Question 1

In which of the following circumstances do most insurance companies allow early refills?

Accepted Answer

A) Extended vacation 
B) Disaster situation 
C) Needing a backup supply 
D) A and B 
A) Extended vacation 
B) Disaster situation 
C) Needing a backup supply 
D) A and B D

Question 2

What is one method of medication disposal that patients should be discouraged from using?

Accepted Answer

A) Wrapping the medication in coffee grounds 
B) Wrapping the medication in kitty litter 
C) Flushing the medication down the toilet 
D) All of the above 
A) Wrapping the medication in coffee grounds 
B) Wrapping the medication in kitty litter 
C) Flushing the medication down the toilet 
D) All of the above C

Question 3

Both Medicare and Medicaid were implemented in:

Accepted Answer

A) 1965 
B) 1975 
C) 1985 
D) 1995 
A) 1965 
B) 1975 
C) 1985 
D) 1995 A

Question 4

When a workers' compensation claim prescription is presented to the pharmacy, the technician should:

Accepted Answer

A) Fill it, and obtain permission from the government agency at a later time. 
B) Obtain information from the patient's human resource department before filling. 
C) Fill it, and collect full payment from the patient. 
D) Wait until receiving payment from the insurance company before filling. 
A) Fill it, and obtain permission from the government agency at a later time. 
B) Obtain information from the patient's human resource department before filling. 
C) Fill it, and collect full payment from the patient. 
D) Wait until receiving payment from the insurance company before filling.

Question 5

An innovator product is a:

Accepted Answer

A) New generic drug 
B) New medication shape 
C) Drug product that was first patented and marketed by the owner or manufacturer 
D) Brand name drug that is produced by a nonproprietary company 
A) New generic drug 
B) New medication shape 
C) Drug product that was first patented and marketed by the owner or manufacturer 
D) Brand name drug that is produced by a nonproprietary company

Question 6

The information needed by insurance companies to process a claim from the pharmacy or to reimburse the patient is the same as the information required on a pharmacy label, plus:

Accepted Answer

A) Patient's date of birth 
B) Insurance group number 
C) Insurance identification number 
D) All of the above 
A) Patient's date of birth 
B) Insurance group number 
C) Insurance identification number 
D) All of the above

Question 7

Which one of the following illnesses is the patient not exempt from insurance company limitations?

Accepted Answer

A) Diabetes 
B) Acquired immunodeficiency syndrome (AIDS) 
C) Human immunodeficiency virus (HIV) 
D) Cancer 
A) Diabetes 
B) Acquired immunodeficiency syndrome (AIDS) 
C) Human immunodeficiency virus (HIV) 
D) Cancer

Question 8

Which of the following insurance plans requires a PCP?

Accepted Answer

A) HMO 
B) PPO 
C) Medicaid 
D) All of the above 
A) HMO 
B) PPO 
C) Medicaid 
D) All of the above

Question 9

A system that automatically tracks inventory is:

Accepted Answer

A) Ordering cards 
B) Automatic dispensing systems (ADS) 
C) Handheld inventory computers 
D) Bar coding 
A) Ordering cards 
B) Automatic dispensing systems (ADS) 
C) Handheld inventory computers 
D) Bar coding

Question 10

The amount to be charged to the insured patient for a prescription is decided by the ______________.

Accepted Answer

A) Pharmacy 
B) Patient 
C) Insurance company 
D) None of the above 
A) Pharmacy 
B) Patient 
C) Insurance company 
D) None of the above

Question 11

The processing of claims by insurance companies over a computerized system is called:

Accepted Answer

A) Adjudication 
B) Adjustment 
C) Computerization 
D) Instant processing 
A) Adjudication 
B) Adjustment 
C) Computerization 
D) Instant processing

Question 12

Which one of the following is not a valid reason to return a medication to the warehouse or manufacturer for credit?

Accepted Answer

A) Drug was recalled 
B) Drug expired 
C) Drug was incorrectly reconstituted 
D) Drug was damaged during delivery 
A) Drug was recalled 
B) Drug expired 
C) Drug was incorrectly reconstituted 
D) Drug was damaged during delivery

Question 13

What is the meaning of AWP?

Accepted Answer

A) Allowable wholesale price 
B) Average wholesale price 
C) Average wholesale purchase 
D) Acceptable wholesale price 
A) Allowable wholesale price 
B) Average wholesale price 
C) Average wholesale purchase 
D) Acceptable wholesale price

Question 14

Which of the following codes means that the physician has authorized a generic substitution?

Accepted Answer

A) Dispense as written (DAW) 0 
B) DAW 1 
C) DAW 2 
D) DAW 3 
A) Dispense as written (DAW) 0 
B) DAW 1 
C) DAW 2 
D) DAW 3

Question 15

Medicare Part D specifically covers:

Accepted Answer

A) Prescription medications 
B) Surgery 
C) Physicians' visits 
D) Physical therapy 
A) Prescription medications 
B) Surgery 
C) Physicians' visits 
D) Physical therapy

Question 16

The term third-party billing refers to the portion of payment:

Accepted Answer

A) Paid by the customer 
B) Reimbursed by insurance companies 
C) Paid by the pharmacy 
D) All of the above 
A) Paid by the customer 
B) Reimbursed by insurance companies 
C) Paid by the pharmacy 
D) All of the above

Question 17

Which of the following types of patients would not be eligible for Medicare coverage?

Accepted Answer

A) Disabled patients 
B) Senior citizens 
C) Dialysis patients 
D) Healthy babies 
A) Disabled patients 
B) Senior citizens 
C) Dialysis patients 
D) Healthy babies

Question 18

What is meant by stock rotation?

Accepted Answer

A) Moving medication shelf displays around the pharmacy to ensure maximum exposure 
B) Selling out an item before replacing it 
C) Bringing the items with the earliest expiration dates to the front so they are used first 
D) Moving items to different places on the shelves 
A) Moving medication shelf displays around the pharmacy to ensure maximum exposure 
B) Selling out an item before replacing it 
C) Bringing the items with the earliest expiration dates to the front so they are used first 
D) Moving items to different places on the shelves

Question 19

Which of the following is not a true statement about PPOs?

Accepted Answer

A) The copay is usually lower for an office visit than with an HMO. 
B) PPOs may have an annual deductible. 
C) PPOs do not require a PCP. 
D) The patient may have to pay full price for the prescription and then send in the receipt for later reimbursement. 
A) The copay is usually lower for an office visit than with an HMO. 
B) PPOs may have an annual deductible. 
C) PPOs do not require a PCP. 
D) The patient may have to pay full price for the prescription and then send in the receipt for later reimbursement.

Question 20

Which of the following is not a government-managed program?

Accepted Answer

A) Medicare 
B) Medicaid 
C) TRICARE 
D) Health maintenance organization (HMO) 
A) Medicare 
B) Medicaid 
C) TRICARE 
D) Health maintenance organization (HMO)

Exam 13: Pharmacy Billing and Inventory Management

In which of the following circumstances do most insurance companies allow early refills?

What is one method of medication disposal that patients should be discouraged from using?

Both Medicare and Medicaid were implemented in:

When a workers' compensation claim prescription is presented to the pharmacy, the technician should:

An innovator product is a:

The information needed by insurance companies to process a claim from the pharmacy or to reimburse the patient is the same as the information required on a pharmacy label, plus:

Which one of the following illnesses is the patient not exempt from insurance company limitations?

Which of the following insurance plans requires a PCP?

A system that automatically tracks inventory is:

The amount to be charged to the insured patient for a prescription is decided by the ______________.

The processing of claims by insurance companies over a computerized system is called:

Which one of the following is not a valid reason to return a medication to the warehouse or manufacturer for credit?

What is the meaning of AWP?

Which of the following codes means that the physician has authorized a generic substitution?

Medicare Part D specifically covers:

The term third-party billing refers to the portion of payment:

Which of the following types of patients would not be eligible for Medicare coverage?

What is meant by stock rotation?

Which of the following is not a true statement about PPOs?

Which of the following is not a government-managed program?

History of Medicine and Pharmacy

Pharmacy Law, Ethics, and Regulatory Agencies

Competencies, Associations, and Settings for Technicians

Communication and Role of the Technician With the Customerpatient

Dosage Forms and Routes of Administration

Conversions and Calculations

Drug Information References

Community Pharmacy Practice

Institutional Pharmacy Practice

Additional Pharmacy Practice Settings

Bulk Repackaging and Non-Sterile Compounding

Aseptic Technique and Sterile Compounding

Medication Safety and Error Prevention

Therapeutic Agents for the Nervous System

Therapeutic Agents for the Endocrine System

Therapeutic Agents for the Musculoskeletal System

Therapeutic Agents for the Cardiovascular System

Therapeutic Agents for the Respiratory System

Therapeutic Agents for the Gastrointestinal System

Therapeutic Agents for the Renal System

Therapeutic Agents for the Reproductive System

Therapeutic Agents for the Immune System

Therapeutic Agents for the Eyes, Ears, Nose, and Throat

Therapeutic Agents for the Dermatologic System

Therapeutic Agents for the Hematologic System

Over-The Counter OTC Medications

Complementary and Alternative Medicine Cam

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