Incident-to Billing for Pharmacists

J Manag Care Spec Pharm. 2018 Dec;24(12):1273-1276. doi: 10.18553/jmcp.2018.24.12.1273.

Abstract

The inclusion of pharmacists on care teams has been shown to improve clinical and economic health outcomes. However, a significant barrier to the widespread incorporation of pharmacists into care teams is the ability to financially support the salary of the pharmacist. A mechanism to improve the ability of pharmacists to generate clinical revenue already exists in the form of incident-to billing, although there remains considerable uncertainty regarding the criteria for incident-to billing and specifically how pharmacists can use this model to capture revenue for clinical services. In this article, we discuss incident-to billing criteria as it pertains to outpatient clinics, common misconceptions related to incident-to billing, and how clinical pharmacists may use this mechanism to generate revenue for the clinical services they provide. DISCLOSURES: This work was not supported by any funding source. The authors have no relevant conflicts of interest to disclose.

MeSH terms

  • Ambulatory Care / economics
  • Ambulatory Care / organization & administration
  • Delivery of Health Care, Integrated / economics
  • Delivery of Health Care, Integrated / organization & administration
  • Humans
  • Patient Care Team / economics*
  • Patient Care Team / organization & administration
  • Pharmaceutical Services / economics*
  • Pharmaceutical Services / organization & administration
  • Pharmacists / economics*
  • Pharmacists / organization & administration
  • Salaries and Fringe Benefits / economics