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ZZPHR 421- FINAL

QUESTION/ WORDANSWER/ DEFINITION
THIRD PARTY PROGRAMS ANOTHER PARTY BESIDES THE PATIENT OR THE PHARMACY THAT PAYS FOR SOME OR ALL OF THE COST OF MEDICATION: ESSENTIALLY AN INSURER
PHARMACY BENEFIT MANAGER (PBM) A COMPANY THAT ADMINISTERS DRUG BENEFIT PROGRAMS
CO-INSURANCE ESSENTIALLY AN AGREEMENT BETWEEN THE INSURER AND THE INSURED TO SHARE COSTS
CO-PAY THE PORTION OF THE PRICE OF MEDICATION THAT PATIENTS ARE REQUIRED TO PAY
DEDUCTIBLE A SET AMOUNT THAT MUST BE PAID BY THE PATIENT FOR EACH BENEFIT PERIOD BEFORE THE INSURER WILL COVER ADDITIONAL EXPENSES
MAXIMUM ALLOWABLE COST (MAC) THE MAXIMUM PRICE PER TABLET OR OTHER DISPENSING UNIT AN INSURER OR PBM WILL PAY FOR A GIVEN PRODUCT
USUAL AND CUSTOMARY AND REASONABLE (UC/UCR) THE MAXIMUM AMOUNT OF PAYMENT FOR A GIVEN PRESCRIPTION, DETERMINED BY THE INSURER TO BE A REASONABLE PRICE
PRESCRIPTION DRUG BENEFIT CARD CONTAIN NECESSARY BILLING INFORMATION FOR PHARMACIES, INCLUDING PATIENT'S ID NUMBER, GROUP NUMBER, AND CO-PAY AMOUNT
HMO A NETWORK OF PROVIDERS FOR WHICH COSTS ARE COVERED INSIDE BUT NOT OUTSIDE OF THE NETWORK
POS A NETWORK OF PROVIDERS WHERE THE PATIENT'S PRIMARY CARE PHYSICIAN MUST BE A MEMBER AND COSTS OUTSIDE THE NETWORK MAY BE PARTIALLY REIMBURSED
PPO A NETWORK OF PROVIDERS WHERE COSTS OUTSIDE THE NETWORK MAY BE PARTIALLY REIMBURSED AND THE PATIENT'S PRIMARY CARE PHYSICIAN NEED NOT BE A MEMBER
WORKER'S COMPENSATION AN EMPLOYER COMPENSATION PROGRAM FOR EMPLOYEES ACCIDENTALLY INJURED ON THE JOB
MEDICARE A FEDERAL PROGRAM PROVIDING HEALTH CARE TO PEOPLE WITH CERTAIN DISABILITIES OVER AGE 65
MEDICAID A FEDERAL-STATE PROGRAM, ADMINISTERED BY THE STATES, PROVIDING HEALTH CARE FOR THE NEEDY
ONLINE ADJUDICATION THE RESOLUTION OF PRESCRIPTION COVERAGE THROUGH THE COMMUNICATION OF THE PHARMACY COMPUTER WITH THE THIRD PARTY COMPUTER
DAW DISPENSE AS WRITTEN
PATIENT IDENTIFICATION NUMBER CARDS THAT CONTAIN THIRD PARTY BILLING INFORMATION FOR PRESCRIPTION DRUG PURCHASES
AGE LIMITATIONS MANY PRESCRIPTION DRUG PLANS HAVE AGE LIMITATIONS FOR CHILDREN OR DEPENDENTS OF THE CARDHOLDER
MAINTENANCE MEDICATIONS MANY MANAGED CARE HEALTH PROGRAMS REQUIRE MAIL ORDER PHARMACIES TO FILL PRESCRIPTIONS FOR MAINTENANCE MEDICATIONS
REJECTED CLAIMS WHEN A CLAIM IS REJECTED, THE PHARMACY TECHNICIAN CAN PHONE THE INSURANCE PLAN'S PHARMACY HELP DESK TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR COVERAGE
DUAL CO-PAY CO-PAYS THAT HAVE TWO PRICES: ONE FOR GENERIC AND ONE FOR BRAND MEDICATIONS
CPT CODE IDENTIFIERS USED FOR BILLING PHARMACIST-PROVIDED MTMS
PATIENT ASSISTANCE PROGRAMS MANUFACTURER SPONSORED PRESCRIPTION DRUG PROGRAMS FOR THE NEEDY
UNIVERSAL CLAIM FORM A STANDARD CLAIM FORM ACCEPTED BY MANY INSURERS FOR BILLING DRUGS
CMS 1500 THE STANDARD FORM USED BY HEALTH CARE PROVIDERS TO BILL FOR SERVICES
THE AMOUNT PAID BY A CO-INSURER TO THE PHARMACY IS EQUAL TO THE WHOLESALE PRICE OF A DRUG FALSE
IN ONLINE ADJUDICATION, THE CLAIM PROCESSING COMPUTER DETERMINES IF THE CLAIM IS VALID AND WHAT THE CO-PAY SHOULD BE, USUALLY IN LESS THAN A MINUTE TRUE
A PHARMACY BENEFITS MANAGER IS A COMPANY THAT ADMINISTERS DRUG BENEFITS PROGRAMS TRUE
A DUAL CO-PAY MEANS THAT THE PATIENT WILL PAY A DIFFERENT CO-PAY FOR GENERIC AND BRAND DRUGS TRUE
IT IS UP TO THE PHARMACIST TO DECIDE IF GENERIC SUBSTITUTION IS AVAILABLE FALSE
THE CPT CODE FOR BILLING AN INITIAL PATIENT ENCOUNTER FOR PHARMACIST-PROVIDED SERVICES IS 0115T TRUE
ALL MEDICAID PROGRAMS HAVE AN OPEN FORMULARY FALSE
AN NABP NUMBER IDENTIFIES THE PHARMACY TRUE
THE RESOLUTION OF PRESCRIPTION COVERAGE FOR A PRESCRIPTION THROUGH THE COMMUNICATION OF THE PHARMACY COMPUTER WITH THE THIRD PARTY COMPUTER IS CALLED ONLINE ADJUDICATION
THE MAC IS USUALLY ____ ____ THE UC PRICE LESS THAN
A __________ IS A SET AMOUNT THAT MUST BE PAID BY THE PATIENT BEFORE THE INSURER WILL COVER ADDITIONAL EXPENSES DEDUCTIBLE
A _ _ _ IS A NETWORK OF PROVIDERS WHERE THE PATIENT'S PRIMARY CARE PHYSICIAN MUST BE A MEMBER AND COSTS OUTSIDE THE NETWORK MAY BE PARTIALLY REIMBURSED POS
________ IS A PROGRAM FOR PEOPLE OVER AGE 65 OR WITH CERTAIN DISABILITIES MEDICARE
THE OPTIONAL MEDICARE PROGRAM WITH PRESCRIPTION DRUG COVERAGE IS MEDICARE PART D
PROCEDURES FOR BILLING COMPOUNDED PRESCRIPTIONS ARE VARIABLE, DEPENDING ON THE INSURER OR PBM
WHEN A TECHNICIAN RECEIVES A REJECTED CLAIM "INVALID BIRTH DATE", THIS PROBABLY MEANS THE BIRTH DATE SUBMITTED BY THE PHARMACY DOES NOT MATCH THE BIRTH DATE IN THE INSURER'S COMPUTER
THE FORM USED BY HEALTH-CARE PROVIDERS TO APPLY FOR A NATIONAL PROVIDER IDENTIFIER (NPI) IS CMS-10114
DISEASE STATE MANAGEMENT SERVICES ARE USUALLY BILLED USING THE CMS 1500 FORM
MAIL ORDER PHARMACY DELIVERY OF PRESCRIPTIONS BY MAIL, LARGE SCALE OPERATIONS, AND HIGHLY AUTOMATED
MAITENANCE THERAPY THERAPY FOR CHRONIC CONDITIONS THAT INCLUDE DEPRESSION, GI DISORDERS, HEART DISEASE, HTN AND DIABETES
REGULATION MAIL ORDER PHARMACIES MUST FOLLOW FEDERAL AND STATE REQUIREMENTS IN PROCESSING PRESCRIPTIONS, BUT ARE NOT NECESSARILY LICENSED IN EACH STATE TO WHICH THEY SEND MEDICATIONS
PHARMACIST REVIEW PHARMACISTS REVIEW MAIL ORDER PRESCRIPTIONS BEFORE AND AFTER FILLING
ONLINE DRUGSTORE A TYPE OF MAIL ORDER PHARMACY THAT USES THE INTERNET TO ADVERTISE AND TAKE ORDERS FOR DRUGS
HOME CARE CARE IN THE HOME, WITH A REGISTERED NURSE WHO WORKS WITH A PHYSICIAN, PHARMACIST, AND OTHERS TO ADMINISTER A CARE PLAN THAT INVOLVES THE PATIENT OR ANOTHER CARE GIVER
HOME INFUSION INFUSION ADMINISTERED IN THE HOME, THE FASTEST GROWING AREA OF HOME HEALTH CARE--PRIMARY THERAPIES: ANTIBIOTIC, PARENTERAL NUTRITION, PAIN MANAGEMENT, AND CHEMOTHERAPY
INFUSION PUMPS PUMPS THAT CONTROL INFUSION
PATIENT EDUCATION IN HOME INFUSION, THE PATIENT OR THEIR CARE GIVER IS EDUCATED ABOUT THEIR THERAPY: HOW TO SELF-ADMINISTER, MONITOR, REPORT PROBLEMS, AND SO ON
ADMIXTURE PREPARATION THE SAME RULES APPLY TO PREPARING PARENTERAL ADMIXTURES IN THE HOME INFUSION SETTING AS IN THE HOSPITAL
LONG-TERM CARE FACILITIES THAT PROVIDE CARE FOR PEOPLE UNABLE TO CARE FOR THEMSELVES BECAUSE OF MENTAL OR PHYSICAL IMPAIRMENT
DISTRIBUTIVE PHARMACIST A LONG-TERM CARE PHARMACIST RESPONSIBLE FOR MAKING SURE PATIENTS RECEIVE THE CORRECT MEDICINES THAT WERE ORDERED
CONSULTANT PHARMACIST A LONG-TERM CARE PHARMACIST WHO DEVELOPS AND MAINTAINS AN INDIVIDUALIZED PHARMACEUTICAL PLAN FOR EVERY LONG-TERM CARE RESIDENT
EMERGENCY KITS LOCKED KITS CONTAINING EMERGENCY MEDICATIONS, SIMILAR TO CODE CARTS USED IN HOSPITALS
AUTOMATED DISPENSING SYSTEMS AUTOMATED UNITS WHICH DISPENSE MEDICATIONS AT THE POINT OF USE
GENERALLY DRUGS COST LESS IN THE U.S. THAN IN CANADA FALSE
MAIL ORDER PHARMACIES ARE OFTEN USED TO HANDLE MAINTENANCE MEDICATIONS TRUE
CODE CARTS ARE NEVER FOUND IN LONG-TERM FACILITIES FALSE
ANTIBIOTIC THERAPY IS A COMMON HOME INFUSION SERVICE USED IN TREATING AIDS RELATED AND OTHER INFECTIONS TRUE
ON THE HOME CARE TEAM, THE TECHNICIAN WORKS UNDER THE SUPERVISION OF A HOME CARE AIDE FALSE
IN HOME INFUSION, WASTE FROM CHEMOTHERAPY AND THE TREATMENT OF AIDS PATIENTS CAN BE SAFELY DISPOSED WITH THE PATIENT'S OTHER TRASH FALSE
PAIN MANAGEMENT GENERALLY APPLIES TO THE INFUSION OF NARCOTICS FOR PATIENTS WITH PAINFUL TERMINAL ILLNESSES OR OTHER TYPES OF SEVERE CHRONIC PAIN TRUE
IN HOME INFUSION, THE STABILITY OF THE ADMIXTURE IS A PRIMARY CONCERN TRUE
IN THE U.S., A MAIL ORDER PHARMACY CAN PROVIDE SERVICES TO ANY STATE IN THE U.S.
A MEDICATION THAT IS REQUIRED ON A CONTINUOUS BASIS FOR THE TREATMENT OF A CHRONIC CONDITION IS CALLED MAINTENANCE MEDICATION
MEDICATION COUNSELING FOR MAIL ORDER PHARMACIES IS DONE BY PHARMACISTS
IN SOME LONG-TERM CARE FACILITIES THE MEDICATION CARTS ARE USUALLY FILLED WITH ENOUGH MEDICATIONS TO LAST ONE WEEK
MEDICATIONS USED FROM EMERGENCY KITS IN LONG-TERM CARE PHARMACIES ARE CHARGED TO THE PATIENT
THE TYPE OF INFUSION THERAPY THAT USUALLY INVOLVES INFUSION OF NARCOTICS FOR PATIENTS WITH PAINFUL TERMINAL ILLNESSES OR SEVERE CHRONIC PAIN IS CALLED PAIN MANAGEMENT THERAPY
REGULATION OF HAZARDOUS WASTE PROCEDURES ASSOCIATED WITH CHEMOTHERAPY APPLIES TO ALL OF THE FOLLOWING EXCEPT: STORAGE, DISPOSAL, TRANSPORTATION, PRICING PRICING
WHICH MEMBER OF THE HOME CARE TEAM IS RESPONSIBLE FOR EDUCATING THE PATIENT REGISTERED NURSE
THE FASTEST GROWING AREA OF HOME HEALTH CARE IS HOME INFUSION
WHICH OF THE FOLLOWING ACTIVITIES WOULD NOT BE PART OF THE PHARMACEUTICAL CARE PLAN FOR HOME INFUSION PHARMACY DELIVERY
WHICH OF THE FOLLOWING AGENCIES IS RESPONSIBLE FOR APPROVING HOSPITALS SO THEY MAY RECEIVE MEDICAID REIMBURSEMENT HCFA
ROOMS DESIGNED FOR THE PREPARATION OF STERILE PRODUCTS ARE CALLED CLEAN ROOMS
A LOCKED CART OF MEDICATIONS DESIGNED FOR EMERGENCY USE IS CALLED A CODE CART
ORDERS FOR MEDICATIONS THAT ARE NEEDED RIGHT AWAY ARE CALLED STAT ORDERS
VERBAL ORDERS MUST BE SIGNED BY THE NURSE OR PHARMACIST WHO TOOK THE VERBAL ORDER AND COSIGNED BY THE _________ WHO APPROVED THEM PHYSICIAN
EACH INDIVIDUAL DRAWER IN A MEDICATION CART IS FILLED WITH DAILY MEDICATION FOR A GIVEN PATIENT
THE HEALTH CARE WORKER THAT PROVIDES SERVICES TO HELP RESTORE FUNCTION, IMPROVE MOBILITY, RELIEVE PAIN, AND PREVENT OR LIMIT PERMANENT PHYSICAL DISABILITIES OF PATIENTS IS A P.T.
THE PACKAGE TYPE USED FOR POWDERS IS (A) PACKET
MOST RECONSTITUTED DRUGS EXPIRE IN 10-14 DAYS
A HEALTH CARE PROVIDER WHO IS CONCERNED WITH FACTORS SUCH AS A PATIENT'S ABILITY TO PAY FOR MEDICATIONS IS A (AN) M.S.W.
THE CORRECT TEMPERATURE FOR A PHARMACY REFRIGERATOR IS 2-8*C
THE CENTRAL AREA OF THE HOSPITAL RESPONSIBLE FOR DISTRIBUTING SUPPLIES TO ALL AREAS OF THE FACILITY IS CALLED (THE) CENTRAL SUPPLY OR MATERIALS MANAGEMENT
NKA IS THE COMMON ABBREVIATION FOR "NO KNOWN ALLERGIES" TRUE
ALL DEPARTMENTS WITHIN A HOSPITAL ARE REQUIRED TO MAINTAIN A POLICY AND PROCEDURE MANUAL TRUE
A CENTRLIZED PHARMACY SYSTEM IS MADE UP OF AN INPATIENT PHARMACY AND SATELLITE PHARMACY AREAS FALSE
SPECIAL CONSIDERATIONS MUST BE TAKEN INTO ACCOUNT WHEN DOSING AND PREPARING MEDICATIONS FOR PEDIATRIC PATIENTS TRUE
TECHNICIANS OFTEN PREPARE IV ADMIXTURES IN HOSPITALS TRUE
ORDERS FOR MEDICATIONS THAT ARE NEEDED IMMEDIATELY ARE PRN ORDERS FALSE
AN LPN SUPERVISES A NURSE PRACTITIONER IN THE HOSPITAL SETTING FALSE
AUTOMATED DISPENSING SYSTEM AUTOMATED UNIT WHICH DISPENSES MEDICATIONS AT THE POINT OF USE
POLICY AND PROCEDURE MANUAL DOCUMENTATION OF REQUIRED POLICIES, PROCEDURES, AND DISCIPLINARY ACTIONS IN A HOSPITAL
OUTPATIENT PHARMACY A PHARMACY ATTACHED TO A HOSPITAL SERVICING PATIENTS WHO HAVE LEFT THE HOSPITAL OR WHO ARE VISITING DOCTORS IN A HOSPITAL OUTPATIENT CLINIC
CLEAN ROOMS AREAS DESIGNED FOR THE PREPARATION OF STERILE PRODUCTS
PHARMACY SATELLITE A BRANCH OF THE INPATIENT PHARMACY RESPONSIBLE FOR SPECIFIC PATIENT AREAS
DECENTRALIZED PHARMACY SYSTEM A SYSTEM IN WHICH PHARMACY ACTIVITIES OCCUR IN MULTIPLE LOCATIONS WITHIN A HOSPITAL
INPATIENT PHARMACY THE HOSPITAL PHARMACY IN A CENTRALIZED SYSTEM
CENTRALIZED PHARMACY SYSTEM A SYSTEM IN WHICH ALL PHARMACY ACTIVITIES IN THE HOSPITAL ARE CONDUCTED AT ONE LOCATION, THE INPATIENT PHARMACY
CODE CARTS A LOCKED CART OF MEDICATIONS DESIGNED FOR EMERGENCY USE ONLY
MAR A FORM THAT TRACKS THE MEDICATIONS ADMINISTERED TO A PATIENT
STAT ORDER AN ORDER FOR MEDICATION TO BE ADMINISTERED IMMEDIATELY
PRN ORDER AN ORDER FOR MEDICATION TO BE ADMINISTERED ONLY ON AN AS NEEDED BASIS
STANDING ORDER A STANDARD MEDICATION ORDER FOR PATIENTS TO RECEIVE MEDICATION AT SCHEDULED INTERVALS
UNIT DOSE A PACKAGE CONTAINING THE AMOUNT OF A DRUG REQUIRED FOR ONE DOSE
ELECTRONIC MEDICAL RECORD A COMPUTERIZED PATIENT MEDICAL RECORD
DEMOGRAPHICS NON-MEDICAL PERSONAL IDENTIFICATION INFORMATION ABOUT A PATIENT
RECONSTITUTE ADDITION OF WATER TO A POWDERED DRUG FORM TO MAKE A SOLUTION OR SUSOENSION
STOCK THAT IS EXPIRED SHOULD BE SEPARATED FROM REGULAR STOCK AND CLEARLY MARKED UNTIL IT CAN BE RETURNED OR DESTROYED
THE P.O. NUMBER IDENTIFIES THE PURCHASE ORDER
______ _____ _____ ARE PROVIDED BY SUPPLIERS OR WHOLESALERS TO RETURN OVER-SHIPMENTS, DAMAGED PRODUCTS, OR EXPIRED PRODUCTS RETURN GOODS FORMS
WHEN RECONCILING AN ORDER, CONTROLLED SUBSTANCES ARE SHIPPED SEPARATELY, AND SHOULD BE CHECKED IN BY A (AN) PHARMACIST
MATERIAL SAFETY DATA SHEETS (MSDS) ARE REQUIRED BY _ _ _ _ FOR HAZARDOUS SUBSTANCES AND PROVIDE HAZARD, HANDLING, CLEAN-UP AND FIRST AID INFORMATION OSHA
PYXIS SUPPLY STATION IS A GOOD EXAMPLE OF A (AN) AUTOMATED POINT-OF-USE STORAGE SYSTEM
PORTABLE HAND-HELD DEVICES THAT ARE WIDELY USED TO ENTER ORDERING DATA ARE CALLED ORDER ENTRY DEVICES
________ IS AN EXPRESSION FOR THE RATE AT WHICH INVENTORY IS USED AND IS GENERALLY EXPRESSED IN NUMBER OF DAYS TURNOVER
MEDICATIONS THAT ARE CHEMICALLY DIFFERENT BUT HAVE SIMILAR ACTIONS AND EFFECTS ARE THERAPEUTICALLY EQUIVALENT
THE LIST OF MEDICATIONS THAT ARE APPROVED FOR USE IN A HEALTH-CARE SYSTEM IS CALLED A (AN) FORMULARY
HOSPITALS FREQUENTLY USE DRUG DISPENSING UNITS LOCATED AT POINTS OF USE THROUGHOUT THE HOSPITAL TRUE
MOST DRUG PRODUCTS SHOULD BE STORED AT 50-59 DEGREES FALSE
A CLOSED FORMULARY ALLOWS ANY MEDICATION PRESCRIBED TO BE PURCHASED FALSE
CERTAIN HAZARDOUS SUBSTANCES MAY NOT BE SHIPPED BY AIR TRUE
WITH COMPUTERS KEEPING RECORDS, PRINTED COPIES ARE NOT NEEDED FALSE
POINT-OF-SALE SYSTEMS ADJUST INVENTORY AS MEDICATIONS ARE SOLD OR DISPENSED TRUE
COMPUTERIZED ORDERING SYSTEMS DO NOT ALLOW MANUAL EDITING FALSE
REORDER POINTS ARE MINIMUM AND MAXIMUM INVENTORY LEVELS FOR A PRODUCT TRUE
BAKER CELLS IS AN EXAMPLE OF A ROBOTIC DEVICE FALSE
THE MAJORITY OF PHARMACEUTICAL MANUFACTURER SALES ARE TO WHOLESALERS TRUE
DISPENSING UNITS IN HOSPITALS AND OTHER SETTINGS, MEDICATIONS ARE STOCKED IN UNITS THROUGHOUT THE FACILITY THAT MAY ALSO BE CALLED SUPPLY STATIONS OR MED-STATIONS
UNIT DOSE A PACKAGE CONTAINING A SINGLE DOSE OF A MEDICATION
AUTOMATED DISPENSING SYSTEM MEDICATIONS ARE DISPENSED AT THEIR POINT OF USE AFTER AN ORDER HAS BEEN CONFIRMED AND THEN COMMUNICATED FROM A CENTRALIZED COMPUTER SYSTEM
PURCHASE ORDER NUMBER A NUMBER ASSIGNED TO EACH ORDER FOR PRODUCTS THAT WILL ALLOW IT TO BE TRACKED AND CHECKED THROUGHOUT THE ORDER PROCESS
THERAPEUTIC EQUIVALENT PHARMACEUTICALS THAT HAVE THE SAME EFFECT IN PATIENTS
ORDER ENTRY DEVICE IN A COMPUTERIZED INVENTORY SYSTEM, A HAND-HELD DEVICE TO GENERATE ORDERS
REORDER POINTS MINIMUM AND MAXIMUM STOCK LEVELS WHICH DETERMINE WHEN A REORDER IS PLACED AND FOR HOW MUCH
INVENTORY A LIST OF GOODS OR ITEMS A BUSINESS USES IN ITS NORMAL OPERATIONS
PERPETUAL INVENTORY A SYSTEM THAT MAINTAINS A CONTINUOUS RECORD OF EVERY ITEM IN INVENTORY SO THAT IT ALWAYS SHOWS THE STOCK ON HAND
C-II SUBSTANCES MUST BE STOCKED SEPARATELY IN A SECURE PLACE AND REQUIRE A SPECIAL ORDER FORM FOR REORDERING; THEIR STOCK MUST BE CONTINUALLY MONITORED AND DOCUMENTED
TURNOVER THE RATE AT WHICH INVENTORY IS USED, GENERALLY EXPRESSED IN NUMBER OF DAYS
OPEN FORMULARY ONE THAT ALLOWS PURCHASE OF ANY MEDICATION THAT IS PRESCRIBED
CLOSED FORMULARY A LIMITED LIST OF APPROVED MEDICATIONS
Created by: jenniferraymond
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