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Pharmaceutical Book from C.H.I.P.S.

The Pharmacist's Guide to Compensation for Patient-Care Services
by Michael D. Hogue

The Pharmacist's Guide to Compensation for Patient-Care Services offers practical information on dealing with insurers, gaining recognition as a provider of services, using diseases and procedure codes, and completing claim forms.

Key Features:

  • 12 chapters, starting with a history of payment for pharmacy services, moving to step-by-step advice on using claim forms, and ending with troubleshooting tips for rejected claims.
  • Case-based exercises in completing claim forms.
  • A detailed chapter on documentation—legal aspects, its value as a communication tool, and its importance for compensation. The use of SOAP notes and electronic documentation systems are discussed.
  • A chapter on promoting the value of pharmacy patient-care services to creat new revenue for hospitals.
  • 11 appendixes, including sample forms, Medicare and Medicaid contacts, documentation guidelines, and a glossary.

Contents

  1. History of Payment for Pharmacy Services
  2. Understanding the Insurance Industry
  3. Medicare, Medicaid, and Pharmacy Services
  4. Disease Coding: ICD Codes
  5. Procedural Coding: CPT and HCPCS Codes
  6. Professional Pharmacy Services Codes
  7. The HCFA-1500 Claim Form
  8. Documentation
  9. Generating New Revenue Streams for Institutions
  10. Fraud and Abuse

Appendixes

  • Glossary
  • Evidence of the Value of the Pharmacist
  • HCFA-1500 Health Insurance Claim Form
  • Medicare Provider/Supplier Enrollment Applications
  • Medicare Part A Intermediaries and Part B Carriers
  • State Medicaid Directors
  • Contact and Ordering Information
  • Pharmacist Care Claim Form
  • HCFA-1450 (UB-92) Claim Form
  • Medicare 1997 Documentation Guidelines for Evaluation and Management Services
  • Sample Medical Necessity Forms

Index

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The Pharmacist's Guide to Compensation for Patient-Care Services
by Michael D. Hogue
227 pages • $117.00 + shipping
Texas residents please add 6.75 % sales tax

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