Third-Party Billing, Reimbursement, and Inventory Management Part 8

Question 1

if a generic medication is ordered and is shorted, the only option available may be the brand. This is usually more ____ and can require special shipping direct from the manufacturer, which incurs additional time and costs

Answer 1

expensive

Question 2

The steps in the DUE process include the following:

Answer 2

1. Assign responsibility and obtain administrative approval to conduct DU—performed by the P&T committee
2. Delineate scope of drug usage within the organization—review of drug literature and clinical practice guidelines
3. Identify specific drugs that should be monitored and evaluated—identify high risk, high usage, or high cost drugs
4. Identify indicators—develop criteria for a drug to be used
5. Establish thresholds—establish the limits for optimal use of a drug
6. Collect and organize data
7. Evaluate drug use
8. Performs actions from information gathered to improve drug usage
9. Communicate the findings and improvements to the appropriate responsible parties.