Order Prescription Processing Assignment

Order Prescription Processing Assignment

According to the insurance card, how much would John Doe pay for a generic prescription? Member insurance card for Hopper Health. Group Name: ABC Industries, Cardholder: John Doe, RX Benefit: $15/30/75, ID number YBC9999999, Group: 272550001, BCBSKC RX 1-800-228-1436, BC Plan: 240, PS Plan: 740, 75.00 Emer Room, 20.00 Office Visit, Cust S

Question 1 options:

a)

$20

b)

$15

c)

$99

d)

$75

Question 2 (5 points)

Order Prescription Processing Assignment

The Drug Listing Act of 1972 began the process of giving every drug a unique code for identification; this is often referred to as the drug’s

Question 2 options:

a)

Serial Code.

b)

Product Code.

c)

National Drug Code.

d)

Member ID Number.

Question 3 (5 points)

According to the prescription, Kenneth Sharpe should be taking one tablet of Lipitor 40 mg Prescription written by Dr. John Thompson. Date: 2/17/20XX, Patient Name: Kenneth Sharpe, Address: 888 James Street Allston, MA, Rx: Lipitor 40 mg, 1 hs #30 Brand necessary, Refill: 2, DEA: AT4278431, State License: 3445542

Question 3 options:

a)

four times a day.

b)

once per day at bedtime.

c)

Order Prescription Processing Assignment

twice a day.

d)

before a meal.

Question 4 (5 points)

Mr. Markum’s brand-name prescription costs $60; the generic prescription of this drug costs $15. When entering the difference in the Per. Of Cost Diff. Between Brand & Generic Paid field, you would enter

Question 4 options:

a)

75%

b)

25%

Order Prescription Processing Assignment

c)

60%

d)

50%

Question 5 (5 points)

Which of the following is one reason a prescription might not be transferable to a pharmacy in another state?

Question 5 options:

a)

Pharmacies in different states have the right to decline prescription transfers.

b)

The patient hasn’t provided preapproval authorization from the out-of-state pharmacy.

c)

Order Prescription Processing Assignment

The patient’s physician has not approved the prescription transfer.

d)

Each state has specific regulations that affect transfers of medicine.

Question 6 (5 points)

According to the information provided on the DAA Health Care insurance card shown, John Doe’s insurance is provided through Member insurance card for DAA Health Care. Front of card: Health Plan 123-45789-0, Member ID: 98765432, Group Number 111222, Member: John Doe, Dependents: Jill Doe, Jack Doe, State Health Plan ID: S5678_2012_95 CMS Approved 10/11, Payer ID: 12345, Rx

Question 6 options:

a)

his employer.

b)

Medicare Part D.

c)

Order Prescription Processing Assignment

the military.

d)

a state health plan.

Question 7 (5 points)

The carrier ID may also be referred to as the

Question 7 options:

a)

required prescriber identification number.

b)

process control number.

c)

electronic billing option.

d)

brand discount copay.

Question 8 (5 points)

A drug utilization review (DUR) message appears while entering a drug for Mr. Carter. This DUR should be reviewed by the _______ before the medication is dispensed.

Question 8 options:

a)

insurance provider

b)

patient

c)

pharmacist

d)

prescribing physician

Question 9 (5 points)

Each National Drug Code (NDC) assigned to a drug has a unique _______-digit number used for identification.

Question 9 options:

a)

6

Order Prescription Processing Assignment

b)

10

c)

12

d)

8

Question 10 (5 points)

The name of the person whom you would speak to for refill authorization is entered into which of the following fields?

Question 10 options:

a)

Name

b)

Phone

c)

Contact

d)

Doctor

Question 11 (5 points)

Which of the following prescription payment types have specific requirements for processing a medication claim?

Question 11 options:

a)

Medicaid

b)

Workers’ Compensation

c)

Social Security

d)

TRICARE

e)

Medicare

Question 12 (5 points)

Use the information provided to match the following NDCs with the correct drug name. Add Drug by NDC screen: 00002-1200-01 Amyvid Vial 10 MCI; 00002-1407-01 Quinidine Gluc 80 Mg/mL Vial 80 Mg/mL; 0002-1433-01 Trulicity 0.75 mg/0.5 mL Pen; 0002-1434-01 Trulicity 1.5 mg/0.5 mL Pen; 00002-1445-11 Taltz 80 mg/ML AutoInjector

Question 12 options:

1234

00002-1433-01

1234

00002-1445-11

1234

00002-1434-01

1234

00002-1200-01

1.

TRULICITY 0.75 MG/0.5 ML PEN

2.

TRULICITY 1.5 MG/0.5 ML PEN

3.

AMYVID VIAL

4.

TALTZ 80 MG/ML AUTOINJECTOR

Question 13 (5 points)

Use the information provided on the insurance card to match the following to the correct label. Insurance card for Complete Health Insurance. Cardholder: Jake Sample, ID#: ABC000000000, Group#: EFG000000000, Office visit copay: $25.00, Rx Benefit: $10/20/40, For Pharmacy: 1-800-555-12354, For Patient: 1-800-555-5678

Question 13 options:

1234

Jake Sample

1234

$25.00

1234

ABC000000000

1234

$10/20/40

1.

Card holder

2.

ID#

3.

Office visit copay

4.

RX Benefit

Question 14 (5 points)