Save
Busy. Please wait.
or

show password
Forgot Password?

Don't have an account?  Sign up 
or

Username is available taken
show password

why


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.


Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't know
Remaining cards (0)
Know
0:00
share
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

PTCB Study

Insruance Questions

QuestionAnswer
Polices that have a pharmacy benefit do not provide coverage for a selection of prescription medications T or F True
If a policyholder or a covered dependent gets sick, the health plan pays most of the bill. True or False True
Workers compensation cases vary according to? State Law
A remittance advice is also known as an explanation of benefits
The final step in the pharmacy billing cycle is Collections and problem resolution
The balance due on a claim is likely to be paid about how many days after the day of service? 30-60 days
An electronic data interchange may be sent during which step of the pharmacy billing cycle? Pharmacy Claim Transmital
The payer starts internal processing of the claim for payment to the pharmacy during which step of the pharmacy billing cycle? Calculation of payer claim balance
States may not restrict price increases on premiums and other charges to patients True or False False
Pharmacies cannot withhold the information in a patient's medical records unless provding it would be detrimental to the patient's health True or false True
Which of the following is not one of the ways CMS preforms activities to ensure the quality of health care? Setting prices for prescription drugs and physician visit
CMS administers the Medicare and Medicaid programs to more than 90 Million americans
To further regulate the health care industry, states may do all of the following except Create their own guidelines to replace federal guidelines
Pharmacy benefit managers are hired by employers to operate their prescription drug benefit more inexpensively T OR F True
Patients who belong to a preferred provider organization are required to see providers within the network T OR F Falce
What can employees purchase to add coverage such as vision and dental services? Riders & Options
A third-party administrator of prescription drug programs that processes and pay prescription drug claims is called a Pharmacy benefit manager
The federal government pays Medicare claims directly. T OR F False
Everyone who is enrolled in Medicare Part A is automatically enrolled in Medicare Part B. T OR F False
Medicare Part B dose not cover emergency services T OR F False
What is the maximum amount a NonPAR provider could charge a Medicare procedure listed at $200 in the Medicare nonparticipating fee schedule? $230
Medicare has two major parts, one for care given by institutions and the other for services by Physicians
To pay medicare claims, the federal government contracts with insurance organizations known as Medicare administrative contractors
People who are eligible for Social Security benefits are automatically enrolled in Medicare part A
Created by: IceQueen1981
 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!

"Know" box contains:
Time elapsed:
Retries:
restart all cards