通过使用MarketScan数据,评估当前程序术语代码在药剂师服务中的使用情况
Smita Rawal1, Jianing Xu2, Xianyan Chen2
1College of Pharmacy, University of Georgia, Athens, GA, USA.
概括
药剂师 药剂师 药剂师 药剂师
科学领域:
- 药房实践 在药房实践中
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 医疗保险立法允许药剂师使用当前程序术语 (CPT) 代码收费临床服务.
- 药剂师服务的可用性和其实际用于计费的使用之间存在潜在的差距.
- 了解CPT代码的使用率对于评估服务交付至关重要.
研究的目的:
- 确定用于记录和计费药剂师临床服务的特定CPT代码的普及率.
- 分析药物治疗管理 (MTM),电话评估/管理 (A/M) 和评估/管理 (E/M) 服务的代码的使用情况.
主要方法:
- 对于Merative MarketScan医疗保险数据库 (2016-2020) 的回顾性分析.
- 识别具有针对选择CPT代码 (99605-99607,98966-98968,99211-99215) 的索赔数据的患者.
- 使用描述性统计数据计算流行率.
主要成果:
- 分析包括从2016年到2020年期间超过270万名入学者.
- 对MTM面对面CPT代码 (0.06%) 和电话A/M代码 (0.58%) 的低流行率.
- 评估和管理 (E/M) CPT代码的高流行率 (87%).
结论:
- 采用MTM CPT代码来收费药剂师服务是有限的.
- 需要进一步的研究来探索药剂师对CPT代码利用的看法.
- 识别CPT代码使用的障碍和促进因素对于扩大临床服务计费至关重要.
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