What professional pharmacist services are currently reimbursable, either with the MTM CPT codes or other available coding systems?
There are many types of services that pharmacists are being paid for and several avenues of reimbursement that can be pursued. For instance, enterprising pharmacists have set up practices where patients will pay directly for services (self-pay). These include, but are not limited to services as simple as blood pressure checks or lab screening tests or as extensive as smoking cessation, weight loss or bioidentical hormone replacement. Some pharmacists or pharmacist networks are currently contracting with health plans and self-insured employers to provide services related to chronic diseases such as diabetes, lipids, asthma or hypertension. In this scenario, the pharmacist negotiates reimbursement rates with the employer, then bills directly for patient visits. Additional information on similar programs can be found on PSTAC member organization websites.
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- What professional pharmacist services are currently reimbursable, either with the MTM CPT codes or other available coding systems?
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