In order to receive reimbursement for Medicare MTM services, the pharmacy must...

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To receive reimbursement for Medicare MTM services, a pharmacy must bill an insurance company or registered Part D payer. This requirement is in place because MTM services are typically part of the benefits provided to Medicare beneficiaries who have a Part D plan. The reimbursement process involves submitting claims that demonstrate the services provided are eligible for coverage under the specific terms of the patient's Part D plan.

Billing an insurance company or a registered Part D payer allows the pharmacy to receive payment for the MTM services as outlined by Medicare guidelines. These services are intended to enhance patient outcomes and ensure the appropriate use of medications, and they must be documented properly for reimbursement to occur.

The other options do not align with the procedures required for reimbursement. Providing free services to all patients does not meet the billing requirement necessary for compensation. Submitting claims only every six months may not comply with the more frequent submission guidelines typically required by Medicare for MTM services. Lastly, offering services through unregistered providers would not fulfill the regulations surrounding qualified MTM providers, making reimbursement unfeasible. Therefore, billing a registered Part D payer is critical for ensuring that pharmacies can receive reimbursement for the MTM services they provide.

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