Current trends in outpatient pharmacy services and billing

Journal of the American Pharmacists Association

Volumn 52, Issue 2, 2012, Pages 154-160

  Beatty, Stuart J ^a   McCormick, Kelly M ^a,b   Beale, David J ^a,c   Bruggeman, Athena M ^a,d   Rodis, Jennifer L ^a   Mehta, Bella H ^a   Bennett, Marialice S ^a  

^a OHIO STATE UNIVERSITY   (United States)

^b Department of Mental Health Behavioral Sciences Columbus VA Chalmers P Wylie Ambulatory Care Center   (United States)

^c Signature Health   (United States)

^d Rite Aid   (United States)

Author keywords

Medication therapy management; pharmacy services; reimbursement (pharmacist)

Indexed keywords

ADULT; AMBULATORY CARE; ARTICLE; CLINICAL PHARMACY; COMMUNITY PHARMACIST; CROSS-SECTIONAL STUDY; FEMALE; HOSPITAL DEPARTMENT; HUMAN; MALE; MEDICATION THERAPY MANAGEMENT; OUTCOME ASSESSMENT; OUTPATIENT; REIMBURSEMENT; UNITED STATES; ECONOMICS; HEALTH CARE COST; PHARMACIST; PHARMACY;

AMBULATORY CARE; COMMUNITY PHARMACY SERVICES; CROSS-SECTIONAL STUDIES; HEALTH CARE COSTS; HUMANS; PHARMACEUTICAL SERVICES; PHARMACISTS; REIMBURSEMENT MECHANISMS; UNITED STATES;

EID: 84862737638     PISSN: 15443191     EISSN: 15443450     Source Type: Journal    
DOI: 10.1331/JAPhA.2012.11213     Document Type: Article

References (28)

1. Chisholm-Burns, M.A., Lee, J.K., Spivey, C.A., et al. US pharmacists' effect as team members on patient care: systematic review and meta-analyses. Med Care 48 (2010), 923–933.
2. Schommer, J.C., Doucette, W.R., Gaither, C.A., et al. Final report of the 2009 National Pharmacist Workforce Survey, 2009, Pharmacy Manpower Project, Alexandria, VA.
3. Centers for Medicare & Medicaid Services, Medicare Prescription Drug Benefit Final Rule: 42 CFR Parts 400, 403, 411, 417, and 423 Medicare Program. Accessed at http://edocket.access.gpo.gov/2005/pdf/05-1321.pdf, 5 October 2011.
4. Nutescu, E.A., Klotz, R.S., Basic terminology in obtaining reimbursement for pharmacists' cognitive services. Am J Health Syst Pharm 64 (2007), 186–192.
5. Snella, K., Sachdev, G., A primer for developing pharmacist-managed clinics in the outpatient setting. Pharmacotherapy 23 (2003), 1153–1166.
6. Beatty, S.J., Rodis, J.L., Bellebaum, K.L., Mehta, B.H., Community and ambulatory pharmacy: evaluation of patient care services and billing patterns before implementation of Medicare Part D. J Am Pharm Assoc 46 (2006), 707–714.
7. Law, A.V., Okamoto, M.P., Brock, K., Ready, willing, and able to provide MTM services? A survey of community pharmacists in the USA. Res Social Adm Pharm 5 (2009), 376–381.
8. American Pharmacists Association, Medication Therapy Management Digest: tracking the expansion of MTM in 2010: exploring the consumer perspective, 2011, American Pharmacists Association, Washington, DC.
9. Millonig, M.K., Mapping the route to medication therapy management documentation and billing standardization and interoperabilility within the health care system: meeting proceedings. J Am Pharm Assoc 49 (2009), 372–382.
10. Lounsbery, J.L., Green, C.G., Bennett, M.S., Pedersen, C.A., Evaluation of pharmacists' barriers to the implementation of medication therapy management services. J Am Pharm Assoc 49 (2009), 51–58.
11. McDonough, R.P., Harthan, A.A., McLeese, K.E., Doucette, W.R., Retrospective financial analysis of medication therapy management services from the pharmacy's perspective. J Am Pharm Assoc 50 (2010), 62–66.
12. Patient-Centered Primary Care Collaborative, The patient-centered medical home: integrating comprehensive medication management to optimize patient outcomes: a resource guide. Accessed at www.pcpcc.net/files/medmanagepub.pdf, 5 October 2011.
13. Erickson, S., Hambleton, J., A pharmacy's journey toward the patient-centered medical home. J Am Pharm Assoc 51 (2011), 156–160.
14. Anonymous. Hub on health care reform: the ending is the beginning. Pharmacy Today 16:1 (2010), 5–6.
15. Bluml, B.M., Definition of medication therapy management: development of professionwide consensus. J Am Pharm Assoc 45 (2005), 566–572.
16. American Pharmacists Association, Medication Therapy Management Digest: perspectives on MTM service implementation, March 2008, American Pharmacists Association, Washington, DC.
17. American Pharmacists Association, Medication Therapy Management Digest: perspectives on the value of MTM services and their impact on health care, 2009, American Pharmacists Association, Washington, DC.
18. American Pharmacists Association, Medication Therapy Management Digest: perspectives on 2009: a year of changing opportunities, 2010, American Pharmacists Association, Washington, DC.
19. Cranor, C.W., Bunting, B.A., Christensen, D.B., The Asheville Project: long-term clinical and economic outcomes of a community pharmacy diabetes care program. J Am Pharm Assoc 43 (2003), 173–184.
20. Fera, T., Bluml, B.M., Ellis, W.M., Diabetes Ten City Challenge: final economic and clinical results. J Am Pharm Assoc 49 (2009), 383–391.
21. Rothman, R.L., Malone, R., Bryant, B., et al. A randomized trial of a primary care-based disease management program to improve cardiovascular risk factors and glycated hemoglobin levels in patients with diabetes. Am J Med 118 (2005), 276–284.
22. American Pharmacists Association, American Society of Consultant Pharmacists, Delivering medication therapy management services in the community, 2009, American Pharmacists Association, Washington, DC.
23. Center for Disease Control and Prevention, Place of influenza vaccination among adults: United States 2010–11 influenza season. MMWR Morb Mortal Wkly Rep 60 (2011), 781–785.
24. McInnis, T., The most transformative force in health care or the demise of a profession? A commentary. ACCP Report 30:10 (2011), 5–7.
25. Ravn, K., Pharmacists are a vital, if under-used, part of health care, January 31, 2010, Chicago Tribune, 22–23.
26. Bennett, M.S., Blank, D., Bopp, J., et al. Strategies to improve compensation for pharmaceutical care services. J Am Pharm Assoc 40 (2000), 747–755.
27. Snella, K.A., Trewyn, R.R., Hensen, L.B., Bradberry, J.C., Pharmacist compensation for cognitive services: focus on the physician office and community pharmacy. Pharmacotherapy 24 (2004), 372–388.
28. Stubbings, J., Nutescu, E., Durley, S.F., Bauman, J.L., Payment for clinical pharmacy services revisited. Pharmacotherapy 31 (2011), 1–8.