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Revenues from the pharmacy represent one of the largest sources — if not the largest source — of revenue for most hospitals. On the flip side, effectively managing this revenue stream, in compliance with Medicare rules, can prove to be one of a hospital’s biggest challenges. Join us during 2010 for a four-part series of MedLearn webcasts addressing critical aspects of hospital pharmacy coding, billing and compliance.
Session #1: Pharmacy RAC Strategies: Coordinate & Communicate to Reduce Risk*
*Available now on CD
We’ll examine the risks for hospital pharmacies under the Recovery Audit Contractor (RAC) program — what auditors are targeting, why and how they’re doing it and the implications of noncompliance. This session will also look at strategies for vital communication and coordination among the full spectrum of individuals who have pharmacy coding, billing and compliance responsibilities. Click here for more detail about this session.
Session #2: Pharmacy Billing: Compliance with Medicare Self-Administered Drug Policy*
*Available now on CD
Medicare policy clearly states that self-administered drugs are not covered for patients within the hospital setting. However, a large percentage of hospitals either do not charge for self-administered drugs, absorbing the costs, or they shift the charges to other patients. What’s the real cost of these noncompliant practices? This session will spell out the risks, and it will offer guidance for hospitals to get on track with the rules. Click here for more detail about this session.
Session #3: Pharmacy Chargemaster: Rational Management Methods*
Wednesday, July 21, 2010, 11:30 a.m. to 1 p.m. (Central Time)
Of all hospital service lines, the pharmacy has the most neglected chargemaster. Why? Because it’s difficult to understand, and there are no clearly defined responsibilities for its maintenance. This session will equip you to take control of the pharmacy chargemaster. We’ll also address the disconnect between pharmacy and billing accounts receivable systems that can lead to incorrect charging, claim delays and other issues.
Session #4: Pharmacy Pricing: Establishing a Sensible, Defensible Methodology*
Thursday, October 7, 2010, 11:30 a.m. to 1 p.m. (Central Time)
Hospitals struggle mightily with pricing the drugs in their formulary. In many instances, prices haven’t been updated for years. How do you know whether you’re charging correctly? What are other hospitals charging for the same drugs? What can you do to make sure your pricing is not only defensible, but sensible? Find out in this timely webcast session!
*Available on CD following the live presentation
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