Medications on the Hospice Claim: Our Process in Submitting at Least $300,000 Monthly

Saturday, April 23, 2016: 10:00 AM-11:00 AM
National Harbor 10 (Gaylord National Resort and Convention Center) - 3rd Level
Michael Bolewitz, PharmD, MBA, Hospice & Palliative Care Charlotte Region, Charlotte, NC and Pete Davies, Hospice & Palliative Care Charlotte Region, Charlotte, NC
CR8358 requires hospices to report their non-OTC medication dispensing on the hospice claim. Hospice & Palliative Care Charlotte Region submits approximately $300,000, in Average Wholesale Pricing (AWP) terms, worth of medication dispenses every month on their hospice Medicare claims. This session will review the medication reporting aspect of CR8358 and describe why it is critically important for hospices to get this reporting correct. Also, faculty will outline their process for relating medications as this is the first step toward reporting dispensing activity, and they will describe the modifications made to their processes and EMR to maximize the reporting.

Learning Objectives:
1. Identify gaps in your medication coverage algorithms
2. Analyze the process of importing medications to hospice claims
3. Identify metrics for monitoring effectiveness

CE/CME: Nurse, Physician and Social Worker