Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
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
Normal Size Small Size show me how
ch 11 vocab
Tech Manual 14th edition
| Term | Definition |
|---|---|
| AWP Average Wholesale Price | represent the average price that a pharmaceutical company charges wholesalers wishing to purchase the product |
| BIN Bank Identificiation Number | used to route claims to the correct insurance company |
| Copay | out-of-pocket cost paid by the patient that is addition to the cost paid by the insurance company to provide the total reimbursement to the pharmacy for the drugs and services provided |
| Current Procedural Terminology Codes (C.P.T.) | unique billing codes that are assigned to pharmacists in order to bill a payer for cognitive services |
| Mail- Order Pharmacy | service available for patients that allows them to order a supply of their medications at a discounted price through the mail |
| Medicaid | a program established in 1965 as a jointly funded, cooperative venture between the federal and state government to assist states in the provision of adequate medical care to eligible needy persons |
| Medicare | health insurance for people age 65 or older, under 65 with certain disabilities and of any age with end-stage renal disease |
| Medicare Part A | provides coverage of inpatient hospital services, skilled nursing facilities (not custodial or long-term care), home health services and blood and hospice care |
| Medicare Part B | provides coverage for physician services, outpatient hospital services, medical equipment and other health services, including some of the services of physical and occupational therapists |
| Medicare Part C | coverage program known as “Medicare Advantage” that is available for patients entitled to Medicare Part A and enrolled in Medicare Part B. Under this plan, patients may pay a lower copayment and receive extra benefits |
| Medicare Part D | voluntary prescription drug coverage program for Medicare beneficiaries |
| Medicare Prescription Drug, Improvement and Modernization Act (MMA) of 2003 | act that introduced Medicare Part D prescription drug coverage |
| Medication Therapy Management Services (MTMS) | services that optimize therapeutic outcomes for patients and can occur totally independent of provision of the medication |
| Pharmacy Benefit Manaement (PBM) | company under contract with managed care organizations, selfinsured companies and government programs to manage pharmacy networks, drug utilization reviews, outcomes management and disease management |
| Phase 1 Investigational Drug | medication not approved by the FDA with which a clinical investigation in a small number of patients is being administered to determine the preferred route of administration and safe dosage |
Created by:
Danijack2007
Popular Pharmacology sets