The Pharmacist's Guide to Compensation for Patient-Care Services Book

	Preface	ix
	Acknowledgments	xi
Chapter 1	History of Payment for Pharmacy Services	1
Chapter 2	Understanding the Insurance Industry	7
Chapter 3	Medicare, Medicaid, and Pharmacy Services	15
Chapter 4	Disease Coding: ICD Codes	23
Chapter 5	Procedural Coding: CPT and HCPCS Codes	27
Chapter 6	Professional Pharmacy Services Codes	49
Chapter 7	The HCFA-1500 Claim Form	53
Chapter 8	The Pharmacist Care Claim Form	61
Chapter 9	Documentation	65
Chapter 10	Generating New Revenue Streams for Institutions, Daniel H. Albrant	73
Chapter 11	Fraud and Abuse	79
Chapter 12	When Your Claims Are Rejected	85
	Appendixes
Appendix A	Glossary	91
Appendix B	Evidence of the Value of the Pharmacist	93
Appendix C	HCFA-1500 Health Insurance Claim Form	98
Appendix D	Medicare Provider/Supplier Enrollment Applications	101
Appendix E	Medicare Part A Intermediaries and Part B Carriers	144
Appendix F	State Medicaid Directors	155
Appendix G	Contact and Ordering Information	159
Appendix H	Pharmacist Care Claim Form	160
Appendix I	HCFA-1450 (UB-92) Claim Form	162
Appendix J	Medicare 1997 Documentation Guidelines for Evaluation and Management Services	165
Appendix K	Sample Medical Necessity Forms	216
	Index	223