The resources below lead to external sites that can assist in efforts to advance practice and implement medical billing. Is there an area you have questions about but don't see covered? Contact us and let us know.
CAPP External Resources
Medical Billing Resources
External resources to assist you in your efforts to implement medical billing.
- KPhA Medical Billing Workshop
- Monthly calls to help learn more about relevant topics and discuss problems and solutions with fellow early adopters
- NPI: What You Need to Know
- This booklet teaches providers about the National Provider Identifier (NPI), who must get an NPI, and how to apply.
- National Plan & Provider Enumeration System
- Create and manage your National Provider Identifier record here!
- How to Apply for an NPI
- A detailed step by step breakdown of how to apply for an NPI online
- NPI Registry Search
- Use this database to look up your NPI
- CAQH Credentialing Platform Sign Up
- CAQH Proview allows you to create and maintain a profile to become credentialed with a number of payers
- Contact Anthem to Enroll in Network
- Pharmacists interested in enrolling should contact Anthem to request an application and learn more
- CMS Health Insurance Claim Form Sample
- Health Insurance Claim Form (1500 form) example used to manually bill for medical services
- Payor Contracting 101
- AMA toolkit to develop a basic working knowledge of contracts, payors, and payment models
External Resources
Links to external resources to assist in practice advancement and implementation.
- KPhA Vaccine Counseling Resources
- Find resources to assist you in billing Medicaid and commercial insurances for immunization safety counseling
- KY Board of Pharmacy Statutes and Regulations
- The official KY BOP page for pharmacy laws and regulations
- KY Board Authorized Protocols
- List of all currently approved Board Authorized Protocols
- Preparing for Telehealth Services
- Learn more about telehealth and remote monitoring including billing for services
- Medication Therapy Management
- Contains information related to Part D Medication Therapy Management (MTM) Program requirements and information
Continuing Education
Educational resources to help advance pharmacy practice.
- CAPP CE Training
- CE programs designed to assist pharmacists in implementing protocol-driven care
- KPhA Continuing Education
- CE on a variety of topics
- SUCOPHS Continuing Education
- Sullivan University College of Pharmacy offers CE on protocols and other advanced practice opportunities