Pharmacy Billing Policy - ASHP Media



Pharmacy Billing Policy

Pharmacists are now able to bill for their services using the Facility-Only Billing (FOB) Feesheet. A pharmacist can bill for his or her services in two separate ways:

1. If the patient saw a physician and a pharmacist

The pharmacist must find the patient’s FOB Feesheet and initial in “Box E/Ancillary Clinical Staff Resources.” The pharmacist must also initial at the bottom of the FOB Feesheet and print his or her name in the appropriate place.

2. If the patient saw ONLY a pharmacist

The pharmacist must fill out both a regular feesheet and an FOB Feesheet.

The regular feesheet must have the following fields filled out:

• Patient Label

• At least one diagnosis. If there are multiple diagnoses, the priority of the diagnoses (1, 2, 3 …) must be listed.

• The ordering/referring provider’s name and Med Staff number.

• The performing provider will be the pharmacist’s printed name.

• All E&M or procedure-related boxes will be left blank.

The FOB Feesheet must have the following fields filled out:

• Patient Label

• The “Established” box is checked off.

• If the visit lasts approximately 5 minutes, “Box A/Basic Visit” is initialed.

• If the visit lasts approximately 6−15 minutes, “Box A/Basic Visit” and “Box B/Basic Nursing Pharmacy Assessment” are initialed.

• If the visit lasts over 16 minutes, “Box A/Basic Visit” and “Box B/Basic Nursing Pharmacy Assessment” and “Box C/Additional Nursing/Pharmacy Intervention - Education - Assessment” are initialed.

• The pharmacist must initial and print his or her name at the bottom.

For Clinics Using Ace for Entering Charges (Pioneer Square)

1. If the patient saw a physician and a pharmacist

• The pharmacist must enter the feesheet in Ace by clicking the “VL” hyperlink on the appointment scheduled under the physician.

• In the pop-up window, the pharmacist must check “Box E/Ancillary Clinical Staff Resources.” If “Box A/Basic Visit” has not been checked yet, it must be checked before checking Box E.

• The pharmacist must then click the “Done” hyperlink to close the window.

• If an appointment was scheduled in Epic under the pharmacist’s template on the same day, the pharmacist must also change the feesheet status to “Done w/other visit” and click the “Save statuses as specified above” hyperlink.

2. If the patient saw ONLY a pharmacist

The pharmacist must complete the feesheet in Ace by filling out the following fields:

• The pharmacist must enter the feesheet in Ace by clicking the “Edit Hdr” hyperlink on the appointment scheduled under the pharmacist (H486 Pharmacist). There should be no appointment scheduled under a provider.

• The referring provider can be filled in by either typing in a Med Staff # or using the “Lookup” pop-up window. (This field may have been filled out by the Pioneer Square staff.) The pharmacist can then click on the “Save and go to feesheet” hyperlink.

• The pharmacist must click the “VL” hyperlink to get the visit level pop-up window to appear.

• If the visit lasts approximately 5 minutes, “Box A/Basic Visit” is checked.

• If the visit lasts approximately 6−15 minutes, “Box A/Basic Visit” and “Box B/Basic Nursing Pharmacy Assessment” are checked.

• If the visit lasts over 16 minutes, “Box A/Basic Visit” and “Box B/Basic Nursing Pharmacy Assessment” and “Box C/Additional Nursing/Pharmacy Intervention - Education - Assessment” are checked.

• The pharmacist must then click the “Done” hyperlink to close the window.

• Verify the “Estab” radio button is filled in next to the “Fac Visit Level.”

• Change the visit type drop-box to “Facility Only” from “Normal Bill.”

• Enter the diagnoses by clicking the appropriate gray box next to the diagnosis codes.

• Click the “Save Draft” button, review the data, and then click the “Final Save” button.

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