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X12 Pharmacy Advisory Panel Renamed Pharmacist Services Technical Advisory Coalition Alexandria, Virginia - July 06, 2004 The X12 Pharmacy Advisory Panel, formed in 2002 to advocate and improve the coding infrastructure necessary to support pharmacists billing for their professional services, has been renamed the Pharmacist Services Technical Advisory Coalition (the Coalition).
During the past two years, the Coalition’s activities have included developing a master inventory of billing codes for pharmacists’ professional services, building consensus on new codes, and supporting an industry standard to expedite a HIPAA-compliant electronic data exchange (EDI) health encounter/claims processing and payment environment for pharmacists professional services.
The Coalition was formed in April 2002 following the February 2002 release of the HIPAA-compliant X12N 837 Health Care Claim: Pharmacy Professional Services Companion Guide an EDI subset of the ASC X12N 837 Health Care Claim Implementation Guide: Professional. The guide relates to Form CMS-1500 formatted health care claims submitted by pharmacies and pharmacists for payment of professional pharmacist services.
The pharmacy associations making up the Coalition are: the American College of Clinical Pharmacy (ACCP), the American Pharmacists Association (APhA), the American Society of Consultant Pharmacists (ASCP), the American Society of Health-System Pharmacists (ASHP), the International Academy of Compounding Pharmacists (IACP), the National Association of Chain Drug Stores (NACDS), and the National Community Pharmacists Association (NCPA). IACP is the newest member of the Coalition.
Said IACP Executive Director L.D. King, “IACP is excited to be taking part in this effort to ensure pharmacists have access to the infrastructure and billing codes to bill and receive payment for the crucial health care services they provide.”
In addition to the activities listed above, the Coalition has been active representing pharmacy’s interests on the American Medical Association’s Health Care Professionals Advisory Committee. The Health Care Professionals Advisory Committee represents non-physician health professionals in the AMA’s Current Procedural Terminology (CPT) Editorial Panel process. It is responsible for maintaining the CPT code set that is used by all health professionals to document and/or bill for professional services, procedures, and tests.
The Pharmacist Services Technical Advisory Coalition was founded in 2002 to improve the coding infrastructure necessary to support billing for pharmacists’ professional services. The Coalition works to provide the national leadership necessary to position and secure pharmacy’s place in the electronic data interchange (EDI) health encounter/claims processing and payment environment concerning all health care providers’ professional services. |