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Demystifying the Pharmacy Insurance Claim

Program Type

Monograph

Credits

2 Contact Hour(s)

Release Date

Saturday, December 21, 2019

Offline Date:

Monday, June 21, 2021

ACPE Expiration Date

Tuesday, December 21, 2021

Target Audience

Pharmacist, Pharmacy Technician

Cost

$8.00

  • Overview

    Community pharmacists and technicians bill insurance claims every day, but especially in chain pharmacies reimbursement issues are not pursued at an individual store level. Because of this, there is little opportunity for many pharmacists to understand everything involved in the reimbursement of a claim. A thorough understanding of it, however, will help both resolve insurance claims as well as find opportunities to improve profitability.

    Rating


    Handouts

    Homestudy PDF:   18268H04.pdf

    Financial Support By

    PharmCon, Inc.
  • Pharmacist

    Identify the path of a prescription insurance claim after it leaves the pharmacy
    Recognize common rejections, what they mean, and when and how they should be overridden
    Identify key elements of the revenue cycle of a pharmacy, from submission to final payment
    Recognize ways that pharmacy managers can improve profitability with insurance and reduce liability


    Pharmacy Technician

    Identify the path of a prescription insurance claim after it leaves the pharmacy
    Recognize common rejections, what they mean, and when and how they should be overridden
    Identify key elements of the revenue cycle of a pharmacy, from submission to final payment
    Recognize overrides that require pharmacist-only intervention

  • Activity Type

    Knowledge

    Universal Activity Number

    Pharmacist 0798-0000-18-268-H04-P

    Pharmacy Technician 0798-0000-18-268-H04-T

    ACPE PharmCon, Inc. is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

    PharmCon, Inc. is an approved course provider for continuing education for nurses by the Florida Board of Nursing. PharmCon is also recognized by the California Board of Nursing as a provider of nursing programs.

    In order to obtain a Statement of Credit, participants must score no less than a 70% on the activity's test and complete a program evaluation.


HARDWARE REQUIREMENTS
Standard Windows/Mac System
iPad or iPhone
Minimum screen resolution: 1024x768
Speakers or headphones
 
 


SOFTWARE REQUIREMENTS
Microsoft Edge
Internet Explorer 8.0 or higher
Google Chrome
Safari
Firefox 3.0.3 or higher
Adobe Acrobat Reader


NETWORK REQUIREMENTS
Broadband Internet Connection:
T1, Hi-speed DSL or Cable
4G cellular connection
 
 
 

This continuing education activity is held as copyright by PharmCon, Inc. Through this notice, PharmCon, Inc. grants permission of its use for educational purposes only. These materials may not be used, in whole or in part, for any commercial purposes without prior permission in writing from the copyright owner(s).

 

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