The Coalitions mission is to improve the coding infrastructure
necessary to support billing for pharmacists professional
Create a vision for the infrastructure necessary to support
billing for pharmacists services.
a) Develop consensus within pharmacy for the infrastructure vision.
b) Provide guidance on the development of pharmacist support
Integrate pharmacy into national organizations, systems, and
coding nomenclature to support professional health care services
documentation and claims transactions used by other health care
providers, health care facilities and health plans.
a. Participate in the Health Care Professionals Advisory Committee
of the American Medical Associations CPT Editorial Panel.
b. Advance pharmacy's importance as a provider of services to
help improve therapeutic outcomes.
Provide the national leadership necessary to position and secure
pharmacys place in the X12 environment.
Provide oversight for the X12N 837 Pharmacy Companion Guide,
including defining a process and procedures for updating the
Evaluate the X12N 837 Pharmacy Companion Guide on a recurring
basis to identify gaps in the existing standard (including
code sets), suggesting improvements to meet the business needs
of pharmacy, and incorporating updates into the Guide. (Identified
improvements may require advancement through the HIPAA-approved
standards maintenance process prior to incorporation.)
Communicate with the appropriate Designated Standard Maintenance
Organizations (DSMOs) and/or other deemed bodies regarding
the X12N 837 Pharmacy Companion Guide revisions and modifications
recommended by the Coalition.