tag:blogger.com,1999:blog-5133434752101334071.post2739288454871799005..comments2024-03-27T07:27:26.027-04:00Comments on Eric, Pharmacist: CTP codes. How about CPS codes?Eric Durbin, RPhhttp://www.blogger.com/profile/09170995334706647447noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-5133434752101334071.post-33142240381670548032010-12-03T06:28:40.945-05:002010-12-03T06:28:40.945-05:00What I envision is more like a physician's sup...What I envision is more like a physician's super-bill, except that it is done thru a PDA. Check a couple boxes and the software bills the insurance appropriately. More to follow.Eric Durbin, RPhhttps://www.blogger.com/profile/09170995334706647447noreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-23286067431814845672010-12-01T22:46:39.565-05:002010-12-01T22:46:39.565-05:00Redhead..I got my NPI about 3 weeks ago. Not that...Redhead..I got my NPI about 3 weeks ago. Not that I remember it..but i have it...pharmacy chickhttp://pharmacychick.blogpharm.comnoreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-89254385355176349192010-11-30T17:39:52.057-05:002010-11-30T17:39:52.057-05:00As PAS has mentioned there must be a way to code i...As PAS has mentioned there must be a way to code it in the filling software so pharmacists could bill for patient care services. It is a simple matter of software upgrading. We have to simply force the issue on the healthcare system and not only demand to be paid but explain why we are worth those payments. <br /><br /> I think the first step for all pharmacists is to get an NPI number if they don't already have one. I am getting one. My employer actually wants me to get one now. <br /> <br /> The AMA is effective because it is a strong unified voice for the medical professionals around the country. Don't get me started on why I think that there isn't a pharmacy equivalent of the AMA but there should be. No one else is going to fight for our best interests but ourselves. The quicker we collectively realize that as a profession the better!The Redheaded Pharmacisthttp://www.theredheadedpharmacist.com/noreply@blogger.comtag:blogger.com,1999:blog-5133434752101334071.post-65524121982399749632010-11-30T10:08:52.174-05:002010-11-30T10:08:52.174-05:00Here's a thought. NCPDP 5.1 and later include ...Here's a thought. NCPDP 5.1 and later include a feature known as DUR/PPS.<br /><br />Specifically, fields 439-E4, 440-E5 and 441-E6. These codes respectively represent: Reason For Service, Professional Service Code, and Result of Service Code.<br /><br />The general use of this system is to allow Point of Sale override of DUR software warnings ("soft" warnings) from the PBM's software. The system allows for the selection of an issue being addressed, a professional service by an RPh to address it (from a blinding array of choices, from MD consult, compendia consult, clinical judgement, patient counseling), and an outcome (usually, filled Rx, but can be a large number of things.)<br /><br />Now. The key point of this system, is that these submitted codes can be tied to reimbursement. The software is smart enough to alter payment based on what codes are submitted. I have heard of one or two plans using this to pay for vaccine administration.<br /><br />There's bit of interest to say the least. There's also a bit of caution - in the past, when submitted codes have been implemented, such as using ICD9 to bypass PA, there have been problems. Notably when some pharmacies find an ICD9 for a particular drug that works and submit it with ALL claims on that drug, regardless of a patient being Dx'd.PAShttp://twitter.com/PASlavenoreply@blogger.com