Question 1

PPO means:

Accepted Answer

A) Preferred provider option 
B) Preferred provider organization 
C) Preferred physician option 
D) Preferred physician organization 
A) Preferred provider option 
B) Preferred provider organization 
C) Preferred physician option 
D) Preferred physician organization

Question 2

Which of the following is not a reason for the insurance company to reject a claim?

Accepted Answer

A) Refill is requested too early. 
B) Policy has expired. 
C) Patient's identification does not match the processor's information. 
D) Claim is a formulary medication. 
A) Refill is requested too early. 
B) Policy has expired. 
C) Patient's identification does not match the processor's information. 
D) Claim is a formulary medication.

Question 3

Which of the following types of medication require special ordering, inventory, storage, handling, and return documentation?

Accepted Answer

A) Cytotoxic medications 
B) Controlled substances 
C) Investigational drugs 
D) All of the above 
A) Cytotoxic medications 
B) Controlled substances 
C) Investigational drugs 
D) All of the above

Question 4

Supplemental insurance provided through private insurance companies that help cover costs not reimbursed by Medicare is called:

Accepted Answer

A) Medigap plan 
B) Medifill plan 
C) Medisupp plan 
D) Mediplus plan 
A) Medigap plan 
B) Medifill plan 
C) Medisupp plan 
D) Mediplus plan

Question 5

Which part of Medicare helps pay for physicians' services and outpatient care?

Accepted Answer

A) Medicare Part A 
B) Medicare Part B 
C) Medicare Part C 
D) Medicare Part D 
A) Medicare Part A 
B) Medicare Part B 
C) Medicare Part C 
D) Medicare Part D

Question 6

The name a company assigns to a commercial drug product for marketing and identification purposes is called the _____________ name.

Accepted Answer

A) Trade 
B) Brand 
C) Proprietary 
D) All of the above 
A) Trade 
B) Brand 
C) Proprietary 
D) All of the above

Question 7

Some insurance policies require that the person pay a monthly:

Accepted Answer

A) Premium 
B) Deductible 
C) Copay 
D) Stipend 
A) Premium 
B) Deductible 
C) Copay 
D) Stipend

Question 8

The typical drugs included in a formulary are drugs that are:

Accepted Answer

A) New 
B) Generic 
C) Orphan 
D) Extremely expensive 
A) New 
B) Generic 
C) Orphan 
D) Extremely expensive

Question 9

What is meant by a back-ordered item?

Accepted Answer

A) The item is automatically replaced by the wholesaler on a weekly basis. 
B) The item must be reordered since it did not arrive with the order. 
C) The ordered item is not currently in stock but will be sent as soon as it is available. 
D) The item has been discontinued. 
A) The item is automatically replaced by the wholesaler on a weekly basis. 
B) The item must be reordered since it did not arrive with the order. 
C) The ordered item is not currently in stock but will be sent as soon as it is available. 
D) The item has been discontinued.

Question 10

Workers' compensation is paid for by:

Accepted Answer

A) State government 
B) Federal government 
C) Employers 
D) Employees 
A) State government 
B) Federal government 
C) Employers 
D) Employees

Question 11

Which of the following is not true of flexible spending accounts?

Accepted Answer

A) The government limits the amount of money a person can put into these accounts each calendar year. 
B) The money is there for as long as the person needs it. 
C) Restrictions are placed on what services are covered. 
D) The plans are similar to a savings account. 
A) The government limits the amount of money a person can put into these accounts each calendar year. 
B) The money is there for as long as the person needs it. 
C) Restrictions are placed on what services are covered. 
D) The plans are similar to a savings account.

Question 12

Point-of-sale (POS) billing allows the insurance company to:

Accepted Answer

A) Price a claim 
B) Verify eligibility 
C) Identify covered drugs 
D) All of the above 
A) Price a claim 
B) Verify eligibility 
C) Identify covered drugs 
D) All of the above

Question 13

What is a PAR level?

Accepted Answer

A) Periodic automatic replacement 
B) Periodic automatic replenishment 
C) Periodic adjusted replacement 
D) Positive automatic replenishment 
A) Periodic automatic replacement 
B) Periodic automatic replenishment 
C) Periodic adjusted replacement 
D) Positive automatic replenishment

Exam 13: Pharmacy Billing and Inventory Management

PPO means:

Which of the following is not a reason for the insurance company to reject a claim?

Which of the following types of medication require special ordering, inventory, storage, handling, and return documentation?

Supplemental insurance provided through private insurance companies that help cover costs not reimbursed by Medicare is called:

Which part of Medicare helps pay for physicians' services and outpatient care?

The name a company assigns to a commercial drug product for marketing and identification purposes is called the _____________ name.

Some insurance policies require that the person pay a monthly:

The typical drugs included in a formulary are drugs that are:

What is meant by a back-ordered item?

Workers' compensation is paid for by:

Which of the following is not true of flexible spending accounts?

Point-of-sale (POS) billing allows the insurance company to:

What is a PAR level?

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

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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

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