Quiz 24

Question 1

Patient Profiles

Answer 1

List of all patient demographic, prescriptions, This feature is helpful in counseling and suspected drug abuse.

Question 2

Pricing

Answer 2

The computer uses a pre-determine formula to calculate prescription pricing.

Question 3

Labels

Answer 3

The computer prints computer labels.

Question 4

Refills

Answer 4

The computer keeps track of allowable and remaining refills.

Question 5

Allergies

Answer 5

The computer can alert the pharmacy personnel that a patient is allergic to a prescribed drug. (allergies info must be entered to be affective)

Question 6

Interactions

Answer 6

The computer alerts pharmacy personnel there is a potential interaction between drugs the patient is taking.

Question 7

Third-Party Billing

Answer 7

The computer can bill, determine copay amounts, receive messages and rejections from the third party billing company, along with denial reasons, if claim cannot be resolve the patient must pay the full price

Question 8

Reason for rejections

Answer 8

• Drug not covered
• Excessive quantity
• Refill to soon
• Pt not covered
• MD not covered
• Wrong or incomplete info on pt, drug, or MD

Question 9

Different types of copays

Answer 9

• Flat Fee, One Price for brand, One price for generic (tiering)
• Co-pay based on the cost of the drug (the more expensive the drug, the higher the copay)
• No co-pay, very few ins. co. have no-copay.

Question 10

Prescription Log

Answer 10

Daily report that complies info about the prescriptions filled daily. Includes number of Rxs, may separate controlled and regular Rx. The law requires the pharmacist sign this report each day.

Question 11

Financial Report

Answer 11

Helps corporate org assess the operation of the pharmacy and make management decisions.

Question 12

Drug Utilization Report

Answer 12

Determine the quantity of drugs used in the pharmacy.

Question 13

Third Party Report

Answer 13

Shows submitted to third party claim, those paid and those rejected.

Question 14

Smart Terminal

Answer 14

has it own storage and processing capabilities

Question 15

Dumb Terminal

Answer 15

does not have it’s own storage

Question 16

DBMS

Answer 16

Database Management System; a software program that includes patient profile, MD database, pharmacy drug inventory.

Question 17

Remote computer

Answer 17

Often a minicomputer or a mainframe at a company headquarters or home office.

Question 18

Different files

Answer 18

Prescription 
Invoice 
Reports
Policy and procedure
Information