Document Detail


Practice models used by pharmacists in rural Minnesota to obtain Medicare reimbursement.
MedLine Citation:
PMID:  10932466     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: (1) Define "incident-to" rules for Medicare reimbursement; (2) Describe how pharmacists can meet incident-to rules; (3) Provide examples of models of practice in rural areas that could be useful for meeting incident-to rules; and (4) Develop a strategy for creating a pharmacy practice model that could meet Medicare reimbursement rules in rural areas. DESIGN AND PARTICIPANTS: A survey of participants from the Pharmacy Rural Education, Practice and Policy Institute and the College of Pharmacy, University of Minnesota. SETTING: Community, hospital, and clinic practice sites in rural Minnesota. RESULTS: Four distinct models of practice have evolved that meet the incident-to rules of Medicare for reimbursement. Travel, proximity to physicians, and employment are the major determinants of the models described. CONCLUSION: Pharmacists in rural areas have demonstrated the ability to satisfy the incident-to rules for Medicare reimbursement. Collaborative agreements with physicians must include specific employment, practice, and supervisory relationships in order to satisfy these rules.
Authors:
T A Larson; D L Uden; R S Hadsall
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Pharmaceutical Association (Washington,D.C. : 1996)     Volume:  40     ISSN:  1086-5802     ISO Abbreviation:  J Am Pharm Assoc (Wash)     Publication Date:    2000 Jul-Aug
Date Detail:
Created Date:  2000-09-08     Completed Date:  2000-09-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9601004     Medline TA:  J Am Pharm Assoc (Wash)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  554-9     Citation Subset:  IM    
Affiliation:
College of Pharmacy, University of Minnesota, Minneapolis 55455, USA. Larso098@tc.umn.edu
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MeSH Terms
Descriptor/Qualifier:
Centers for Medicare and Medicaid Services (U.S.) / economics*
Community Pharmacy Services / economics,  organization & administration*
Humans
Insurance, Health, Reimbursement / economics*
Medicare / economics*
Minnesota
Models, Organizational
Multi-Institutional Systems
Practice Management
Prescription Fees*
Reimbursement Mechanisms
Rural Health
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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