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Pharmacy Tech Actual Exam | Questions Solved 100% Correc
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Pharmacy Tech Actual Exam | QuestionsSolved 100% Correct
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. This is called ____
adjudication
claim resolution
prior authorization
claim review - ✔adjudication
Codes used to bill different medical conditions or procedures are called
med codes or diagnosis codes
diagnosis codes
med codes
ICD codes - ✔ICD codes
Who is contracted by insurance compares to process the claims for the insurance
company's members?
,the pharmacy
the PPO
the HMO
the PBM - ✔the PBM
What is a flexible spending account?
an account through the federal government where patients can use pre tax dollars for
medical expenses
an account through the federal government where patients can use after-tax dollars for
medical expenses
an account through a patient's employer where patients can use after-tax dollars for medical
expenses
an account through a patient's employer where patients can use pre-tax dollars for medical
expenses - ✔an account through a patient's employer where patients can use pre-tax
dollars for medical expenses
when a provider receives payment based on the condition he or she is treating, it is called
fee-for-service
self-pay
medicare
the episode-of-care approach - ✔the episode-of-care approach
when do pharmacy NOT use ICD codes?
,prior authorization
when a claim is rejected because of missing code
when a drug is covered only for a specific reason
during drug recalls - ✔during drug recalls
what dosing instruction is consistent with enteral medication administration?
swallow
apply
inject
inhale - ✔swallow
what dosing instruction is consistent with parental medication administrations?
swallow
apply
rectal
sublingual - ✔apply
What source should be used to determine therapeutic equivalence?
facts and comparisons
federal register
, orange book
lexi-comp - ✔orange book
which dosage form is to be shaken well prior to administration?
oral solution
topical paste
insulin vial
otic suspension - ✔otic suspension
what is an example of an acute medical condition?
diabetes
pneumonia
hypertension
Crohn's disease - ✔pneumonia
what is an example of chronic medical condition
diabetes
pneumonia
flu
asthma attack - ✔diabetes
What is a common side effect of diphenhydramine?
neuropathic pain
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