Prescrption Processing

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Prescription Processing

Question 1 (5 points)

 

According to the insurance card, how much would John Doe pay for a generic prescription?  

Member insurance card for Hopper Health. Group Name: ABC Industries, Cardholder: John Doe, RX Benefit: $15/30/75, ID number YBC9999999, Group: 272550001, BCBSKC RX 1-800-228-1436, BC Plan: 240, PS Plan: 740, 75.00 Emer Room, 20.00 Office Visit, Cust S

Question 1 options:

a) 

$20

b) 

$15

c) 

$99

d) 

$75

Question 2 (5 points)

 

The Drug Listing Act of 1972 began the process of giving every drug a unique code for identification; this is often referred to as the drug’s

Question 2 options:

a) 

Serial Code.

b) 

Product Code.

c) 

National Drug Code.

d) 

Member ID Number.

Question 3 (5 points)

 

According to the prescription, Kenneth Sharpe should be taking one tablet of Lipitor 40 mg

Prescription written by Dr. John Thompson. Date: 2/17/20XX, Patient Name: Kenneth Sharpe, Address: 888 James Street Allston, MA, Rx: Lipitor 40 mg, 1 hs #30 Brand necessary, Refill: 2, DEA: AT4278431, State License: 3445542

Question 3 options:

a) 

four times a day.

b) 

once per day at bedtime.

c) 

twice a day.

d) 

before a meal.

Question 4 (5 points)

 

Mr. Markum’s brand-name prescription costs $60; the generic prescription of this drug costs $15.  When entering the difference in the Per. Of Cost Diff. Between Brand & Generic Paid field, you would enter

Question 4 options:

a) 

75%

b) 

25%

c) 

60%

d) 

50%

Question 5 (5 points)

 

Which of the following is one reason a prescription might not be transferable to a pharmacy in another state?

Question 5 options:

a) 

Pharmacies in different states have the right to decline prescription transfers.

b) 

The patient hasn't provided preapproval authorization from the out-of-state pharmacy.

c) 

The patient's physician has not approved the prescription transfer.

d) 

Each state has specific regulations that affect transfers of medicine.

Question 6 (5 points)

 

According to the information provided on the DAA Health Care insurance card shown, John Doe’s insurance is provided through

Member insurance card for DAA Health Care. Front of card: Health Plan 123-45789-0, Member ID: 98765432, Group Number 111222, Member: John Doe, Dependents: Jill Doe, Jack Doe, State Health Plan ID: S5678_2012_95 CMS Approved 10/11, Payer ID: 12345, Rx

Question 6 options:

a) 

his employer.

b) 

Medicare Part D.

c) 

the military.

d) 

a state health plan.

Question 7 (5 points)

 

The carrier ID may also be referred to as the

Question 7 options:

a) 

required prescriber identification number.

b) 

process control number.

c) 

electronic billing option.

d) 

brand discount copay.

Question 8 (5 points)

 

A drug utilization review (DUR) message appears while entering a drug for Mr. Carter.  This DUR should be reviewed by the _______ before the medication is dispensed.

Question 8 options:

a) 

insurance provider

b) 

patient

c) 

pharmacist

d) 

prescribing physician

Question 9 (5 points)

 

Each National Drug Code (NDC) assigned to a drug has a unique _______-digit number used for identification.

Question 9 options:

a) 

6

b) 

10

c) 

12

d) 

8

Question 10 (5 points)

 

The name of the person whom you would speak to for refill authorization is entered into which of the following fields?

Question 10 options:

a) 

Name

b) 

Phone

c) 

Contact

d) 

Doctor

Question 11 (5 points)

 

Which of the following prescription payment types have specific requirements for processing a medication claim?

Question 11 options:

a) 

Medicaid

b) 

Workers’ Compensation

c) 

Social Security

d) 

TRICARE

e) 

Medicare

Question 12 (5 points)

 

Use the information provided to match the following NDCs with the correct drug name.                                                                           

Add Drug by NDC screen: 00002-1200-01 Amyvid Vial 10 MCI; 00002-1407-01 Quinidine Gluc 80 Mg/mL Vial 80 Mg/mL; 0002-1433-01 Trulicity 0.75 mg/0.5 mL Pen; 0002-1434-01 Trulicity 1.5 mg/0.5 mL Pen; 00002-1445-11 Taltz 80 mg/ML AutoInjector

Question 12 options:

1234

00002-1433-01

1234

00002-1445-11

1234

00002-1434-01

1234

00002-1200-01

1.

TRULICITY 0.75 MG/0.5 ML PEN

2.

TRULICITY 1.5 MG/0.5 ML PEN

3.

AMYVID VIAL

4.

TALTZ 80 MG/ML AUTOINJECTOR

Question 13 (5 points)

 

Use the information provided on the insurance card to match the following to the correct label.      

Insurance card for Complete Health Insurance. Cardholder: Jake Sample, ID#: ABC000000000, Group#: EFG000000000, Office visit copay: $25.00, Rx Benefit: $10/20/40, For Pharmacy: 1-800-555-12354, For Patient: 1-800-555-5678

Question 13 options:

1234

Jake Sample

1234

$25.00

1234

ABC000000000

1234

$10/20/40

1.

Card holder

2.

ID#

3.

Office visit copay

4.

RX Benefit

Question 14 (5 points)

 

Put the following steps for verifying drug identity in proper order.

Question 14 options:

12345

Type the first three letters of the drug and select OK to select the correct drug and dosage.

12345

Select the Find icon at the top left of the Drugs dialog box.

12345

Select the Drug button located on the left side of the screen.

12345

Select the Edit icon to view the Drug NDC box and see the general description of the medication.

12345

Access the main screen of Visual SuperScript.

Question 15 (5 points)

 

Which of the following are tab names on the Insurance Plans form?

Question 15 options:

a) 

Pricing Parameters

b) 

Max Refills

c) 

Insurance Plan Data

d) 

Electronic Billing Options

Question 16 (5 points)

 

What information should be recorded for each drug entered in the Other Drugs tabs?

Question 16 options:

a) 

Prescribing doctor

b) 

Start date

c) 

Estimated days of supply

d) 

Copay

Question 17 (5 points)

 

Match each of the following terms with the correct definitions.

Question 17 options:

1234

Sig (Signa)

1234

Superscription

1234

Inscription

1234

Subscription

1.

The symbol RX, means “Take this.”

2.

Includes the medication name, strength, dosage form, and how much is needed or how many days to supply.

3.

Includes directions if the medication needs special preparations.

4.

Special language or code that requires interpretation

Question 18 (5 points)

 

Which of the following are examples of DME and non-DME devices, or supplies?

Question 18 options:

a) 

Lancets

b) 

Strips

c) 

Blood glucose meter

d) 

Penicillin

e) 

Bactroban 2%

Question 19 (5 points)

 

Place the following steps for transferring a prescription in Visual Superscript in the proper order.

Question 19 options:

12345

Select XFER OUT to create a record of the transferred prescription.

12345

Select Xfer Out (Transfer Out).

12345

Key in the customer’s name in the CUSTOMER data entry field.

12345

Put a checkmark in the checkbox of the prescription that should be transferred to another pharmacy.

12345

Select Fill RX’s to open the Prescription Processing form, and select the arow to scroll down to MISC (Miscellaneous).

Question 20 (5 points)

 

Which of the following are examples over-the counter medications?

Question 20 options:

a) 

Wound care supplies

b) 

Prednisone

c) 

Amoxicillin

d) 

Cough syrup

e) 

Vitamins