Washington State Pharmacy Association

- Education
- Vaccine Requirements for Sixth Graders

Outcomes MTM Tools

Link to Outcomes Website for Training materials, Ordering and pdf documents www.getoutcomes.com

Documentation Forms

Encounter Claim Form-aka Super Bill
Patient Education and Monitoring Form

Comprehensive Medical Review (CMR) Documentation Form

NEW! Simplified Encounter Claim Documentation Forms Created by WSPA

Outcomes Tote Placeholder
WSPA Encounter Claim Documentation Form-Patient Education and Monitoring

WSPA Encounter Claim Documentation Form-Cost Efficacy Management (Formulary)

WSPA Encounter Claim Documentation Form-Patient Compliance Consultation

WSPA Encounter Claim Documentation Form-Prescriber Consultation: Drug Related Problems

WSPA Encounter Claim Documentation Form-Medication Review

Tools

Outcomes Technician Guide

Encounter Comprehensive Medical Review Guide

Encounter Implementation Guide

Encounter Quick Reference Guide

HealthSpring Overview
King County Express Scripts 2007 Formulary

Express Scripts Coverage Information for King County Employees

Outcomes Case Examples

Outcomes Supplies Order Form

Policy and Procedure Guide

Proton Pump Inhibitor Therapy Assessment Guide

Statin Therapy Assessment Guide

WSPA Centralized Billing Service

(You must have a contract with WSPA to fax these forms to WSPA)

WSPA Encounter Claim Fax Form-Patient Education and Monitoring

WSPA Encounter Claim Fax Form-Cost Efficacy Management (Formulary)

WSPA Encounter Claim Fax Form-Patient Compliance Consultation

WSPA Encounter Claim Fax Form-Prescriber Consultation: Drug Related Problems

WSPA Encounter Claim Fax Form-Medication Review

WSPA Centralized Billing Service Contract

Washington State Pharmacy Association
411 Williams Ave South
Renton, WA 98057-2748
425-228-7171
Fax 425-277-3897
wspa@wsparx.org