PHT-102 Final Exam with 100% Correct
Answers
All of the following conditions are "exclusions" on insurance policies...EXCEPT
A. cancer
B. attempted suicide
C. pregnancy
D. heart attack - ANSWER-D. heart attack
All of the following insurance programs are sponsored by the federal
government...EXCEPT
A. TRICARE
B. Medicaid
C. Workers' Compensation
D. CHAMPVA - ANSWER-C. Workers' Compensation
An individual contract for health insurance ___________ - ANSWER-is also called
personal insurance
An insurance plan that covers a group of employees usually has? - ANSWER-lower
premiums
A plan in which the member may seek care outside the network is called? - ANSWER-
point-of-service
Which insurance is NOT a government-sponsored health plan? - ANSWER-Kaiser
Foundation Health Plans
Which TRICARE program is a preferred provider organization plan? - ANSWER-
TRICARE Extra
With workers' compensation, it is the injured workers' responsibility to? - ANSWER-
notify the employer promptly of an injury
Workers' Compensation benefits usually include? - ANSWER-weekly income
replacement and survivor benefits
Funds recorded and distributed to specific expense accounts are called - ANSWER-
disbursements
, Which 2 governmental agencies regulates compounding procedures in the hospital? -
ANSWER-Joint Commission and DEA
The Pharmacist Care Claim Form was modified to create uniformity in - ANSWER-
professional pharmacy services documentation
A document that notifies a customer that his bill is past due is a - ANSWER-collection
letter
In a hospital, the external audit point system is used to show where - ANSWER-medical
record documentation is insufficient
A form that describes a purchase and the amount that is due is called an - ANSWER-
invoice
In the hospital, how many major types of documentation exist? - ANSWER-3
Clinical documentation provides - ANSWER-a permanent written record of observations
and actions
What is true about patient billing in the hospital pharmacy? - ANSWER-there is little
interaction with patient billing and collections concerning the hospital pharmacy
Which of the following type of law regulates collection procedures? - ANSWER-both
state and federal law
Which of the following terms means a "request for payment"? - ANSWER-statment
The NCPDP created the WG-10, a work group focusing on professional pharmacy
practice in order to set forth a uniform coding system concerning - ANSWER-(EDI)
electronic data interchange
National Council for Prescription Drug Programs - ANSWER-A nonprofit organization
representing every sector of the pharmacy industry that also provides education about
pharmacy-related topics
Which organization has standards that are used for the transfer of pharmaceutical care
information? - ANSWER-NCPDP
All of the activities of handling patient accounting and following up to ensure timely
payments is called - ANSWER-collections
Which factor may not cause administering errors? - ANSWER-patient's condition
Answers
All of the following conditions are "exclusions" on insurance policies...EXCEPT
A. cancer
B. attempted suicide
C. pregnancy
D. heart attack - ANSWER-D. heart attack
All of the following insurance programs are sponsored by the federal
government...EXCEPT
A. TRICARE
B. Medicaid
C. Workers' Compensation
D. CHAMPVA - ANSWER-C. Workers' Compensation
An individual contract for health insurance ___________ - ANSWER-is also called
personal insurance
An insurance plan that covers a group of employees usually has? - ANSWER-lower
premiums
A plan in which the member may seek care outside the network is called? - ANSWER-
point-of-service
Which insurance is NOT a government-sponsored health plan? - ANSWER-Kaiser
Foundation Health Plans
Which TRICARE program is a preferred provider organization plan? - ANSWER-
TRICARE Extra
With workers' compensation, it is the injured workers' responsibility to? - ANSWER-
notify the employer promptly of an injury
Workers' Compensation benefits usually include? - ANSWER-weekly income
replacement and survivor benefits
Funds recorded and distributed to specific expense accounts are called - ANSWER-
disbursements
, Which 2 governmental agencies regulates compounding procedures in the hospital? -
ANSWER-Joint Commission and DEA
The Pharmacist Care Claim Form was modified to create uniformity in - ANSWER-
professional pharmacy services documentation
A document that notifies a customer that his bill is past due is a - ANSWER-collection
letter
In a hospital, the external audit point system is used to show where - ANSWER-medical
record documentation is insufficient
A form that describes a purchase and the amount that is due is called an - ANSWER-
invoice
In the hospital, how many major types of documentation exist? - ANSWER-3
Clinical documentation provides - ANSWER-a permanent written record of observations
and actions
What is true about patient billing in the hospital pharmacy? - ANSWER-there is little
interaction with patient billing and collections concerning the hospital pharmacy
Which of the following type of law regulates collection procedures? - ANSWER-both
state and federal law
Which of the following terms means a "request for payment"? - ANSWER-statment
The NCPDP created the WG-10, a work group focusing on professional pharmacy
practice in order to set forth a uniform coding system concerning - ANSWER-(EDI)
electronic data interchange
National Council for Prescription Drug Programs - ANSWER-A nonprofit organization
representing every sector of the pharmacy industry that also provides education about
pharmacy-related topics
Which organization has standards that are used for the transfer of pharmaceutical care
information? - ANSWER-NCPDP
All of the activities of handling patient accounting and following up to ensure timely
payments is called - ANSWER-collections
Which factor may not cause administering errors? - ANSWER-patient's condition
