URAC Audit Work Questions | Fully Updated with Correct Verified Answers

WORK - URAC AUDIT QUESTIONS S S S S




WITH THE CORRECT ANSWERS
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UPDATED FULLY S S




What nis nyour ninvolvement nin npatient nmanagement? n- ncorrect nanswer-Patient
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nmanagement ninvolves nprescription ndispensing, nreimbursement, ncounseling, nand
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npt nclinical ncare nactivities nwe ndo. nMy ninvolvement ndepends non nthe nrole nI nam
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nassigned nfor nthe nday.
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How ndo nwe npromote ndrug nadherence? n- ncorrect nanswer-During ninitial ncounseling n-
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nwe ndiscuss nthe nimportance nof nmedication ncompliance, nrefill nreminder ncalls,
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nrecommendations nto nalleviate nany nside neffects, nand nassistance nobtaining
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nfinancial nassistance nas nneeded.
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How ndo nyou ncollaborate nw/ nphysicians nor nother nhealthcare nproviders ninvolved nin
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npt ncare? n- ncorrect nanswer-We ncommunicate nw/ npatients nregularly nin nperson nand
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nover nthe nphone. nIf nthe npatient nhas nany nissue nor nif nwe nhave na
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nrecommendation/update, nwe nwill ncall nor nfax ntheir nprescriber na ncommunication.
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How ndo nyou nadvocate nfor na npatient's naccess nto ndrugs? n- ncorrect nanswer-We
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nhave naccess nto nmany nlimited ndistribution ndrugs n(LDDs) nwithin nthe nWalgreens
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nchain. nWe nalso nhelp nwith nprior nauthorizations nand nget npatients nsigned nup nfor
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nfinancial nassistance nprograms.
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How ndo nyou nhelp nwith nprior nauthorizations nand nappeals nto nensure naccess nto
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nmedications? n- ncorrect nanswer-We nhelp nfacilitate nthe nprocess nby nworking nwith
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nthe ninsurance ncompany nand ncoordinate nobtaining ndocuments nfrom nthe
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nprescribers.
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Can nyou nexplain nhow npatient nlanguage nbarriers, ncultural nbeliefs nand ndisabilities
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nare naddressed? n- ncorrect nanswer-We nspeak nto nall npatients nin na nculturally
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ncompetent nmanner. nWe nhave naccess nto npatient nleaflets nin n16 nlanguages, nthe
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nDial-A-Pharmacist ntranslator ntool nvia nIC+, nVoyce nOral nServices n(855-296-8838)
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nare navailable nfor nlanguages nnot nlisted nin nIC+ nand nhearing nimpaired ncustomers.
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nWritten nlanguage ntranslation nservices nare navailable nvia
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Detailed ninfo non ntranslation nservices nis navailable nat nStoreNet n> nRX n> nPatient
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nCare n> nPatient nServices n> nTranslation nServices.
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If na nPatient nEmergency nSituation narises, nsuch nas na nsuicide nthreat, nwhat nwould
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nyou ndo? n- ncorrect nanswer-Keep nthe npatient non nthe nphone nand nsignal na nteam
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nmember nto ncall n911 nas noutlined nin nour nPatient nCrisis nand nEmergency nSituation
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nPolicy. nAll nother nemergency nsituations nare nreferred nto na npharmacist nimmediately.
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, Can nteam nmembers nexplain nhow nwe nrefer npatients nto nexternal npharmacies nif nthe
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npatient nneeds ncannot nbe nmet? n- ncorrect nanswer-In nsituations nwhere nthe npatients
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nneeds ncannot nbe nmet nby nour npharmacy, n(ie: nWalgreens nout nof ncoverage
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nnetwork) nwe ninform nthe npatient nimmediately nand nwork nto ntransfer ncare nto nthe
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npharmacy nthe npatient nchooses. nTransfer nlogs/records nare navailable nfrom nIC+.
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How ndo nyou noffer nclinical nsupport nor nrefer na npatient nto nexternal nsupport ngroups
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nfor nhelp nwhen nneeded? n- ncorrect nanswer-Information nregarding npatient nsupport
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nservices nare navailable nfrom nour nstaff nby ntelephone, nemail, nand nin nperson nduring
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nopen nhours. nA npharmacist nis nalways navailable nto nprovide nclinical nsupport. nWhen
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nneeded, nwe nrefer npatients nto nlocal nor nnational ndisease nsupport ngroups. nOur
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nintranet nsite nhas na nlist nof nsupport ngroups nto nrefer nto nas nwell nas ndisease nstate
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nsupport nnetworks.
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How ndo nyou ncommunicate nrights n& nresponsibilities nto nthe npatient? n- ncorrect
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nanswer-Patient nrights nand nresponsibilities nare nmailed nalong nwith nthe nwelcome
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nbooklet n(excluding nHIV npatients) nand nis nmanaged nthrough nAsembia1. nThese
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nmaterials nare navailable nin nprint non-site nand nalso nposted non nour nwebsite nfor
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npatients nwho ndo nnot nwant nto nreceive nmailing nmaterials.
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Explain nthe nprescription nintake nprocess. nAlso, nhow ndo nyou nmake nupdates nto na
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npatients nprofile? n- ncorrect nanswer-(Describe nyour nmain nresponsibilities nduring
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nprescription nintake) nand nexplain nthat nas nwe nbecome naware nof nchanges, nwe
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nupdate nthe ninformation nin nthe nappropriate nfields nin nthe ndispensing nor npatient
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nmanagement nsystems.
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What ntype nof npatient ninquiries nor nsituations ntrigger nsending nthe ncall nto nan nRPH? n-
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ncorrect nanswer-If nthe npatient nhas nany nissues nwith nthe nmedication n(adherence nor
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nside neffects), nclinical nquestions, nor nconcerns nwe nhave na npharmacist nspeak nwith
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nthem.
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What nis nthe nprocess nfor ncommunicating n& ncollecting npatient npayments? n- ncorrect
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nanswer-Since nthe nmajority nof nour nbilling nis nthrough non-line nadjudication, nwe nhave
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nthis ninformation nand ninform nthe npatient nupfront nof nall ncharges nas nmuch nas
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npossible. nWe ndiscuss nand noffer nexpress npay nwhere npayment ninformation ncan nbe
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nsafely nstored nin nthe nsystem nand nprocessed nautomatically nupon ntheir napproval.
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How ndo npatients nreceive ninformation non ntheir ndisease nand nmedication? n- ncorrect
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nanswer-We nprovide nverbal neducation nand nwritten ndrug ninformation nleaflets. nOther
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ninformation nis nmailed nto nthe npatient nin nthe nwelcome nbooklet.
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When nshould na ncare nplan nbe nimplemented nand nhow nis nit nshared nwith nanother
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nprovider nduring ntransition nof ncare nto ncommunicate npatient nissues? n- ncorrect
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nanswer-Care nplans nare ncreated nwhen nan nongoing nproblem nis nidentified nor
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nrequested nby nthe npatient nat ninitial nassessment, nrefill nreminder ncall, n6-month
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nreassessment, nand nas nneeded nduring na ntransition nof ncare. n
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The ncare nplan nis nverbally ncommunicated nto nthe npatient nor ncan nbe nprinted nto
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nshare nwith nnew nprovider nif nrequested nand nauthorized nby nthe npatient.
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