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Supply Chain Compliance

This module looks at the current tactics for pharmacy supply chain management, including 340B inventory models, the Drug Supply Chain Security Act, managing drug shortages and drug recalls.
Accreditation/Reg Compliance 340B
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Billing for Clinical Pharmacy Services and Collaborative Practice

This activity analyzes manage key stakeholders and the requirements for establishing a billable pharmacy service to various case settings including physician-based and hospital-based clinics.
Revenue cycle Data Analytics
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Additional Billing Opportunities and Value-Based Care

This activity assesses billing opportunities in a physician practice and pharmacy initiatives related to value-based care.
Revenue cycle
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Denials, Appeals, Edits, and Calculating Reimbursement

This activity delves into handling common denial types, strategies to appeal a denied claim, and payment models related to insurance contracts.
Revenue cycle
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Medicare Billing

This activity reviews managing patient billing within the outpatient and inpatient Medicare reimbursement model.
Revenue cycle
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Medicare Rules and Regulations

This activity dives into the billing information for Medicare and Medicaid programs including eligibility, funding sources, and drug categories.
Revenue cycle
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Overview including Cost and Revenue Cycle

This activity provides an overview of the pharmacy revenue cycle and key CMS policy and payment information.
Revenue cycle
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Revenue Cycle Building Blocks and Formulary Decision Making

This activity describes the roles and responsibilities of key stakeholders and the mechanics of the pharmacy revenue cycle including standards of participation for health systems.
Revenue cycle
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Using Claims Data to Improve Revenue Capture and Patient Care

This activity explores using publicly available information, including data files, to understand reimbursement calculations and potential benefits from merging clinical and financial data points.
Revenue cycle
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Data Analytics - Step 1: Requirement Gathering

This module looks at the components of data gathering from the perspectives of the requestor and analyst.
Data Analytics