Billing 201: Tips and Tools

Learn how to answer common patient questions about drug plans and the skills you need to confidently bill prescriptions using various insurance plans.

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Description

Description:

Why are some medications covered under drug plans and others not? Who makes these decisions and how are they made? Every day, pharmacists and pharmacy staff are asked these questions.

Developed based on feedback from the successful OPA course, Billing 101: ODB and Third Party Insurance, this program teaches pharmacists and pharmacy technicians how drug plans are designed, what that means for patients, and how to handle common billing issues more efficiently. This program will provide you with tools, skills and knowledge to better help you help your patient navigate the complicated world of drug insurance.

Learning objectives:

  • Understand how provincial and private drug coverage for medication is determined.  
  • Get insight on the drug plan coverage structure.
  • Understand the various types of rejections you may face in day-to-day practice.
  • Better support your patients throughout the reimbursement process.

Course outline:

  • Module 1:
    Understanding How Drug Plans are Designed
  • Module 2:
    Billing Insurance Plans
  • Module 3:
    Long-term Care Billing
  • Final exam
  • Program evaluation

Course at a glance:

  • 2.25 Hours to complete
  • Available until 01/09/2021
  • 2.5 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)
  • Pavithra Ravinatarajan, RPh (BScPhm)
  • Shaharin Khan, RPh (BScPhm)