Is MTM reimbursement different than Medicare Part B reimbursement. Are pharmacists directly paid for services or does payment go to physicians?
For Medicare Part D patients, reimbursement for medication therapy management services is paid through Medicare Part D Prescription Drug Plans (PDP) or Medicare Advantage (MA) plans. The mechanisms for payment of MTM services have been left up to the discretion of the PDP and MA plans. It is possible that payers will pay pharmacists directly, while some may decide to pay a corporation, pharmacy, or service provider organization depending on specific contractual agreements.
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- Is MTM reimbursement different than Medicare Part B reimbursement. Are pharmacists directly paid for services or does payment go to physicians?