Real Exam Questions and Verified Correct Answers
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When there is a quiestion on insurance coverage for an online claim, the pharmacy
technician should:
A)immediately refer the problem to the pharmacist
B)telephone the insurance plans help desk
C)refer the patient to informational booklets provided to the pharmacy by the insurer
D) always answer the question 24 hours - answer>>>B
A(an)_________is a network of providers for which costs are covered inside, but not
outside of their network
A)MAC
B)POS
C)HMO
D)PPO - answer>>>C
Information that a pharmacy technician may enter into the computer for a new
prescription includes:
A)correct drug and strength, direction of use, quantity, and number of refills
B)Patients name and prescription number
C)correct physicians name, DAW code, and initials of the dispensing pharmacist
D)both a and c - answer>>>D
Disease state management services may be billed directly to the patient or to:
A)the prescribing physician
B)the primary care physician
C)patient insurance company
D)universal claim forms - answer>>>C
When a technician receives a refected claim "Unable to Connect", this probably means:
A)the connection woth the insurer computer is temporarily unavailable due to computer
problems
B)the patients coverage has expired
C)the insurer has an incorrect birthday for the patient
D)the insurer has a closed formulary - answer>>>A
,Techniques for interacting with customers on the telephone include:
A)using a pleasant and courteous manner
B)stating the name of your pharmacy and your name
C)referring all calls that require a pharmacists judgement to the pharmacist
D)all of the above - answer>>>D
_________are skills involving relationships between people:
A)interpersonal skills
B)computer skills
C)transaction skills
D)data management skills - answer>>>A
scheduling appointments for disease state management services is a duty of the
A)registered nurse
B)third party
C)physician
D)pharmacy technician - answer>>>D
When a technician receives a refected claim "NDC Not Covered", this probably means:
A)the insurance plan has a open formulary
B) the insurance plan has a closed formulary
C) the birthdate submitted does not match the birthdate in the insurers computer
D)the patient has mail order - answer>>>B
when reviewing a prescripation for a C-II substance, which of these is not required:
A)DEA number
B)DAW information
C)patient address
D)NDC number - answer>>>D
A(an)_________is a set amount that must be paid by the patient before the insurer will
cover additional expenses:
A)co-insurance
B)co-pay
C)maximum allowable cost
D)deductible - answer>>>D
,Community pharmacies that are part of regional or national food store chains such are
Giant, Eagle and Kroger are
A)chain pharmacies
B)independent pharmacies
C)mass merchandiser pharmacies
D)food store pharmacies - answer>>>D
A(an)_________is a network of providers where costs outside the network may be
partially reimbursed and the patieints primary care physician need not be a member:
A) MAC
B)POS
C)PPO
D)HMO - answer>>>C
Ordering stock is a responsibility of the
A)computer system
B)pharmacy technician
C)third party
D)prescription counter - answer>>>B
patient information that must be enterd into the computer includes:
A) only the name of the patient
B) full name of patient, address, telephone number, date of birth, and any medication
allergies
C) diagnosis made by the technician
D)diagnosis made by the pharmacist - answer>>>B
Disease state management services are offered in:
A) the dispensing area of the pharmacy
B)waiting areas
C)private offices or areas
D)public access areas - answer>>>C
disease state management services are offered to help manage chromic diseases or
conditions such as
A)diabetes
B)ear infections
, C)heart attacls
D)strep throat - answer>>>a
Community pharmacies within stores like Walmart or KMart, that are part of regional or
national mass merchandise chains are:
A) mass merchandiser pharmacies
B)independent pharmacies
C)chain pharmacies
D)food store pharmacies - answer>>>A
Plans in which the patient pays a different amount depending on whether a generic or
brand name medication is dispensed have:
A)dual co-pays
B)MAC
C)duplicate pricing
D)UCR - answer>>>A
Patient assistance programs are offered by
A)HMOs
B)pharmacies
C)physicians
D)pharmaceutical manufacturers - answer>>>D
the ____________ is generally responsible for keeping the pharmacy clean, neat, and in
proper working order
A)pharmacy manager
B)staff pharmacist
C)weekend pharmacist
D)pharmacy technician - answer>>>D
The_______is a network of providers where the patients primary care physician must be a
member and costs outside the network may be parially reimbursed:
A)HMP
B)POS
C)PPO
D)MAC - answer>>>B
When a technician receives a rejected claim"Invalid birth date", this probably means: