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Billing & Financial Assistance in Specialty Pharmacy

To Participate

To participate in this continuing education activity:

  1. Review the activity description and objectives.
  2. View the activity.
  3. Complete the online post-test and activity evaluation.

This activity is available for free to members of NASP. Visit the top section of www.ProCE.com/CSPE for details.


 

A product of the National Association of Specialty Pharmacy's (NASP) Center for Specialty Pharmacy Education(CSPE). View more NASP/CSPE Activities
 

Activity Description

This educational activity will address pharmacy billing in a specialty setting. Benefit types, basic billing, details pertaining to Medicare Part B billing and common rejection codes will be discussed. Financial assistance options for different coverage types will be reviewed and resources will be listed for learners’ reference.

Learning Objectives

The target audience for this activity includes pharmacy technicians. Upon completion of this activity, participants will be able to:

  • Describe necessary processing information.
  • List possible insurance types and billing scenarios for specialty medications.
  • Describe common rejection codes.
  • List requirements for billing oral agents to Medicare Part B.
  • List secondary payer options for Medicare Part B.
  • Describe some of the billing nuances associated with Medicare Part B.
  • Outline resources for researching copay assistance.
  • Determine financial assistance options available based on patient benefit coverage.
  • Identify information necessary to apply patient for various copay assistance options.

Faculty

Elina Baskina, PharmD, CSP
Director of Pharmacy
Keck Medicine of USC Specialty Pharmacy
Alhambra, California

Co-Authors
Jessica McDuffie, PharmD
Novant Health Specialty Pharmacy

William Barrows, RPh, CSP
Partners HealthCare Specialty Pharmacy

Disclosure

It is the policy of ProCE, Inc. to ensure balance, independence, objectivity and scientific rigor in all of its continuing education activities. Faculty must disclose to participants the existence of any significant financial interest or any other relationship with the manufacturer of any commercial product(s) discussed in an educational presentation. None of the faculty have any relevant financial and/or commercial relationships to disclose.

CE Accreditation

Release Date: October 16, 2020
Expiration Date: October 16, 2023

Pharmacy Technicians

This CE activity is jointly provided by ProCE, Inc. and the National Association of Specialty Pharmacy (NASP). ProCE is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE Universal Activity Number 0221-9999-20-416-H04-T has been assigned to this knowledge-based, home-study activity. This CE activity is approved for 1.0 contact hour (0.1 CEU) in states that recognize ACPE providers. Completion of an evaluation and post-test with a score of 70% or higher is required to receive CE credit. Proof of completion will be posted in NABP CPE Monitor profiles. No partial credit will be given.

Funding

No external support has been received for this activity.

 

The material presented in this CE activity does not reflect the views of ProCE, LLC or the commercial sponsor. These materials may discuss uses and dosages for therapeutic products, processes, procedures and inferred diagnoses that have not been approved by the United States Food and Drug Administration. A qualified health care professional should be consulted before using any therapeutic product discussed. All readers and continuing education participants should verify all information and data before treating patients or employing any therapies described in this continuing education activity.