Presenter: James Schiffer, RPh, Esq.
Since 1987, Mr. Schiffer has served as an Adjunct Professor at Long Island University’s Arnold & Marie Schwartz College of Pharmacy and Health Sciences. Additionally, Mr. Schiffer regularly presents pharmacy continuing education programs through LIU’s Arnold & Marie Schwartz College of Pharmacy, the Pharmacists Society of the State of New York, the Garden State Pharmacy Owners, and the National Community Pharmacist Association at its Annual Convention and Trade Show. Mr. Schiffer is the recipient of the 2013 Bowl of Hygeia Award in New York, in recognition of his outstanding civic leadership as a pharmacist and has received awards from the National Community Pharmacists Association for his efforts on behalf of community pharmacy.
Mr. Schiffer is employed by Allegaert, Berger and Vogel
At the completion of this activity, the participant will be able to:
- Identify the 8 basic audit target issues that the commercial PBM auditors are focusing on;
- Identify the various state and federal websites available to review the status of medical providers, pharmacists and pharmacy staff for exclusions, debarment's and/ or disqualifications as health care providers;
- Identify the significance of confirming the proper billing codes and related procedure codes regarding billings for state and federal prescription plans, and regarding rebates earned through OBRA 90, as well as supplementary manufacturer rebate programs as established under the Affordable Care Act;
- Identify the role of the Department of Health and Human Services Office of Inspector General (OIG) in the oversight of health care providers in prescriptions dispensed to Medicare and Medicaid Patients and related federally funded Rx programs;
- Identify the need for the dispensing pharmacist’s corresponding responsibility in confirming the legitimacy of any prescription for a controlled drug;
- Identify the various DEA Red Flag Rules which help guide pharmacists in decision making in dispensing controlled drugs;
- Identify the responsibility of the pharmacist/pharmacy owner to report controlled substances shortages to the Drug Enforcement Administration and understand the penalties for failure to timely comply with such responsibility.
11/06/2019 / 3 Contact Hours / Initial Release Date: 11/6/2019 / Knowledge Based Activity
The Pharmacists Society of the State of New York is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.