Question 1

Match the term with the correct definition.
-Treatment authorization request (TAR)

Accepted Answer

A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases 
A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases H

Question 2

Match the term with the correct definition.
-Material safety data sheets (MSDS)

Accepted Answer

A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases 
A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases I

Question 3

In general,technicians only need to be aware of the type of insurance (as far as HMO vs PPO)when Medicare is involved.

Accepted Answer

A) True 
 B)False  True

Question 4

When patients are disposing of unused medications,for many drugs it is advisable to mix them with ____ and then place them in the garbage.

Accepted Answer

A) Rubbing alcohol or hydrogen peroxide 
B) Coffee grounds or kitty litter 
C) Water or juice high in citric acid 
D) Any and all of the above 
A) Rubbing alcohol or hydrogen peroxide 
B) Coffee grounds or kitty litter 
C) Water or juice high in citric acid 
D) Any and all of the above

Question 5

There is open enrollment for Medicare plans each year from November 15th to ____ 31st.

Accepted Answer

A) November 
B) December 
C) January 
D) March 
A) November 
B) December 
C) January 
D) March

Question 6

Medicare services were broadened in 1980 with the creation of the ____ plan.

Accepted Answer

A) HMO 
B) Medicare Modernization Act 
C) PPO 
D) Medigap 
A) HMO 
B) Medicare Modernization Act 
C) PPO 
D) Medigap

Question 7

Medication is sent back to the warehouse or manufacturer for which of the following reasons?

Accepted Answer

A) Drug recall 
B) Expired stock 
C) Damaged stock 
D) All of the above 
A) Drug recall 
B) Expired stock 
C) Damaged stock 
D) All of the above

Question 8

Individuals must be 65 years or older,be younger than 65 with long-term disabilities,or suffer from end-stage renal disease in order to receive coverage from Medicare government-managed insurance.

Accepted Answer

A) True 
 B)False

Question 9

Match the term with the correct definition.
-Formulary

Accepted Answer

A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases 
A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases

Question 10

Brand name drugs generally have between 17 and 20 years before patents expire.

Accepted Answer

A) True 
 B)False

Question 11

PPO is preferred provider organization.

Accepted Answer

A) True 
 B)False

Question 12

Match the term with the correct definition.
-Adjudication

Accepted Answer

A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases 
A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases

Question 13

Match the term with the correct definition.
-Red Book

Accepted Answer

A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases 
A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases

Question 14

Match the term with the correct definition.
-Open formulary

Accepted Answer

A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases 
A) Reference book listing NDC numbers, manufacturers, and average wholesale pricing of drug products 
B) Electronic insurance billing for medication payment 
C) Number assigned to health care provider; used for the purpose of standardizing health data transmissions 
D) A list that is essentially unrestricted in the types of drug choices offered or that can be prescribed and then reimbursed under the health provider plan or pharmacy benefit plan 
E) Medication use is tightly restricted to those medications provided on the list
F)Sets limitations on payments
G)A list of preapproved medications that are covered under a prescription plan or within an institution
H)Similar to a preauthorization form but is the process used for Medicare and Medicaid
I)Information sheets supplied to the pharmacy from the manufacturer of chemical products that list hazards and how to handle them if exposed to the chemicals
J)Ten-digit number given to all drugs for identification purposes; in health and drug databases

Question 15

HMO stands for Homeopathic Medicinal Organization.

Accepted Answer

A) True 
 B)False

Question 16

Third-party billing refers to the portion of payment the customer pays.

Accepted Answer

A) True 
 B)False

Question 17

A significant change was made in ____ with the passage of the Medicare Modernization Act (MMA).

Accepted Answer

A) 2000 
B) 2003 
C) 2006 
D) 2009 
A) 2000 
B) 2003 
C) 2006 
D) 2009

Question 18

Following Health Insurance Portability and Accountability Act (HIPAA)regulations in ____,the pharmacy does not have access to information regarding reason for insurance rejection and is disclosed only a termination date.

Accepted Answer

A) 2001 
B) 2005 
C) 2003 
D) 2007 
A) 2001 
B) 2005 
C) 2003 
D) 2007

Question 19

Formulary drugs are as effective as the brand name drugs.

Accepted Answer

A) True 
 B)False

Question 20

A formulary is analogous to a backbone.

Accepted Answer

A) True 
 B)False

Exam 13: Pharmacy Stock and Billing

Match the term with the correct definition. -Treatment authorization request (TAR)

Match the term with the correct definition. -Material safety data sheets (MSDS)

In general,technicians only need to be aware of the type of insurance (as far as HMO vs PPO)when Medicare is involved.

When patients are disposing of unused medications,for many drugs it is advisable to mix them with ____ and then place them in the garbage.

There is open enrollment for Medicare plans each year from November 15th to ____ 31st.

Medicare services were broadened in 1980 with the creation of the ____ plan.

Medication is sent back to the warehouse or manufacturer for which of the following reasons?

Individuals must be 65 years or older,be younger than 65 with long-term disabilities,or suffer from end-stage renal disease in order to receive coverage from Medicare government-managed insurance.

Match the term with the correct definition. -Formulary

Brand name drugs generally have between 17 and 20 years before patents expire.

PPO is preferred provider organization.

Match the term with the correct definition. -Adjudication

Match the term with the correct definition. -Red Book

Match the term with the correct definition. -Open formulary

HMO stands for Homeopathic Medicinal Organization.

Third-party billing refers to the portion of payment the customer pays.

A significant change was made in ____ with the passage of the Medicare Modernization Act (MMA).

Following Health Insurance Portability and Accountability Act (HIPAA)regulations in ____,the pharmacy does not have access to information regarding reason for insurance rejection and is disclosed only a termination date.

Formulary drugs are as effective as the brand name drugs.

A formulary is analogous to a backbone.

History of Medicine and Pharmacy

Pharmacy Federal Laws and Regulations

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