Correct answers latest update
What does a Health maintenance Organization (HMO) require patients to use?
a) out of network pharmacies
b) in network pharmacies
c) in network pharmacies and generic drugs
d)generic drugs
in network pharmacies and generic drugs
Patients in a Preferred Provider Organization (PPO) can use ________
a) mail order pharmacies only
b) in network or out of network pharmacies
c) out of network pharmacies only
d) in network pharmacies only
in network or out of network pharmacies
How many parts of medicare are there?
1
2
3
4
4
What government entity runs Medicaid?
federal government
FDA
Centers for medicare and medicaid services
State governments
state governments
Who is eligible to use TRICARE government-sponsored health plan?
federal employees
military personnel and veterans
state employees
anyone
military personnel and veterans
Which statement about enoxaparin is true?
it must not be given intramuscularly
it is monitored with the activated partial thromboplastin time
it can be safely given with heparin
it has the same dosing as dalteparin
it must not be given intramuscularly
,Which of the following medications requires a child-resistant bottle?
cholestyramine powder
nitroglycerin capsules
sublingual nitroglycerin tablets
pancrelipase
nitroglycerin capsules
Generic name for skelaxin?
Metaxalone
Metoclopramide
Metolazone
Moexipril
metaxalone
What is lupus?
A drug used to treat prostate cancer
A skin disorder characterized by itchy, scaly rashes
A disorder characterized by a "butterfly" rash, joint pain, and kidney problems
Painful and swollen joints, often in the hands and fingers
A disorder characterized by a "butterfly" rash, joint pain, and kidney problems
What is the correct meaning of HFA in albuterol HFA and fluticasone HFA?
High-frequency aerosol
Hydrofluoroalkane
Hypertonic fluid airway
Hope for asthma
hydrofluoroalkane
the prefix hypo- means
Under
Before
Above
Both
under
When a worker is injured, which program may provide medical and prescription benefits to qualified
workers?
PPO
workers' compensation
no specific program
HMO
workers' compensation
, 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