Exam 1 PHM 110 Questions With Complete Solutions
A copayment is best defined as a(n) Correct Answers flat out-
of-pocket fee for each service provided.
A PBM is best described as a(n) Correct Answers processor of
claims.
A prior authorization or PA is best described to the patient as a
situation in which Correct Answers insurance requires the
prescriber to justify the need for a particular drug.
A rejection of a past prescription drug claim is called a(n)
Correct Answers charge-back.
alternative medicineq` Correct Answers non-conventional.
treatments
coverage for injuries on the job Correct Answers workers'
comp
coverage for military personnel and their families Correct
Answers Tricare
covers 80% of hospital costs for individuals over 65 years old
Correct Answers medicare part a
covers diabetic test kit costs for individuals over 65 years old
Correct Answers medicare part b
, covers out-of-pocket costs as tax deductible Correct Answers
HSAs
Diabetic supplies for seniors are covered under Medicare Part
Correct Answers B
drug coverage for individuals over 65 years old Correct
Answers medicare part d
emphasize preventative care Correct Answers HMO
ensure Correct Answers protein and calorie supplement
For patients with "dual eligible" insurance, the drug claim must
be processed as a Correct Answers coordination of benefits.
For young, healthy patients, which is the lowest cost plan in a
health exchange? Correct Answers bronze
homeopathy Correct Answers "like cures like"
philosophy
hospital, doctor visit, and drug coverage for individuals over 65
years old Correct Answers medicare part c
If a patient is prescribed gabapentin 300 mg po tid #270, what
would you record as the days' supply? Correct Answers 90
days
A copayment is best defined as a(n) Correct Answers flat out-
of-pocket fee for each service provided.
A PBM is best described as a(n) Correct Answers processor of
claims.
A prior authorization or PA is best described to the patient as a
situation in which Correct Answers insurance requires the
prescriber to justify the need for a particular drug.
A rejection of a past prescription drug claim is called a(n)
Correct Answers charge-back.
alternative medicineq` Correct Answers non-conventional.
treatments
coverage for injuries on the job Correct Answers workers'
comp
coverage for military personnel and their families Correct
Answers Tricare
covers 80% of hospital costs for individuals over 65 years old
Correct Answers medicare part a
covers diabetic test kit costs for individuals over 65 years old
Correct Answers medicare part b
, covers out-of-pocket costs as tax deductible Correct Answers
HSAs
Diabetic supplies for seniors are covered under Medicare Part
Correct Answers B
drug coverage for individuals over 65 years old Correct
Answers medicare part d
emphasize preventative care Correct Answers HMO
ensure Correct Answers protein and calorie supplement
For patients with "dual eligible" insurance, the drug claim must
be processed as a Correct Answers coordination of benefits.
For young, healthy patients, which is the lowest cost plan in a
health exchange? Correct Answers bronze
homeopathy Correct Answers "like cures like"
philosophy
hospital, doctor visit, and drug coverage for individuals over 65
years old Correct Answers medicare part c
If a patient is prescribed gabapentin 300 mg po tid #270, what
would you record as the days' supply? Correct Answers 90
days
