Key Features:
Strategies are provided for implementing MTMS in various practice settings and billing for these services, and appendices contain useful guidelines, forms, and reports.
Key topics include:
--Educating payers about MTMS.
--Identifying the needs of managed care and private health plans for MTMS, designing programs to meet those needs, and recruiting eligible plan members.
--Acquiring the new skills and knowledge pharmacists may need to provide MTMS.
--The AMA CPT coding system and its application to pharmacist reporting and billing.
--The crucial role of documentation in the success of MTMS.
--Health care fraud and tips for preventing fraudulent practices in the pharmacy.

Table of Contents:
Preface
Contributors
Section I. Medication Therapy Management: Medicare and Beyond
1. Evolution of Payment for Pharmacists’ Services
2. The Pharmacy Practice Activity Classification: A Foundation for Defining MTMS
3. Understanding the Medicare Modernization Act of 2003 and Regulations Covering MTMS
4. Incorporating MTMS into Managed Care and Private Health Plans
5. Educational Opportunities for Pharmacists Providing MTMS to Seniors

Section II. A Practical Guide to Billing for MTMS
6. Coding Principles for MTMS: The ABCs of CPTs
7. Documenting MTMS
8. Avoiding Fraud and Abuse

Section III. Practical Implementation Strategies for MTMS
9. Providing MTMS in Community Pharmacy Practice
10. Providing MTMS in Ambulatory Care Clinics
Resource A—Medication Therapy Management in Pharmacy Practice: Core Elements of an MTM Service Model, Version 2.0
Resource B—MTMS: A Critical Review
Resource C—National Provider Identifier Information and Application
Resource D—ASHP Guidelines on Documenting Pharmaceutical Care in Patient Medical Records
Resource E—CMS Health Insurance Claim Form 1500
Resource F—Sample Superbill for Clinical Pharmacy Services
Resource G—Organizations Marketing Pharmacist-Provided MTMS and Systems for Documenting MTMS
Resource H—Additional Information Sources
Index