Module Details

Learning Objectives
1. Identify the types of entities that pay for prescription medications.
2. Define commonly used terms in prescription claim billing.
3. Explain common prescription claim rejections, corrective action that can be taken, and audits that can result from improperly billed claims.
4. List the steps involved in obtaining a prior authorization.
5. Discuss billing for special services such as immunizations and medication therapy management (MTM).

Author:

Heather Horton, PharmD, MS
External Revenue Coordinator

This module will provide 2.5 contact hours (0.25 ceus) of continuing pharmacy education credit for pharmacy technicians.
ACPE UAN: 0121-0000-17-003-H04-T
Activity Type: Knowledge-based
Release date: July 1, 2017
Expiration date: June 30, 2020