PTCB - PHARMACY BILLING AND
REIMBURSEMENT QUESTIONS WITH
100% CORRECT ANSWERS { GRADED
A+}
medicare advantage (medicare part C) - ✔✔allows participants in
Medicare Part A and B to obtain coverage through a Health Maintenance
Organization or Preferred Provider Organization that provides additional
services at a higher cost.
medicare part A - ✔✔a federally funded health care program that pays
for a patient's inpatient hospital care, skilled nursing care, hospice care,
and home health care
, medicare part B - ✔✔a federally funded health care program that
provides a patient with coverage for physician visits, outpatient care,
physical therapy, and occupational therapy.
medicare part D - ✔✔a federally funded health care program that
provides a patient with coverage for select prescription medications,
medical supplies, insulin, and vaccinations.
Medicaid - ✔✔a federal program based on income as well as other
circumstances. eligibility is determined on a month by month basis. it
generally covers doctors visits, emergency care, hospital care,
vaccinations, prescriptions, vision, hearing, and preventative care for
children
average wholesale price - ✔✔the average price that wholesalers sell a
medication
actual acquisition cost - ✔✔actual cost a pharmacy paid for a
medication
REIMBURSEMENT QUESTIONS WITH
100% CORRECT ANSWERS { GRADED
A+}
medicare advantage (medicare part C) - ✔✔allows participants in
Medicare Part A and B to obtain coverage through a Health Maintenance
Organization or Preferred Provider Organization that provides additional
services at a higher cost.
medicare part A - ✔✔a federally funded health care program that pays
for a patient's inpatient hospital care, skilled nursing care, hospice care,
and home health care
, medicare part B - ✔✔a federally funded health care program that
provides a patient with coverage for physician visits, outpatient care,
physical therapy, and occupational therapy.
medicare part D - ✔✔a federally funded health care program that
provides a patient with coverage for select prescription medications,
medical supplies, insulin, and vaccinations.
Medicaid - ✔✔a federal program based on income as well as other
circumstances. eligibility is determined on a month by month basis. it
generally covers doctors visits, emergency care, hospital care,
vaccinations, prescriptions, vision, hearing, and preventative care for
children
average wholesale price - ✔✔the average price that wholesalers sell a
medication
actual acquisition cost - ✔✔actual cost a pharmacy paid for a
medication
