Billing 101: Ontario Drug Benefit and Third-Party Insurance

This program will provide an overview of various insurance plans that pharmacy professionals may encounter during their daily practice and teach participants how to manage such issues as they arise. At the end of the program, the participant will feel confident in his or her knowledge of the adjudication system and will be able to resolve the most commonly encountered billing issues.

$150.00

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Description

Description:

When entering prescriptions in a community pharmacy, pharmacists and pharmacy staff often encounter adjudication issues with Ontario Drug Benefit (ODB) or third-party insurance.

These issues are usually time sensitive in the busy pharmacy setting, and can potentially lead to delays or interruption of treatment.

This course provides an overview of various insurance plans that pharmacy professionals may encounter during their daily practice and teach participants how to manage such issues as they arise.

The course also introduces real case examples of common issues and how they are solved. At the end of the course, you will feel confident in your knowledge of the adjudication system and will be able to resolve the most commonly encountered billing issues.

Learning objectives:

Upon completion of this course, participants will be able to:

  • Understand the billing system for medications in community pharmacy in Ontario and understand the Ontario Drug Benefit (ODB) program.
  • Describe the relationship between patient, pharmacy and third-party insurance providers.

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Course outline:

  • Module 1:
    Pharmacy Billing and Ontario Drug Benefit (ODB) Program
  • Module 2:
    Module 2: Third Party Insurance
  • Module 3:
    Case Examples of Billing
  • Final exam
    2020 Billing 101: ODB and Third-party Insurance
  • Program evaluation
    2020 Billing 101: ODB and Third-party Insurance

Course at a glance:

  • Available until 31/08/2021
  • 3 hours to complete
  • Online
  • Completion requirement: Complete the course’s online module and score a 70 per cent or higher on the multiple-choice exam (two attempts).

Who should take this course:

Pharmacists, pharmacy technicians, pharmacy students, and assistants who want to confidently bill prescriptions using various insurance plans.

Development Team:

  • Somin Park, RPh (BScPhm)
  • Allan Choi, RPh (PgDip, BScPhm, BScMRS)
  • Nathan Mapp, Pharmacy Assistant