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Certified Pharmacy Executive Leader
Certified Pharmacy Executive Leader
Digital Health & Informatics
Digital Health & Informatics
Diversity, Equity and Inclusion
Diversity, Equity and Inclusion
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Health & Wellness
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Opioids & Pain Management
Sterile Compounding
Sterile Compounding
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Handout

Educational Sessions

Aligning 2025 Goals with Payor Requirements: Opportunities to Thrive Despite Challenges and Disruptors

Sunday, December 8, 2024
8:00 AM – 10:00 AM  
Location: MCCNO, Room 272, Level 2
CE Credits: 2.00 contact hours
Activity #: 0204-0000-24-209-L04-P
Activity #: 0204-0000-24-209-L04-T
Activity Type: Knowledge-based
Target Audience: Pharmacist, Pharmacy Technician

Learning Objectives:

  • Identify operational changes required to implement 2025 changes to Medicare OPPS/ASC and PFS reimbursement as well as IRA.
  • List strategies for ensuring the accuracy and completeness of data submitted for reimbursement, transparency requirements, and analytics.
  • Describe the practice impact of business model transitions from fee-for-service to capitated bundled payments, episode of care payments, and site of care changes.
  • Discuss outcomes associated with Pharmacy Revenue Integrity, including prospective denials management.