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Pharmacy billing and reimbursement - Revision history
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Revision history for this page on the wiki
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Sean: /* Other healthcare reimbursement methodologies */
2014-02-06T16:16:14Z
<p><span dir="auto"><span class="autocomment">Other healthcare reimbursement methodologies</span></span></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:16, 6 February 2014</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==Other healthcare reimbursement methodologies==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==Other healthcare reimbursement methodologies==</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><p>So far, this <del class="diffchange diffchange-inline">chapter </del>has focused on third-party payor reimbursement in community pharmacy settings. Healthcare reimbursement often works differently in other practice settings (home health, long-term care, home infusion, etc.). The two major types of payment in these practice settings include fee-for-service reimbursement or episode-of-care reimbursement.</p></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><p>So far, this <ins class="diffchange diffchange-inline">article </ins>has focused on third-party payor reimbursement in community pharmacy settings. Healthcare reimbursement often works differently in other practice settings (home health, long-term care, home infusion, etc.). The two major types of payment in these practice settings include fee-for-service reimbursement or episode-of-care reimbursement.</p></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>Fee-for-service reimbursement is a payment method in which providers receive payment for each service rendered. A fee is a set amount or a set price. Fee-for-service means a specific payment is made for each specific service rendered. In the fee-for-service method, the provider of the healthcare service charges a fee for each type of service, and the health insurance company pays each fee for a covered service. These fees or prices are known as charges in healthcare. Typically, the pharmacy or healthcare organization bills for each service provided on claims that have specific values associated with them. The claim is submitted to the third party payor, and the insurance company will send out payments covering windows of time and include remittance advices.</p></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>Fee-for-service reimbursement is a payment method in which providers receive payment for each service rendered. A fee is a set amount or a set price. Fee-for-service means a specific payment is made for each specific service rendered. In the fee-for-service method, the provider of the healthcare service charges a fee for each type of service, and the health insurance company pays each fee for a covered service. These fees or prices are known as charges in healthcare. Typically, the pharmacy or healthcare organization bills for each service provided on claims that have specific values associated with them. The claim is submitted to the third party payor, and the insurance company will send out payments covering windows of time and include remittance advices.</p></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>Episode-of-care reimbursement is a payment method in which providers receive one lump sum for all the services they provide related to a condition or disease. In the episode-of-care payment method, the unit of payment is the episode, not each individual health service. Therefore, the episode-of-care payment method eliminates individual fees or charges. The episode-of-care payment method controls costs on a systematic scale. If a specific amount is contracted to the pharmacy, this may also be referred to as a capitation fee.</p></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>Episode-of-care reimbursement is a payment method in which providers receive one lump sum for all the services they provide related to a condition or disease. In the episode-of-care payment method, the unit of payment is the episode, not each individual health service. Therefore, the episode-of-care payment method eliminates individual fees or charges. The episode-of-care payment method controls costs on a systematic scale. If a specific amount is contracted to the pharmacy, this may also be referred to as a capitation fee.</p></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;"></ins></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==See also==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==See also==</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Medication order entry and fill process]]</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>[[Medication order entry and fill process]]</div></td></tr>
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Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6217&oldid=prev
Sean: /* Pharmacy billing cycle */
2014-02-06T16:15:54Z
<p><span dir="auto"><span class="autocomment">Pharmacy billing cycle</span></span></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:15, 6 February 2014</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><li>Payment processing</li></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><li>Payment processing</li></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div></ol></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div></ol></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><p>While parts of this process are also already covered in [[<del class="diffchange diffchange-inline">Medication Order Entry </del>and <del class="diffchange diffchange-inline">Fill Process</del>]], this article will be focusing on the correlation between these processes and pharmacy billing/reimbursement.</p></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><p>While parts of this process are also already covered in [[<ins class="diffchange diffchange-inline">medication order entry </ins>and <ins class="diffchange diffchange-inline">fill process</ins>]], this article will be focusing on the correlation between these processes and pharmacy billing/reimbursement.</p></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Receiving the prescription===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Receiving the prescription===</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>When a community pharmacy receives a prescription, it is a requirement to note the source of the prescription if it is for a Medicare or Medicaid patient. As many individual insurance companies also require this information, it has become a common practice for community pharmacies to track where all prescriptions come from. These prescriptions are tracked using prescription origin codes (POC), which are commonly entered into the pharmacy management software. The prescription origin codes are as follows:</p></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>When a community pharmacy receives a prescription, it is a requirement to note the source of the prescription if it is for a Medicare or Medicaid patient. As many individual insurance companies also require this information, it has become a common practice for community pharmacies to track where all prescriptions come from. These prescriptions are tracked using prescription origin codes (POC), which are commonly entered into the pharmacy management software. The prescription origin codes are as follows:</p></div></td></tr>
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Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6216&oldid=prev
Sean: /* Pharmacy billing cycle */
2014-02-06T16:14:32Z
<p><span dir="auto"><span class="autocomment">Pharmacy billing cycle</span></span></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:14, 6 February 2014</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><li>Payment processing</li></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><li>Payment processing</li></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div></ol></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div></ol></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><p>While parts of this process <del class="diffchange diffchange-inline">were </del>already covered in <del class="diffchange diffchange-inline"><em>Chapter 6: </del>Medication Order Entry and Fill Process<del class="diffchange diffchange-inline"></em></del>, <del class="diffchange diffchange-inline">we </del>will be focusing on the correlation between these processes and pharmacy billing/reimbursement.</p></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><p>While parts of this process <ins class="diffchange diffchange-inline">are also </ins>already covered in <ins class="diffchange diffchange-inline">[[</ins>Medication Order Entry and Fill Process<ins class="diffchange diffchange-inline">]]</ins>, <ins class="diffchange diffchange-inline">this article </ins>will be focusing on the correlation between these processes and pharmacy billing/reimbursement.</p></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Receiving the prescription===</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>===Receiving the prescription===</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>When a community pharmacy receives a prescription, it is a requirement to note the source of the prescription if it is for a Medicare or Medicaid patient. As many individual insurance companies also require this information, it has become a common practice for community pharmacies to track where all prescriptions come from. These prescriptions are tracked using prescription origin codes (POC), which are commonly entered into the pharmacy management software. The prescription origin codes are as follows:</p></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p>When a community pharmacy receives a prescription, it is a requirement to note the source of the prescription if it is for a Medicare or Medicaid patient. As many individual insurance companies also require this information, it has become a common practice for community pharmacies to track where all prescriptions come from. These prescriptions are tracked using prescription origin codes (POC), which are commonly entered into the pharmacy management software. The prescription origin codes are as follows:</p></div></td></tr>
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Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6215&oldid=prev
Sean: /* Terminology */
2014-02-06T16:12:47Z
<p><span dir="auto"><span class="autocomment">Terminology</span></span></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:12, 6 February 2014</td>
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<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==Terminology==</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>==Terminology==</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><p>To get started in this <del class="diffchange diffchange-inline">chapter</del>, there are some terms that should be defined.</p></div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><p>To get started in this <ins class="diffchange diffchange-inline">article</ins>, there are some terms that should be defined.</p></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p><strong>out-of-pocket</strong> - Out-of-pocket expenses are the costs that are considered the responsibility of the patient, including non-covered items, deductibles, and copays.</p></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p><strong>out-of-pocket</strong> - Out-of-pocket expenses are the costs that are considered the responsibility of the patient, including non-covered items, deductibles, and copays.</p></div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p><strong>third-party payor</strong> - A third-party payor (also spelled payer) is an organization other than the patient (first party) or pharmacy/health care provider (second party) involved in the financing of personal health services including, but not limited to, prescriptions medication.</p></div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div><p><strong>third-party payor</strong> - A third-party payor (also spelled payer) is an organization other than the patient (first party) or pharmacy/health care provider (second party) involved in the financing of personal health services including, but not limited to, prescriptions medication.</p></div></td></tr>
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Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6214&oldid=prev
Sean at 16:12, 6 February 2014
2014-02-06T16:12:04Z
<p></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:12, 6 February 2014</td>
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<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">''Please be patient as this article is still being written.''</del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;"></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>This article will focus on the following knowledge areas related to pharmacy billing and reimbursement:</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>This article will focus on the following knowledge areas related to pharmacy billing and reimbursement:</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"></td></tr>
</table>
Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6213&oldid=prev
Sean: /* References */
2014-02-06T16:11:30Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
<table class='diff diff-contentalign-left'>
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<col class='diff-marker' />
<col class='diff-content' />
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:11, 6 February 2014</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 140:</td>
<td colspan="2" class="diff-lineno">Line 140:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Wikipedia, ''Patient Protection and Affordable Care Act'', http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Wikipedia, ''Patient Protection and Affordable Care Act'', http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div>#PRS Pharmacy Services, third party claim pathway</div></td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>#PRS Pharmacy Services, third party claim pathway<ins class="diffchange diffchange-inline">, further information not available</ins></div></td></tr>
</table>
Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6212&oldid=prev
Sean: /* References */
2014-02-06T16:10:27Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:10, 6 February 2014</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 140:</td>
<td colspan="2" class="diff-lineno">Line 140:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Wikipedia, ''Patient Protection and Affordable Care Act'', http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Wikipedia, ''Patient Protection and Affordable Care Act'', http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">#PRS Pharmacy Services, third party claim pathway</ins></div></td></tr>
</table>
Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6211&oldid=prev
Sean: /* References */
2014-02-06T16:05:07Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
<table class='diff diff-contentalign-left'>
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<col class='diff-marker' />
<col class='diff-content' />
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:05, 6 February 2014</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 139:</td>
<td colspan="2" class="diff-lineno">Line 139:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Billing for Rx drugs. Pharmacist’s Letter/Pharmacy Technician’s Letter 2009 (updated June 2011);25(2):250212</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Billing for Rx drugs. Pharmacist’s Letter/Pharmacy Technician’s Letter 2009 (updated June 2011);25(2):250212</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">#Wikipedia, ''Patient Protection and Affordable Care Act'', http://en.wikipedia.org/wiki/Patient_Protection_and_Affordable_Care_Act</ins></div></td></tr>
</table>
Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6210&oldid=prev
Sean: /* References */
2014-02-06T16:02:32Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
<table class='diff diff-contentalign-left'>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:02, 6 February 2014</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 138:</td>
<td colspan="2" class="diff-lineno">Line 138:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#National Center for Health Statistics, ''DAW Codes'', http://www.ncvhs.hhs.gov/970416w2.htm</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#National Center for Health Statistics, ''DAW Codes'', http://www.ncvhs.hhs.gov/970416w2.htm</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Billing for Rx drugs. Pharmacist’s Letter/Pharmacy Technician’s Letter 2009 (updated June 2011);25(2):250212</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Billing for Rx drugs. Pharmacist’s Letter/Pharmacy Technician’s Letter 2009 (updated June 2011);25(2):250212</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">#United States Census Bureau, ''Health Insurance Main'', http://www.census.gov/hhes/www/hlthins/</ins></div></td></tr>
</table>
Sean
http://rx-wiki.org/index.php?title=Pharmacy_billing_and_reimbursement&diff=6209&oldid=prev
Sean: /* References */
2014-02-06T16:00:00Z
<p><span dir="auto"><span class="autocomment">References</span></span></p>
<table class='diff diff-contentalign-left'>
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<td colspan='2' style="background-color: white; color:black; text-align: center;">← Older revision</td>
<td colspan='2' style="background-color: white; color:black; text-align: center;">Revision as of 16:00, 6 February 2014</td>
</tr><tr><td colspan="2" class="diff-lineno">Line 137:</td>
<td colspan="2" class="diff-lineno">Line 137:</td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Clerical and Data Management for the Pharmacy Technician, Linda Quiett, 2012, ISBN: 978-1-4390-5781-0</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#Clerical and Data Management for the Pharmacy Technician, Linda Quiett, 2012, ISBN: 978-1-4390-5781-0</div></td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#National Center for Health Statistics, ''DAW Codes'', http://www.ncvhs.hhs.gov/970416w2.htm</div></td><td class='diff-marker'> </td><td style="background-color: #f9f9f9; color: #333333; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #e6e6e6; vertical-align: top; white-space: pre-wrap;"><div>#National Center for Health Statistics, ''DAW Codes'', http://www.ncvhs.hhs.gov/970416w2.htm</div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color:black; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins style="font-weight: bold; text-decoration: none;">#Billing for Rx drugs. Pharmacist’s Letter/Pharmacy Technician’s Letter 2009 (updated June 2011);25(2):250212</ins></div></td></tr>
</table>
Sean