TBLs and Lectures

Question 1

can a licensed PA write a standing order in NYS for pharmacists to immunize (for anyone)

Answer 1

No, only MD or NP. If it is for one patient, then PA can also write it

Question 2

Which vaccine can a pharmacist NOT give in NYS

1. influenza to 6 yo
2. pneumo for 58 yo
3. rabies for 19 yo
4. hepatitis to 22 yo
5. all are allowed

Answer 2

no rabies!

Question 3

can a pharm tech vaccinate an 11 yo for covid

Answer 3

nope

Question 4

immunization records must be kept for _______ years per NYS law

Answer 4

5 years, medicaid is 6 years, medicare is 10 years

Question 5

when can a pharm tech compound a med

Answer 5

in outpatient pharmacy owned by hospital

Question 6

what is the NYS ratio of registered pharm techs : pharmacist

Answer 6

4:1

Question 7

registered pharm techs must be _______ years old

Answer 7

18

Question 8

can a certified pharm tech reconstitute an antibiotic in a community pharmacy

Answer 8

NO

Question 9

which are hipaa violations if you need more information for a script
1. announcing a patient needs to come back to pharmacy for their rx over speakers
2. if you have phone #, then you can call them to come back to the pharmacy for the rx or leave a msg in their voicemail

Answer 9

both!

Question 10

if a person comes in to pick up for their neighbor who lives alone w no phone # and cannot leave the house, what can you do
1. counsel neighbor?
2. only give patient the rx?
3. only give to neighbor if they show ID

Answer 10

you can fill the rx AND counsel the neighbor

Question 11

can u look up shakiras profile at the hospital

Answer 11

no! do not shake those hips unless she gives you permission!

Question 12

SPongebob is head of household for his wife sandy and their squirrel sponge kids. Can you give the kids under 18 and sandys med lists to spongebob

Answer 12

no, you can mail them tho to address on record

Question 13

erie county DOH gives u a ring and asks for all covid and flu shots given so far. How do u hand over the info? (consider emergency)

Answer 13

you can hand over information you either identified or de-identified, if not emergency, then need warrant

Question 14

the administrator for a nursing home you jusut signed a contract with wants a silly little discount on pharmacy MERCH. Is this ok? If not what does it violate

Answer 14

NO, violates medicaid section 515.2 and u shall not oblige!`

Question 15

Which are NYS False Claims Act violations
1. billing for non-existent RX
2. rph makes up patients njury to bill NYS compensaton claim
3. billing medicaid for first shingles shot when they have not received the second
4. offering same employee discount to employees of a nursing home you vendor

Answer 15

1,2,4

Question 16

lets play, is it fraud?

1. rx for crestor #30, you only have #20 (no!), you tell patient you will have balance in 3 days and bill medicaid tonight
2. rx for lipitor 20mg #30, 5 RF. Pt requests 60 bc theyre going to ur moms house on vacay, you bill medicaid for 30 today and for 30 27 days later
   3.medicaid underpays a pharmacy and it is not self-disclosed to the Office of NYS Inspsector General
3. ONYSrx for #30 lipitor 20mg, yo bill medicaid for #10 at a time

Answer 16

1. FRAUDDD
2. 10000% fraud
3. not fraud, only have to report if medicaid OVERPAYS you
4. F R A U D

Question 17

define qui tam

Answer 17

in hiring a lawyer, an employee of yours acts as a whistleblowerrrrrrr against you for false claims act (basically whistleblowing)

Question 18

Case: a case is brought against your employer, james bond, for coding up claims for patients in a nursing home, booooo. What acts are associated with this case?
1. Federal False Claims Act
2. Lanham Act
3. NYS false Claims Act
4. Social Security Act
5. Medicare Part D

Answer 18

all except Lanham which protects the owner of a federally registered mark against the use of similar marks if such use is likely to result in consumer confusion (the little TM we see next to brands essentially)

Question 19

wind blows dumpster open and paperwork is lost into the woods. What do yo do

Answer 19

We dont know how many patients it is for and you report it to HHS within 60 days of the incident and show it on public news at the same time

Question 20

dumpster blows over and it is for <500

Answer 20

send letter to people within 60 days and report to HHS within 60 days of the end of the year

Question 21

registered vs certified pharm tech?

Answer 21

certified = passes the exam (CPTB or NHA) registered techs are one step further and are registered to NYS = work in hospital or pharmacies owned by hospital

Question 22

What is EPT, is it covered?

Answer 22

expedited partner treatment for chlamydia gonorrhea and trich. It goes under patients name but can be under partners insurance. If under partners insurance, needs to go under partners name and isnt anonymous

Question 23

false claims act

Answer 23

combats healthcare fraud, mainly medicare and medicaid billing fraud

Question 24

fraud enforcement and recovery act

Answer 24

increases funding for federal financial fraud enforcement and expands liability under false claims act

Question 25

affordable care act

Answer 25

tough rules and sentencing for criminals, enhanced screening, new resources to slow spending in medicare and medicaid. Gives states an additional 10% of damages recovered

Question 26

deficit reduction act

Answer 26

establish liability to the state for false or fraudulent claims and awards qui tam

Question 27

Marijuana regulation and taxation act

Answer 27

allows people to grow weed in their home

Question 28

what is the one FDA approved CBD product

Answer 28

epidiolex

Question 29

cannabinoid limit in food/beverage

Answer 29

25mg per individually packaged product, no more than 75mg per individual serving

Question 30

age and plants per person if growing at home

Answer 30

> 21 and 6 plants per person, max of 12 plants total regardless of # people in house

Question 31

what is tax % on medical marijuana

Answer 31

7%