1
PTCB Pharmacy Technician Certification Exam (Latest
Update) Questions and Verified Answers
| 100% Correct | Grade A+
A Health Maintenance Organization (HMO) requires a patient to use ____ and
either recommends or requires the use of ____. - ...(ANSWERS)....in-network
pharmacies; generic drugs
Patients in a Preferred Provider Organization (PPO) can use ____. -
...(ANSWERS)....in-network or out-of-network pharmacies
The 4 parts of Medicare are: Part A (hospital insurance), Part B (medical
insurance), Part C (Medicare Advantage Plan that is private insurance), and Part D
(______________________). - ...(ANSWERS)....prescription drug insurance
What government entity runs Medicaid? - ...(ANSWERS)....state governments
When a patient presents an insurance card, the information is entered into the
computer, and a claim is sent to the insurance company for payment or rejection.
The process of the insurance company accepting or rejecting a claim is called
____. - ...(ANSWERS)....adjudication
The process in which a drug requires further review to determine if it is covered is
called ____. - ...(ANSWERS)....prior authorization
The codes used to bill different medical conditions are called ____. -
...(ANSWERS)....ICD codes
, 2
Who is contracted by insurance companies to process the claims for the insurance
company's members? - ...(ANSWERS)....PBM or Pharmacy Benefits Manager
What is a flexible spending account? - ...(ANSWERS)....an account through a
patient's employer where patients can use pre-tax dollars for medical expenses
The term used to describe the services provided by a pharmacy to patients in an
assisted living facility or a nursing home is called ____. - ...(ANSWERS)....long-
term care
Patients with more than one third-party payer will utilize this process for the
benefits of both plans to be used. - ...(ANSWERS)....coordination of benefits /
COB
The block-rate payment collected from patients for their share of the prescription
cost is called a ____. - ...(ANSWERS)....copay
Which of these is usually not found on a patient's prescription card? -
...(ANSWERS)....date of birth
Which would not be considered a dependent of the employee who purchased the
insurance? - ...(ANSWERS)....child age 27 and above, who does not have access to
other health insurance
, 3
When a provider receives payment based on the condition he or she is treating, it
is called ____. - ...(ANSWERS)....the episode-of-care approach
When do pharmacies not use ICD codes? - ...(ANSWERS)....during drug recalls
In which of these scenarios would you report information to the FDA MedWatch
website? - ...(ANSWERS)....A patient reports an unusual or dangerous side effect
from a medication.
The pharmacy manager notices that a number of alprazolam tablets are missing.
Which of these reports can be used to help determine if a pharmacy worker is
taking the tablets for unauthorized use? - ...(ANSWERS)....a diversion report
Which of these is not a benefit of using an automated dispensing cabinet such as
Pyxis, Omnicell, and MedSelect? - ...(ANSWERS)....automatic ordering of
medication
A technician using a pharmacy computer system can perform all of the following
except ____. - ...(ANSWERS)....verify a prescription is correct
What is a clinical decision support alert? - ...(ANSWERS)....an alert that the
ordered medication may interact with other medications on the patient's profile
A hospital pharmacy stores medication in the central pharmacy and in automated
dispensing cabinets on patient floors. Which report can be used to determine
PTCB Pharmacy Technician Certification Exam (Latest
Update) Questions and Verified Answers
| 100% Correct | Grade A+
A Health Maintenance Organization (HMO) requires a patient to use ____ and
either recommends or requires the use of ____. - ...(ANSWERS)....in-network
pharmacies; generic drugs
Patients in a Preferred Provider Organization (PPO) can use ____. -
...(ANSWERS)....in-network or out-of-network pharmacies
The 4 parts of Medicare are: Part A (hospital insurance), Part B (medical
insurance), Part C (Medicare Advantage Plan that is private insurance), and Part D
(______________________). - ...(ANSWERS)....prescription drug insurance
What government entity runs Medicaid? - ...(ANSWERS)....state governments
When a patient presents an insurance card, the information is entered into the
computer, and a claim is sent to the insurance company for payment or rejection.
The process of the insurance company accepting or rejecting a claim is called
____. - ...(ANSWERS)....adjudication
The process in which a drug requires further review to determine if it is covered is
called ____. - ...(ANSWERS)....prior authorization
The codes used to bill different medical conditions are called ____. -
...(ANSWERS)....ICD codes
, 2
Who is contracted by insurance companies to process the claims for the insurance
company's members? - ...(ANSWERS)....PBM or Pharmacy Benefits Manager
What is a flexible spending account? - ...(ANSWERS)....an account through a
patient's employer where patients can use pre-tax dollars for medical expenses
The term used to describe the services provided by a pharmacy to patients in an
assisted living facility or a nursing home is called ____. - ...(ANSWERS)....long-
term care
Patients with more than one third-party payer will utilize this process for the
benefits of both plans to be used. - ...(ANSWERS)....coordination of benefits /
COB
The block-rate payment collected from patients for their share of the prescription
cost is called a ____. - ...(ANSWERS)....copay
Which of these is usually not found on a patient's prescription card? -
...(ANSWERS)....date of birth
Which would not be considered a dependent of the employee who purchased the
insurance? - ...(ANSWERS)....child age 27 and above, who does not have access to
other health insurance
, 3
When a provider receives payment based on the condition he or she is treating, it
is called ____. - ...(ANSWERS)....the episode-of-care approach
When do pharmacies not use ICD codes? - ...(ANSWERS)....during drug recalls
In which of these scenarios would you report information to the FDA MedWatch
website? - ...(ANSWERS)....A patient reports an unusual or dangerous side effect
from a medication.
The pharmacy manager notices that a number of alprazolam tablets are missing.
Which of these reports can be used to help determine if a pharmacy worker is
taking the tablets for unauthorized use? - ...(ANSWERS)....a diversion report
Which of these is not a benefit of using an automated dispensing cabinet such as
Pyxis, Omnicell, and MedSelect? - ...(ANSWERS)....automatic ordering of
medication
A technician using a pharmacy computer system can perform all of the following
except ____. - ...(ANSWERS)....verify a prescription is correct
What is a clinical decision support alert? - ...(ANSWERS)....an alert that the
ordered medication may interact with other medications on the patient's profile
A hospital pharmacy stores medication in the central pharmacy and in automated
dispensing cabinets on patient floors. Which report can be used to determine
