Learn Pharmacy Billing In Ontario

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Learn Pharmacy Billing In Ontario
Published 3/2025
MP4 | Video: h264, 1920x1080 | Audio: AAC, 44.1 KHz
Language: English | Size: 750.61 MB | Duration: 1h 42m
Master Ontario Pharmacy Billing: ODB, OHIP, NIHB & Private Insurance Claims, Coordination of benefits, Preventing audits

What you'll learn
Understand Ontario's Pharmacy Billing System Learn how to navigate ODB, OHIP, NIHB, IFH, and private insurance plans. Gain in-depth knowledge of pharmacy
Process Claims Accurately & Efficiently Master early refill overrides, coordination of benefits, and special authorization requests. Reduce billing errors an
Optimize Pharmacy Revenue & Prevent Audits Learn best practices to ensure compliance and avoid financial penalties. Understand pharmacy audit processes and st
Handle Complex Billing Scenarios with Confidence Gain practical experience with real-world case studies and billing challenges. Learn how to troubleshoot reje
Requirements
General Understanding of Pharmacy Practice Ideal for pharmacists, pharmacy assistants, and technicians, but no prior billing experience is required.
Description
Ontario Pharmacy Billing Program: Master ODB, OHIP, NIHB & Private Insurance ClaimsUnlock the Secrets of Ontario Pharmacy Billing & Maximize ReimbursementAre you a pharmacist, pharmacy technician, or assistant looking to master Ontario's pharmacy billing system? Do you want to avoid costly claim rejections, prevent audits, and optimize pharmacy revenue? This course is designed to give you practical, job-ready knowledge that you can apply immediately in a pharmacy setting.What You'll Learn:-Understand Ontario's Pharmacy Billing System - Learn how ODB, OHIP, NIHB, IFH, and private insurance plans work.-Process Claims Accurately & Efficiently - Master billing codes, coordination of benefits, and early refill overrides.-Prevent Billing Errors & Audits - Reduce claim rejections, avoid compliance issues, and protect your pharmacy from financial penalties.-Handle Real-World Billing Scenarios - Gain confidence in troubleshooting rejected claims and resolving insurance disputes.Who is This Course For?-Pharmacists & Relief Pharmacists - Want to optimize billing processes and reduce errors.-Pharmacy Technicians & Assistants - Responsible for processing insurance claims and improving accuracy.-Pharmacy Students & New Graduates - Looking to stand out in job applications and become job-ready.-Internationally Trained Pharmacists (ITPs) - Need to understand billing to work in Ontario pharmacies.-Pharmacy Owners & Managers - Want to train their team and maximize reimbursement.Course Features:-Step-by-Step Video Lessons - Easy-to-follow explanations of billing concepts.-Practical Case Studies - Learn from real-world pharmacy billing scenarios.-Audit Prevention Strategies - Avoid costly mistakes that could impact your pharmacy.-Billing Tips & Best Practices - Save time and increase efficiency in your daily workflow.Whether you are a beginner or looking to refine your knowledge, this course will equip you with the skills needed to excel in Ontario's pharmacy billing system.Enroll today and take control of your pharmacy billing process!
Overview
Section 1: Module 1: Introduction to Pharmacy Insurance & Drug Plans
Lecture 1 Introduction
Lecture 2 What Is ODB & Who Qualifies?
Lecture 3 What is OHIP Plus?
Lecture 4 Understanding Deductibles & Co-Pays
Lecture 5 ODB Formulary & How to Check Drug Coverage
Lecture 6 Limited Use (LU) Codes
Lecture 7 Exceptional Authorization Program
Lecture 8 Test Strip Coverage Rules
Lecture 9 Intervention Codes: What They Are & When to Use Them
Lecture 10 Vacation Supply Requests - How to Handle Travel Medication Billing
Lecture 11 Trillium Drug Program (TDP)
Lecture 12 How to Rebill Insurance After 7 Days
Section 2: Module 2: Handling Special Billing Situations in ODB
Lecture 13 Lesson 1: Early Refills - When Can They Be Processed?
Lecture 14 Lesson 2: MD "No Sub" Prescriptions - What to Do?
Lecture 15 Lesson 3: What If There's No Generic & The Patient Chooses Brand?
Lecture 16 Lesson 4: Adverse reactions to generic drugs
Lecture 17 Lesson 5: Methadone PCFA billing
Lecture 18 Lesson 6: Nutrition forms
Lecture 19 Lesson 7:Blister Packs & Frequent Dispensing Forms - Billing rules for complianc
Lecture 20 Lesson 8: Flu & Covid Vaccines billing
Lecture 21 Lesson 9: Expensive medications billing
Lecture 22 Extra Lesson: Naloxone Kits
Section 3: Module 3: Billing for Special Patient Categories
Lecture 23 Lesson 1: The NIHB (Non-Insured Health Benefits) Program - Billing for Indigenou
Lecture 24 Lesson 2: The IFH (Interim Federal Health Program) - Coverage for refugees & bil
Lecture 25 Lesson 3: Student Health Insurance Plans - What's Covered & How to Bill
Lecture 26 Lesson 4: Smart Cards & Government Drug Benefit Programs
Section 4: Module 4:Private Insurance Claim Management
Lecture 27 Lesson 1: Private vs. Public Insurance - What's the Difference?
Lecture 28 Lesson 2: How to Read Private Insurance cards
Lecture 29 Lesson 3: Coordination of Benefits (COB) - Billing Two Insurances for a Child
Lecture 30 Lesson 4: Understanding Maximum Coverage Limits & Co-Pay Adjustments
Lecture 31 Lesson 5: Test Strips & Lancets Pseudo-DINs - How to Bill Them
Section 5: Module 5: Pharmacy Audits & How to Stay Compliant
Lecture 32 Lesson 1: What Is a Pharmacy Audit & Why Do They Happen?
Lecture 33 Lesson 2: How to Prevent Billing Audit & Chargebacks
Lecture 34 Lesson 3: Audit Triggers - No Sub, DB Code, Early Refills & Other Red Flags
Lecture 35 Lesson 4: Case Study: Pharmacy Audit & How It Was Handled
Section 6: Congratulations
Lecture 36 Last words
Pharmacy Students & New Graduates, Internationally Trained Pharmacists (ITPs), Community Pharmacists & Relief Pharmacists, Pharmacy Technicians & Assistants, Pharmacy Owners & Managers
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