Pharmacy Revenue Cycle Management Certificate

Release Date: April 22, 2020
Expiration Date: April 22, 2023
Activity Type:  Application-based
CE Credits: 16.5 hrs
Activity Fee:  $445.00 /$545.00 member/non-member 


Overview 

This self-guided, online program will provide 16.5 hours of ACPE continuing education for pharmacists seeking to expand their skills for managing the pharmacy revenue cycle. It consists of 9 modules comprised of recorded presentations, readings, and exercises in curricular order. These modules are designed for participants to increase their knowledge and skills in calculating reimbursement, documentation and billing, Medicare rules and regulations, and revenue compliance and integrity within health-systems. Upon completion of all the modules, participants should be proficient in navigating regulations and successfully managing the pharmacy revenue cycle for an institution. 

Professional Certificate Requirement 

Once a learner has successfully completed the educational curriculum, he/she will have the opportunity to complete a comprehensive exam. If the learner successfully completes the exam (minimum 80% passing rate; unlimited attempts permitted), he/she will be eligible to earn the professional certificate.

Listing of the Pharmacy Revenue Cycle Management Certificate Modules

Learning Module

ACPE #

Credit Hours

Overview Including Cost and Revenue Cycle

0204-0000-20-713-H04-P

2

Medicare Rules and Regulations

0204-0000-20-714-H04-P

1

Medicare Billing

0204-0000-20-715-H04-P

2

Revenue Cycle Building Blocks and Formulary Decision Making

0204-0000-20-716-H04-P

2

Denials, Appeals, Edits, and Calculating Reimbursement

0204-0000-20-717-H04-P

2.5

Billing for Clinical Pharmacy Services and Collaborative Practice

0204-0000-20-718-H04-P

1.5

Additional Billing Opportunities and Value-Based Care

0204-0000-20-719-H04-P

2

Using Claims Data to Improve Revenue Capture and Patient Care

0204-0000-20-720-H04-P

1.5

Pharmacy Operational Impact and Entrepreneurial Opportunities

0204-0000-20-721-H04-P

2