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102
| Question | Answer |
|---|---|
| what is pharmacy informatics | the use of technology to manage pharmacy- related data, information, and workflow |
| what is a database management system? | a system that stores, manages and organizes pharmacy data |
| what is s productivity report | a report that compares staff time to prescriptions filled or revenue |
| what is a firewall | a security measure that protects systems from unauthorized access |
| what is a data backup | a copy of pharmacy data saved to protect against loss |
| difference between software update and upgrade | update= fixes/improves current system. upgrade= new version with many features |
| why are EHRS important during disasters | they allow remote access to patient records and continuity of care |
| what is a premium | monthly payments for insurance coverage |
| what is a deductible | amount patients pay before insurance starts paying |
| what is a copayment. | flat fee paid at time of service |
| what is coinsurace | percentage of costs paid by the patient |
| what is a third party payer | organization that pays medical expenses besides patient and provider |
| what is primary insurance | insurance billed first |
| what is secondary insurance | insurance billed after primary to cover remaining costs |
| what is coordination of benefits | process of determining payment order between multiple insurance |
| what is adjudication | electronic processing of a prescription claim |
| what is a PBM | pharmacy benefit manager that processes and manages drug claims |
| what is an NPI number | 10 digit national provider identifier |
| what billing code system records diagnoses | ICD-10 |
| what does NDC NOT COVERED mean | that specific manufacturer NDC is not covered by insurance |
| what are two solutions to NDC not covered | try a different manufacturer or contact insurance for alternative |
| what is a DUR | drug utilization review that checks for interactions, allergies, duplic |
| who handles DUR alerts | the pharmacist |
| what rejection may occur if prescriber is not contacted | out of network rejection |
| what rejection may occur from incorrect days supplyn | entry mistake rejection |
| medicare part A covers what? | hospital stays |
| medicare B covers what | doctor visits and preventative services |
| medicare D covers what | prescription drugs |
| what is medicaid funded by | federal and state government |
| what is COBRA | continuation of employer insurance |
| how many refills for schedule 2 | none. |
| how many refills for schedule 3-5 | 5 refills within 6 months |
| what is durable medical equipment | reusable medical equipment (walkers, nebulizers) |
| what is a glucometer used for | checking blood glucose |
| why must test strips match the glucometer | they are calibrated for specific models |
| what is a spacer used for | helps deliver inhaler medication properly |
| why are mercury thermometers phased out | mercury is toxic |
| higher needle gauge means what | thinner needle and usually more comfortable |
| what must be verified at pickup | patient name and date of birth |
| what device helps prevent look alike / sound alike errors | barcode scanner |
| what is interoperability | ability system to exchange information |
| can techs counsel patients | no |
| what is another name for commercial insurance | private insurance |
| do HMO require referrals | no |
| do PPO require referral | no |
| which plan has lower premiums, HMO or PPO | HMO |
| what is chip | insurance for uninsured children |
Created by:
iiana