Wiki Pharmacist in office, Chronic Care Management, Medication management, How can I bill for the time the pharmacist is with the patient?

[candon@accessmedical.care]

We are bringing a pharmacist into our office to discuss with patients that are diabetes or have chronic conditions to suggest and counsel on what prescriptions work best together (have less interaction and better results) and to help the patient be able to have better labs, feel better and save money(sometimes).
Is there a way to charge for this, as it is under direct supervision of the provider and the provider also sees the patient to go over what is discussed. (Thinking outside the box)
We have seen an improvement in 52% percent of our patients.
Also, the provider and the pharmacist get together every month for the ones we are doing Chronic Care on.
Is there a way to charge for the extra time and counseling with the patient. Would it be added to the E/M visit as a prolonged service? Should we put it under chronic care management or principle care management/ principle illness navigation? We currently have a grant that is paying for his time, but it is a great benefit in our Rural Health Clinic, if we could figure a way that we could pay him to keep him by billing.

Prolonged services?
Split Services?(but he is not a Dr. but would he be a qualified medical professional?)
Medication Management (pharmacist bill these but he is not credentialed under our tax id so it can't be a stand-alone, correct?)
Nurse visit with

 

[jkyles]

Just off the top of my head - I recommend going over the CPT manual's guidelines for CCM and PCM to see whether that fits your specific scenario.

For a prolonged E/M visit you would count time the physician spends talking with the pharmacist on the date of the E/M visit toward the physician's visit. I always note for time-based billing that the physician (or NP/PA) should count all qualifying time for that day or they'll probably wind up undercoding.

Split/shared is not an option. Both providers must be able to report an E/M service.