News: Outpatient Pharmacy

Compliance is Key in Medicare Part B Audits

Medicare is a beneficial program for Americans who are over age 65 or have certain disabilities, but providers sometimes find compliance issues a challenge. An understanding of mandates and how to properly submit claims will ensure organizations are reimbursed for Medicare Part B-covered medications, equipment and supplies, such as nebulizer-inhalation medications, oral immunosuppressive drugs and diabetic testing supplies. Occasionally, providers may unknowingly submit noncompliant or even fraudulent claims for the products and services they offer.

Unintended Consequences

Your patients are adherent to their medication protocol, now you have to ensure they don’t wash the pills down with grapefruit juice or use an over-the-counter (OTC) herbal supplement that could unintentionally dilute or alter the benefits of their prescribed drugs.

Tis the Season

Flu season is here, meaning it is a great time to evaluate your status as an immunization provider. Since pharmacists are the most accessible healthcare professionals, we are valued members in our communities. Expanded scope and authority have provided pharmacists the ability to impact the availability and utilization of vaccines to a patient base that may not have otherwise been immunized.

A Prescription for Stress

When you made the decision to become a pharmacist, you knew you were entering a profession that was honorable, respected and would bring you great rewards when helping people in your community. But most jobs with high-reward payouts tend to bring a level of stress also. As more demands are placed on pharmacists, and the pharmacy staff, work hours tend to be nonstop. It’s rare to take a break to catch your breath and ensure you are not only filling prescriptions correctly but also keeping up with the many regulatory demands that cannot be overlooked.

The Millennial Patient

So far, 2016 comprises a heated presidential race, the summer Olympics, the continued growth of social networks and much more. In the mix of all that consumes our news, you may have missed the passing of the torch to the Millennial generation. Millennials, defined as ages 18-34 in 2015 by the U.S. Census Bureau, have reached 75.4 million of the population and surpassed the 74.9 million Baby Boomers.

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