Complete a CCM case, including care plan components and monthly log
Evaluate RPM readings and trends to develop an RPM workflow
Evaluate a BHI and RPM case
Create your hook for collaboration
Evaluate the total opportunity for clinical services within an example clinic and how to design a contract
Learning Objectives
Describe the importance of the CMS initiatives for the quadruple aim and how pharmacist-led clinical services meet and exceed the needs of innovative models of care, such as value-based payment models and the Quality Payment Program
Develop strategies and address the business complexity of obtaining an agreement with a provider or medical practice
Describe the components of medical billing, audit proof documentation, and the medical billing process
List the components of the Annual Wellness Visit (AWV) and describe the benefit of conducting the AWV for Medicare beneficiaries
Explain the rules for billing and documenting AWV encounters
Describe the different AWV add-on services and appropriate use of these services
Role play the pharmacist-led AWV through common scenarios addressed during the AWV
Create a 5-10 year preventive care plan for the AWV
Differentiate between complex and non-complex chronic care management (CCM) and how to determine the level of medical decision making
Explain the rules for billing and documenting CCM encounters for a successful and sustainable program
Define remote physiologic monitoring (RPM) and describe its purpose
Recognize the billing and documentation requirements for RPM
Describe the purpose of behavioral health integration (BHI)
Recognize the billing and documentation requirements for BHI
Analyze strategies for ensuring internal and external business success
Identify strategies for sharing your value as a pharmacist to potential collaborators and begin steps to develop a successful clinical services program
Explain the factors that impact when it is appropriate to utilize an existing electronic health record versus an outside platform to maximize workflow during documentation
Analyze the needs of a practice and identify how to utilize non face-to-face services to meet those needs
Build an effective care team to maximize the delivery of CCM within a pharmacy
Identify appropriate non face-to-face services for a patient based upon a patient case
Categorize billing codes for a patient case based upon minimum time requirements for billing
Construct a personalized action plan that promotes implementation of clinical services
