INNOVATIVE PRACTICE FORM

Name J. Douglas Wylie, R.Ph., C.D.E.

Address Center for Health Education & Research, Plaza Office Center, 560 Fellowship Rd., Suite 300, Mt. Laurel, NJ 08054

Phone # 609-727-4133

FAX # 609-235-0976

E-mail/Information service

Briefly describe innovation

Office practice of three suites dedicated to consultant activity only. No drug distribution; strictly pharmaceutical care that includes disease state management including diabetes, heart, HBP, Asthma, EBV, Lymes, chronic, etc. It also is dedicated to the use of alterative medication including herbs, vitamins, and homeopathy. These are recommended via patient consult only.

Mr. Wylie was not happy just dispensing prescriptions. He wanted to deal with the whole person. So he took a chance and opened this office practice (only one suite at first). He called some of his customers in the retail setting who he thought could benefit from this type of program and let them know what he was doing. Mainly his patient population came from patient referrals, but some doctors have referred their patients (cancer, diabetes, etc) to him.

Method of Reimbursement

Payor(s): Not billing insurance directly. Bill patient because they are more likely to get reimbursed by the insurance company. Uses CPT codes when billing.

Reimbursement rate: About $90.00/hr (based on complexity and patient learning curve)

Is documentation required? Yes Uses Carepoint System

Specialized training required? Yes Mr. Wylie has a BS in Pharmacy, in certified as a consultant RPh, Diabetes Educator, and is currently getting his PhD in nutrition.

Software/instrumentation required? Yes Bodyworks, now Carepoint System