INNOVATIVE PRACTICE FORM

Name: James A. Bennett

Address: 2049 Shiloh Road Corinth MS 38834

Phone #: 601-286-6914

FAX #: 601-286-5533

Briefly describe innovation

Patient education in areas listed on menu. All programs according to specific protocal-all designed to prevent acute or long term complications.

All perfectly suited fo community pharmacy-all big money savers, will possibly increase quality of life.

Method of Reimbursement

Payor(s): Private pay--New-We are billing insurance companies with little success

Reimbursement rate: $30-$60 for 1 hour

Is documentation required? Yes

Specialized training required? Yes Respiratory Care Program

Software/instrumentation required? Yes PharmCare or Carepoint