Evaluation of pharmacist-provided medication therapy management services in an oncology ambulatory setting.

Objectives: To determine the effect of formal medication therapy management (MTM) services on pharmacist workload, as well as to describe the population receiving MTM, describe the services provided, and determine the reimbursement rate for billed MTM services.Data Sources: MTM Current Procedural Te...

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Publicado en:Journal of the American Pharmacists Association: JAPhA Vol. 52; no. 2; pp. 170 - 175
Autores principales: Watkins JL, Landgraf A, Barnett CM, Michaud L, Watkins, Jack L, Landgraf, Andrea, Barnett, Chad M, Michaud, Laura
Formato: research Journal Article
Publicado: Elsevier B.V. Mar/Apr2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar/Apr2012
      vid: 52
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      pub: Elsevier B.V.
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        10.1331/JAPhA.2012.11171
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        atl: Evaluation of pharmacist-provided medication therapy management services in an oncology ambulatory setting.
      aug:
        au:
          Watkins JL
          Landgraf A
          Barnett CM
          Michaud L
          Watkins, Jack L
          Landgraf, Andrea
          Barnett, Chad M
          Michaud, Laura
        affil: Division of Pharmacy, Unit 377, University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX 77030-4009, USA
      sug:
        subj:
          Ambulatory Care Economics
          Antineoplastic Agents Therapeutic Use
          Neoplasms Drug Therapy
          Pharmacy Service Economics
          Pharmacists
          Pilot Studies
          Health Care Costs
          Human
          Reimbursement Mechanisms Economics
          Retrospective Design
          Texas
          Time Factors
          Workload
      ab: Objectives: To determine the effect of formal medication therapy management (MTM) services on pharmacist workload, as well as to describe the population receiving MTM, describe the services provided, and determine the reimbursement rate for billed MTM services.Data Sources: MTM Current Procedural Terminology (CPT) code claims, electronic medical records, and pharmacist MTM logs.Data Synthesis: A retrospective review of all MTM charges from January 1, 2010, to March 31, 2010, was performed. Data collected included location of the MTM visit, age, gender, insurance, primary malignancy, comorbidities, home medications, time to complete and document the MTM visit, and rate of reimbursement.Results: In the 3-month period, 239 MTM visits were completed. It took pharmacists a median of 20 minutes (range 15-127) of face-to-face time and 18 minutes (5-90) for documentation per visit. To date, no claims for MTM have been rejected, and reimbursement rates range from 47% to 79% depending on the insurance provider.Conclusions: MTM in the ambulatory clinic is feasible despite the increase in pharmacist workload from documenting and billing. The increased visibility of clinical pharmacy services justifies the extra time required for formal MTM.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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