ABC&D's of Reimbursement: Medicare Part B

Carolyn Liptak, MBA, RPh brings more than 30 years of experience in the healthcare industry and currently serves as the Pharmacy Executive Director for Regulatory, Compliance & Financial Performance on the Vizient Center for Pharmacy Practice Excellence team. She has provided directorial leadership for inpatient, outpatient, retail and specialty pharmacy operations and clinical strategy. Her areas of expertise include regulatory compliance, revenue integrity, sterile compounding, and controlled substance diversion surveillance. She currently is a member of the Pharmacy Advisory Council at The Joint Commission. 

Prior to joining Vizient, Carolyn served in leadership roles at Texas Children’s Hospital and Memorial Hermann Health System in Houston as well as The Medical Center of Aurora and the University of Colorado Hemophilia & Thrombosis Center in Denver. Carolyn received a Bachelor of Science degree from the University of Louisiana at Monroe School of Pharmacy and a master’s degree in Business Administration from the University of Houston Clear Lake. She is based remotely in Denver, Colorado

LEARNING OUTCOMES:

  • To discuss reimbursement from Centers for Medicare and Medicaid Services for medications covered under Medicare Part B 
  • Identify ways to stay informed of new and changing status indicators and payment limits
  • Recall the purpose of payment modifiers in the Outpatient Prospective Payment System (OPPS) and the requirements for compliance
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