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Exam (elaborations)

CVS Pharmacy Technician Exam 2023 with Verified Answers (Graded A)

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CVS does not currently bill Medicare part b for? - ANSWER--Continuous glucose monitors -nebulizers Medicare part B claims are adjudicated in a/an manner - ANSWER-Non-real time Beneficiaries are responsible for _____ of prescription costs after their yearly deductible has been met. - ANSWER-20% when is a supplier standards form required to be provided to thee beneficiary? - ANSWER--When requested by the beneficiary on their authorized representative -upon the fist fill (i.e, fill 00) AOB forms must be collected every time a beneficiary fills a Medicare part B prescription at any cvs location - ANSWER-False failure to report the correct insulin dependence indication, or procedure modifier code, may be considered waste under medicare's fraud, waste and abuse regulations. - ANSWER-true if the group ID of TPPC 22345 is populated with a state abbreviation and medicaid ID or a COBA ID, this will result in a claim bing auto-crossed - ANSWER-true beneficiary owned equipment information prompt must be completed on dts and respiratory products to remain compliant with medicare part b billing guidelines and to avoid denials - ANSWER-true What s thee purpose of the assignment of benefts form - ANSWER-authorize CVS pharmacy to b ill medicare for payment and serves as a medical release authorization medicare standard utilization guidelines for diabetic testing supplies are as follow - ANSWER--for insulin dependent, max testing 3x a day -for non-insulin dependent, max 1x a day when is insulin covered by medicare part B - ANSWER-when administered via a pump medicare part D and Medicare part B may be billed for the same item - ANSWER-false which date does medicare consider thee date of service, which drives refill too soon rejections? - ANSWER-POS sold date the beneficiary is concerned the amount due at pos is too high for their medicare part B covered item. - ANSWER-all 3 -advise the patient their deductible and coinsurances must b collected at POS per medical guidelines. -only sequence valid plan on the medicare part B clam according to coordination of benefit guidelines -if the patient has an active medigap/supplemental c,g, or J plan that covers their deductible, call omniSY

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Institution
CVS Pharmacy Technician
Course
CVS Pharmacy Technician

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Uploaded on
February 24, 2023
Number of pages
2
Written in
2022/2023
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

  • cvs pharmacy technician
  • benefi

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CVS Pharmacy Technician Exam 2023 with Verified Answers (Graded A)
CVS does not currently bill Medicare part b for? - ANSWER--Continuous glucose monitors -nebulizers
Medicare part B claims are adjudicated in a/an manner - ANSWER-Non-real time
Beneficiaries are responsible for _____ of prescription costs after their yearly deductible
has been met. - ANSWER-20%
when is a supplier standards form required to be provided to thee beneficiary? - ANSWER--When requested by the beneficiary on their authorized representative
-upon the fist fill (i.e, fill 00)
AOB forms must be collected every time a beneficiary fills a Medicare part B prescription at any cvs location - ANSWER-False
failure to report the correct insulin dependence indication, or procedure modifier code, may be considered waste under medicare's fraud, waste and abuse regulations. - ANSWER-true
if the group ID of TPPC 22345 is populated with a state abbreviation and medicaid ID or
a COBA ID, this will result in a claim bing auto-crossed - ANSWER-true
beneficiary owned equipment information prompt must be completed on dts and respiratory products to remain compliant with medicare part b billing guidelines and to avoid denials - ANSWER-true
What s thee purpose of the assignment of benefts form - ANSWER-authorize CVS pharmacy to b ill medicare for payment and serves as a medical release authorization
medicare standard utilization guidelines for diabetic testing supplies are as follow - ANSWER--for insulin dependent, max testing 3x a day
-for non-insulin dependent, max 1x a day
when is insulin covered by medicare part B - ANSWER-when administered via a pump
medicare part D and Medicare part B may be billed for the same item - ANSWER-false
which date does medicare consider thee date of service, which drives refill too soon rejections? - ANSWER-POS sold date

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