31, 2019
It’s All About Coding! So Learn the Language
Module 1 of Fundamentals of Reimbursement: An Online Toolkit offers a basic overview plus practice billing calculations. Look for new modules over the coming weeks!
JANUARY 18, 2019
