Practice models used by pharmacists in rural Minnesota to obtain Medicare reimbursement.

Tom A Larson, Donald L Uden, Ronald S Hadsall

Research output: Contribution to journalArticle

Abstract

OBJECTIVES: (1) Define "incident-to" rules for Medicare reimbursement; (2) Describe how pharmacists can meet incident-to rules; (3) Provide examples of models of practice in rural areas that could be useful for meeting incident-to rules; and (4) Develop a strategy for creating a pharmacy practice model that could meet Medicare reimbursement rules in rural areas. DESIGN AND PARTICIPANTS: A survey of participants from the Pharmacy Rural Education, Practice and Policy Institute and the College of Pharmacy, University of Minnesota. SETTING: Community, hospital, and clinic practice sites in rural Minnesota. RESULTS: Four distinct models of practice have evolved that meet the incident-to rules of Medicare for reimbursement. Travel, proximity to physicians, and employment are the major determinants of the models described. CONCLUSION: Pharmacists in rural areas have demonstrated the ability to satisfy the incident-to rules for Medicare reimbursement. Collaborative agreements with physicians must include specific employment, practice, and supervisory relationships in order to satisfy these rules.

Original languageEnglish (US)
Pages (from-to)554-559
Number of pages6
JournalJournal of the American Pharmaceutical Association (Washington,D.C. : 1996)
Volume40
Issue number4
StatePublished - Jan 1 2000

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Medicare
Pharmacists
Pharmacy Education
Physicians
Community Hospital
Education

Cite this

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