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Bill Me In: An Introduction to Medical Billing for Pharmacies
July 10 @ 12:30 pm - 1:30 pm
Medical billing is a vital yet often underutilized tool in pharmacy practice that can enhance patient access to care while supporting financial sustainability. This session will explore the principles, processes, and regulations of medical billing. Gain practical insights into navigating reimbursement processes to ensure accurate claims, streamline workflows, and expand clinical services, ultimately enhancing the quality and accessibility of patient care in the community pharmacy setting.
Pharmacist Learning Objectives
1. Define key medical services provided in a community pharmacy practice site.
2. Describe the scope of practice, regulatory considerations, and payment structures that impact medical billing opportunities in a community pharmacy.
3. Evaluate key considerations in credentialing and contracting with medical payers, focusing on their impact on patient access and reimbursement.
4. Differentiate medical and pharmacy claims processing, highlighting key billing and coding differences relevant to community pharmacy-provided patient care.
5. Propose solutions for medical billing opportunities within a community pharmacy and necessary workflow changes to optimize reimbursement and patient outcomes.
Technician Learning Objectives
1. Define key medical services provided in a community pharmacy practice site.
2. Describe the scope of practice, regulatory considerations, and payment structures that impact medical billing opportunities in a community pharmacy.
3. Evaluate key considerations in credentialing and contracting with medical payers, focusing on their impact on patient access and reimbursement.
4. Differentiate medical and pharmacy claims processing, highlighting key billing and coding differences relevant to community pharmacy-provided patient care.
5. Propose solutions for medical billing opportunities within a community pharmacy and necessary workflow changes to optimize reimbursement and patient outcomes.
Meet Your Speaker
Shannon Brenkendorff, MBA
Vice President of Technical Solutions
Workflow Services
Shannon Brenkendorff joined ImageMoverMD in February 2020 and serves as the VP of Technical Solutions on the sales team. Shannon works with independent pharmacy owners to help grow clinical services and get paid for those services. Shannon prides himself working with pharmacies to provide innovative approaches to growing revenue in new and different ways. In his off-time, Shannon enjoys outdoor activities in the mountains of Colorado with his wife and three children.
Shannon Brenkendorff has no relevant financial relationships with ineligible companies to disclose.
Financial support for this course was provided through an educational grant from McKesson Health Mart.
Pharmacist Universal Activity Number (UAN): 0107-0000-25-099-L04-P
Technician Universal Activity Number (UAN): 0107-0000-25-099-L04-T
Application-based activity
CPE Redemption:
To obtain 1 contact hour of continuing pharmacy education credit (0.1 CEU), learners must participate in the course and complete the exam* and evaluation. Shortly after both the exam and evaluation are successfully completed and submitted, the CPE Statement of Credit can be accessed on CPE Monitor at www.MyCPEMonitor.net.
*CEimpact provides two (2) opportunities to complete the exam. The learner will not receive CPE credit after two failed attempts.
CEimpact is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.