Catalog Number : cra1574
Title : Coding & Billing for Pharmacy: Issues & Answers
Speaker : Duane Abbey

Webplay Recording Date : 2-11-2009
Webplay Price : $ 225 for two weeks viewing

Webinar Overview:

This workshop is designed for all hospital personnel that are involved with pharmacy items including administration, charge capture, National Drug Codes, Level II HCPCS codes, chargemasters and the way in which drugs are paid through various payment systems. While coding and billing issues are the primary focus, auditing, compliance and payment for pharmacy items is also discussed.

Target Audience:

• Pharmacy Staff
• Nursing Staff
• Clinical Service Area Staff
• Coding Personnel
• Billing and Claims Transaction Personnel
• Chargemaster Coordinators
• Financial Analysts
• Compliance Personnel
• Case Managers
• Physicians and Other Interested Personnel

Webinar Objectives:

• To review the provision of pharmacy items and various methods of administration
• To discuss documentation issues and associated charge capture issues for drugs
• To review National Drug Codes and Level II HCPCS codes and interfacing pharmacy systems to hospital billing systems
• To assess different payment methodologies for pharmacy items
• To discuss various compliance issues surrounding coding, billing and reimbursement for drugs
• To discuss specialized issues such as chemotherapy services
• To review current challenges with infusion centers
• To briefly review medication management clinics

Here are a few of the topics that will be covered:

• Overview
  • Drugs
  • Pharmacy Operations
  • Infusions, Injections and Chemotherapy
• Pharmacy Code Systems
  • National Drug Codes (NDCs)
  • Level II HCPCS - J-Codes
  • Translating NDCs to J-Codes
• Charging/Coding/Billing Issues
  • Capturing Charges
  • Charge Capture and the Chargemaster
  • Pharmacy System to Hospital Billing System Interface
  • Payment For Drugs
    • Outpatient - APCs
    • Inpatient - DRGs
    • Other Mechanisms
• Compliance Issues
  • Chargemaster Issues
    • Charges
    • Overhead Costs
    • Codes
  • Self-Administrable Drugs
  • Special Policies and Procedures
    • Single Use Vials
    • Drug Wastage
    • Other Situations
• Special Situations
  • Medication Management Clinics
  • Infusion Centers
• Case Studies and Exercises
• Sources for Further Information

Prerequisites for Participating:

General knowledge of coding, billing the chargemaster and drug dispensing and administration.

Attendance Certificate:

Upon attending this course you will receive a 1.5 Contact Hour Attendance Certificate. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.