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Incident-to Billing for Pharmacists.
11 University of Florida College of Pharmacy, Gainesville.
Journal of Managed Care & Specialty Pharmacy
|November 28, 2018
Summary
Pharmacists improve patient outcomes, but funding their salaries is a challenge. This article clarifies incident-to billing criteria, enabling pharmacists to generate revenue for clinical services and overcome financial barriers in outpatient settings.
Area of Science:
- Health Services Research
- Pharmacy Practice
- Healthcare Economics
Background:
- Pharmacist inclusion in care teams enhances clinical and economic outcomes.
- Financial sustainability of pharmacist roles is a significant barrier to integration.
- Incident-to billing offers a revenue generation pathway for clinical pharmacy services.
Purpose of the Study:
- To clarify incident-to billing criteria for outpatient clinics.
- To address common misconceptions surrounding incident-to billing.
- To guide clinical pharmacists in utilizing incident-to billing for revenue generation.
Main Methods:
- Review of incident-to billing regulations and guidelines.
- Analysis of applicability to clinical pharmacy services in outpatient settings.
- Discussion of practical implementation strategies and potential challenges.
Main Results:
- Incident-to billing criteria can be met by pharmacists providing direct patient care under specific conditions.
- Misconceptions often hinder the adoption and utilization of this billing mechanism.
- Clear understanding of criteria allows pharmacists to capture revenue for valuable clinical services.
Conclusions:
- Incident-to billing provides a viable financial model to support pharmacist integration into care teams.
- Educating healthcare providers on incident-to billing is crucial for its effective implementation.
- Leveraging incident-to billing can enhance the financial sustainability of clinical pharmacy services.
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