Billing for pharmacists' cognitive services in physicians' offices: Multiple methods of reimbursement

Scott, Mollie Ashe; Hitch, William J.; Wilson, Courtenay Gilmore; Lugo, Amy M.

doi:10.1331/japha.2012.11218

Cited by 30 publications

(13 citation statements)

References 9 publications

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“…The value of these services will need to be clearly demonstrated to secure payers' support. 35,36 Other changes in health care are encouraging as patient-centered medical homes and accountable care organizations may represent models of care that could provide a sustainable mechanism for reimbursement of pharmacist services in the future. 37 …”

Section: Reimbursement For Servicesmentioning

confidence: 99%

HIV medication therapy management services in community pharmacies

Kauffman

Nair

Herist

et al. 2012

Journal of the American Pharmacists Association

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Objectives-To present a rationale and a proposed structure to support pharmacist-delivered medication therapy management (MTM) for human immunodeficiency virus (HIV) disease and to outline challenges to implementing and sustaining the service. Data sources-Professional literature.Summary-Historically, the effect of pharmacy services for HIV-infected persons has been demonstrated in inpatient and clinic-based settings. Developing similar programs adapted for community pharmacists could be a model of care to improve patient adherence to antiretroviral therapy and retention in care. Initiation of antiretroviral therapy and regular monitoring of CD4+ cell count, HIV RNA viral load, adverse drug events, and adherence form the backbone of successful medical management of HIV infection. Support for these services can be provided to HIV-infected patients through pharmacist-managed HIV MTM programs in community pharmacy settings in collaboration with primary providers and other health care professionals.Conclusion-Community pharmacists can help meet the growing need for HIV care through provision of MTM services. Although resources have been developed, including the general MTM framework, challenges of adequate training, education, and support of community pharmacists need to be addressed in order for HIV MTM to be a successful model.

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Section: Reimbursement For Servicesmentioning

confidence: 99%

HIV medication therapy management services in community pharmacies

Kauffman

Nair

Herist

et al. 2012

Journal of the American Pharmacists Association

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“…33,34 Various reimbursement models and billing practices have recently been assessed. [35][36][37][38] Literature supports the pharmacists' concern that figuring out feasible ways to reimburse for the provision of MTM services is necessary and important for the profession. 39 Research is needed in this area on feasible business models and reimbursement strategies for pharmacist-provided MTM services.…”

Section: Discussionmentioning

confidence: 99%

Awareness of and Readiness for Medication Therapy Management Among Community Pharmacists in New York City: Results from a Focus Group

Arya¹,

Pinto²,

Khan³

2013

Innov Pharm

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“…In 2001, a CPP joined the organization to provide comprehensive medication management. The initial areas of focus included development of a pharmacy clinic to manage anticoagulation and asthma, and triage medication assistance concerns [19]. As health care transformation progressed, CPPs were incorporated into team-based osteoporosis clinics, and diabetes and pain management group models.…”

Section: A Practice Model Examplementioning

confidence: 99%