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 |