Washington MPJE Final Exam Test Bank 1 Newest
/Washington MPJE Final Exam Preparation /
Washington MPJE Practice Exam With 400 Complete
Questions And Correct Detailed Answers |Already
Graded A+|Brand New Version!!
Offer to Counsel - answer-;Rules set by states: most require pharmacist to offer each patient a chance to
discuss their drug therapy, generally must document refusal to be counseled
Significant items
-Name and description of medication
-Dosage form, dose, route, duration of therapy
-Special directions for preparation, administration, or use by patient
-Common severe side effects, adverse effects, interactions, or contraindications that the patient can
detect and deal with
-Self-monitoring techniques
-Storage and refill information
-What to do if a dose is missed
Washington State Rules - answer-;Patient Medication Record Systems - WAC 246-875-020
-All OBRA requirements except age and telephone number
Drug Use Review - WAC 246-875-040
-New and refill prescriptions must be screened
Patient Counseling Required - WAC 246-869-220
Patient Counseling Required - WAC 246-869-220 - answer-;No "offer to counsel" -- must counsel
,Shall "directly counsel" patient
-If delivered, must offer in writing to provide direct counseling and information about the drug, including
how to contact the pharmacist
Focus is on counseling patient
Judgment used to determine amount of counseling:
-Reasonable and necessary under the circumstances
-Promote safe and effective administration of drug
-Facilitate an appropriate therapeutic outcome for the patient
All prescriptions except where medication is to be administered by a licensed health professional
authorized to administer drugs
Recent Commission "policy" is to counsel on all new prescriptions, and on refills when necessary
Documentation of Counseling Not Required in WA - answer-;Washington does not require
documentation of counseling
Washington does not require documentation when counseling is refused
-It is highly recommended that the pharmacist document refusal to be counseled to protect the
pharmacist/pharmacy in case of lawsuit but the law does not require documentation
National Provider Identifier - required by HIPAA - answer-;Covered providers (45 CFR 162.402-414)
-Individuals, e.g., physicians, nurses, dentists, pharmacists, physical therapists
-Organizations, e.g., hospitals, laboratories, ambulance companies, HMOs, pharmacies
Must obtain NPI within 30 days of licensure (or update your information)
Implemented on-line, National Plan & Provider Enumeration System (NPPES):
http://nppes.cms.hhs.gov/
Make changes to license status, address, etc., within 30 days, on-line.
Privacy Rule (45 CFR Parts 160, 164) - answer-;Protected health information (PHI) is that which relates to
health condition (past, present, future) and identifies the patient (45 CFR § 164.501)
May be used for treatment, payment, and health care operations (TPHCO)
Consent not required to use information for TPHCO
,Notice of Privacy Practices must be provided
Must obtain permission to use information for marketing, research, etc.
May share data that is "de-identified"
Stricter state laws must be followed
Business associates must assure compliance with rules
Consent from minors is subject to state law
Examples of Treatment regarding TPHCO - answer-;Processing prescriptions and dispensing drugs
Maintaining and reviewing patient profile
Consulting with prescribers relative to the patient's care
Providing emergency information necessary for the patient's care
Consulting with patient or caregiver regarding the patient's medications
Transferring refill information to other pharmacies
Examples of Payment regarding TPHCO - answer-;Determining eligibility or coverage
Preauthorization, utilization review
Billing 3rd party payers, justification of charges
Collecting payment from the patient, or collecting past-due charge accounts
Providing certain information to consumer reporting agencies
Transmitting credit card charges
Refunding charges
Examples of Health Care Operations regarding TPHCO - answer-;Quality assurance within operation
Quality assurance activities with external organizations
Contacting providers or patients with information on treatment alternatives and related functions that
do not include treatment
Medical review, legal services, auditing, and fraud and abuse detection
Employee training and development
Complying with regulatory agencies and complying with HIPAA
, Inventory control and planning
Minimum Necessary Data Set regarding TPHCO - answer-;When disclosing information to another
covered entity, must disclose only such information as is necessary for the transaction involved
The requesting party must specify the requested data elements
-A payer, for example, might limit the information requested to the prescription number, NDC, and
patient's date of birth; if the pharmacy provides more than this it is in violation
Deidentified Information - answer-;If the following identifiers are removed, the remaining data is by
definition "deidentified" and not subject to privacy rules:
Remove
-Name
-Address
-ZIP
-City
-DOB
-Admission date
-Discharge date
-Age
-Telephone number
-Fax number
-Electronic mail address
-Social security numbers
-Medical record numbers
-Vehicle identification numbers
-Pictures
Notice of Privacy Practices
(NOPP) - answer-;Advises patients that you will use their PHI for TPHCO
-Spells out what that means in your operation
/Washington MPJE Final Exam Preparation /
Washington MPJE Practice Exam With 400 Complete
Questions And Correct Detailed Answers |Already
Graded A+|Brand New Version!!
Offer to Counsel - answer-;Rules set by states: most require pharmacist to offer each patient a chance to
discuss their drug therapy, generally must document refusal to be counseled
Significant items
-Name and description of medication
-Dosage form, dose, route, duration of therapy
-Special directions for preparation, administration, or use by patient
-Common severe side effects, adverse effects, interactions, or contraindications that the patient can
detect and deal with
-Self-monitoring techniques
-Storage and refill information
-What to do if a dose is missed
Washington State Rules - answer-;Patient Medication Record Systems - WAC 246-875-020
-All OBRA requirements except age and telephone number
Drug Use Review - WAC 246-875-040
-New and refill prescriptions must be screened
Patient Counseling Required - WAC 246-869-220
Patient Counseling Required - WAC 246-869-220 - answer-;No "offer to counsel" -- must counsel
,Shall "directly counsel" patient
-If delivered, must offer in writing to provide direct counseling and information about the drug, including
how to contact the pharmacist
Focus is on counseling patient
Judgment used to determine amount of counseling:
-Reasonable and necessary under the circumstances
-Promote safe and effective administration of drug
-Facilitate an appropriate therapeutic outcome for the patient
All prescriptions except where medication is to be administered by a licensed health professional
authorized to administer drugs
Recent Commission "policy" is to counsel on all new prescriptions, and on refills when necessary
Documentation of Counseling Not Required in WA - answer-;Washington does not require
documentation of counseling
Washington does not require documentation when counseling is refused
-It is highly recommended that the pharmacist document refusal to be counseled to protect the
pharmacist/pharmacy in case of lawsuit but the law does not require documentation
National Provider Identifier - required by HIPAA - answer-;Covered providers (45 CFR 162.402-414)
-Individuals, e.g., physicians, nurses, dentists, pharmacists, physical therapists
-Organizations, e.g., hospitals, laboratories, ambulance companies, HMOs, pharmacies
Must obtain NPI within 30 days of licensure (or update your information)
Implemented on-line, National Plan & Provider Enumeration System (NPPES):
http://nppes.cms.hhs.gov/
Make changes to license status, address, etc., within 30 days, on-line.
Privacy Rule (45 CFR Parts 160, 164) - answer-;Protected health information (PHI) is that which relates to
health condition (past, present, future) and identifies the patient (45 CFR § 164.501)
May be used for treatment, payment, and health care operations (TPHCO)
Consent not required to use information for TPHCO
,Notice of Privacy Practices must be provided
Must obtain permission to use information for marketing, research, etc.
May share data that is "de-identified"
Stricter state laws must be followed
Business associates must assure compliance with rules
Consent from minors is subject to state law
Examples of Treatment regarding TPHCO - answer-;Processing prescriptions and dispensing drugs
Maintaining and reviewing patient profile
Consulting with prescribers relative to the patient's care
Providing emergency information necessary for the patient's care
Consulting with patient or caregiver regarding the patient's medications
Transferring refill information to other pharmacies
Examples of Payment regarding TPHCO - answer-;Determining eligibility or coverage
Preauthorization, utilization review
Billing 3rd party payers, justification of charges
Collecting payment from the patient, or collecting past-due charge accounts
Providing certain information to consumer reporting agencies
Transmitting credit card charges
Refunding charges
Examples of Health Care Operations regarding TPHCO - answer-;Quality assurance within operation
Quality assurance activities with external organizations
Contacting providers or patients with information on treatment alternatives and related functions that
do not include treatment
Medical review, legal services, auditing, and fraud and abuse detection
Employee training and development
Complying with regulatory agencies and complying with HIPAA
, Inventory control and planning
Minimum Necessary Data Set regarding TPHCO - answer-;When disclosing information to another
covered entity, must disclose only such information as is necessary for the transaction involved
The requesting party must specify the requested data elements
-A payer, for example, might limit the information requested to the prescription number, NDC, and
patient's date of birth; if the pharmacy provides more than this it is in violation
Deidentified Information - answer-;If the following identifiers are removed, the remaining data is by
definition "deidentified" and not subject to privacy rules:
Remove
-Name
-Address
-ZIP
-City
-DOB
-Admission date
-Discharge date
-Age
-Telephone number
-Fax number
-Electronic mail address
-Social security numbers
-Medical record numbers
-Vehicle identification numbers
-Pictures
Notice of Privacy Practices
(NOPP) - answer-;Advises patients that you will use their PHI for TPHCO
-Spells out what that means in your operation
