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John Gums, PharmD, FCCP - Professor and Associate Dean for Clinical and Administrative Affairs - and Eric A Dietrich, PharmD, BCACP, CPC-A, CEMC, CPB - Clinical Associate Professor from the University of Florida College of Pharmacy talk with us about billing for pharmacy services.\nKey Lessons:\nA sustainable clinical practice model is formulated by creating a business plan that considers the services to be provided as well as reasonable estimates of the number of patient encounters, the duration for each patient encounter, billable revenues, collections, and costs.\xa0\nEvaluation and Management (EM) codes are used to bill services.\xa0 The complexity of the patient encounter characterizes the "level" of service, ranging from level 1 (minimal complexity, self-limiting problem) to level 5 (High, Chronic Conditions, Severe Exacerbation, Disease Progression).\nComprehensive medication management services provided by pharmacists are typically billed by a recognized provider (physician / nurse practitioner) using an "incident to" billing method.\nPharmacists can also bill for transitional care management (TCM), chronic care management (CCM), and annual wellness visits (AWV) - but each of these services must meet specific conditions and requirements under Medicare Part B.\nLearning to speak the language of billers and coders is critically important.\nConsider training or certification through the American Academy of Professional Coders (AAPC)\nThere is a significant difference between what is billed and what is collected.\nPharmacists should track their time, number of patient encounters, billable units of services, and collections to determine if their initial estimates are correct.\xa0 When there are discrepancies, determine the sources and address the causes.\nCheck out these guidelines and resources on how to develop a business-practice plan and bill for pharmacists' patient care services:\n\nAmerican College of Clinical Pharmacy (ACCP) - Developing a Business-Practice Model for Pharmacy Services in Ambulatory Care Settings\nAmerican Association of College of Pharmacy (AACP) - Integration of Clinical Pharmacy Faculty in Professional Practice Care Settings\nNational Council for Prescription Drug Programs (NCPDP) - Billing Guidance for Pharmacists' Professional and Patient Care Services