Team info
Idle time should be under this percent
what is 20%
When doing a re-write, what is the first thing you need to do?
What is making sure the claim has not been processed and if it has reversing it.
What is the first thing you need to verify before starting an entry?
What are the patient demographics. This is where we see if there is a duplicate account.
where do we look for out of stock supplies or medications
What is under CIT drug & supply list -notes of some that have been OOS forever and the link to the sharepoint page which is updated all day, so we should be checking this constantly during entry as the day moves on
Before generating supplies for meds we should look where to make sure they are right?
What is OneNote under that specific drug for quantity, refills and MD.
Newsletter acknowledgements must be checked off here
what is the Quality Tool box
True or False: when creating an rx request, you can assume all of the information you added previously is correct
FALSE: you should treat each new rx request as a brand new script and double check EVERYTHING
TRUE or FALSE: putting first attempt, second attempt final attempt is a VALID note to be left on the profile.
FALSE: leaving a detailed message on what you did is the best practice for effective workflow, examples are under PGH COE-Contact MD tab
What is the cadence for New York prescribers when full orders are needed?
What is CALL, CALL, CALL
For Vivitrol/Sublocade, if the address is different on the rx what should be done?
What is add it to the address under other address and add it there, then generate
Where do you go to view if a New York Prescription is a valid fax?
what is Team info--New York State Prescriptions
TRUE or FALSE: On a Mavenclad prescription, we can assume the dr picked the correct dosing and do not need to verify it.
FALSE: all weight based dosing should be double checked for accuracy and sent to clarification or RPH review if they are inaccurate.
What is the first thing you do when you move something from entry to clarifications?
What is go in and make the first attempt.
TRUE or FALSE: we don't need to look at the excel document CIT supply list if we know it by heart.
FALSE: you should have it open with every entry, there is no need to remember anything when it is readily available, that's how mistakes happen
When is an actual prescription required for a sterile water for an Arcalyst?
When its on an erx or fax that is not an enrollment form stating that it can be dispensed
Calls must be checked and acknowledged weekly here
what is Mattersight
What is the main priority when working inbox?
Completing emails especially urgent orders, if more than 1 or 2 full orders get emailed, PLEASE ASK FOR HELP, everyone is trained.
TRUE or FALSE: When working clarifications or Contact MD, we can assume after 5pm that we can't get ahold of anyone?
False-a detailed voicemail counts as a valid attempt and can be made after the prescriber may or may not be out of the office. ONLY if you reach an on call or if there is no voicemail option (rare) should you push that out for the next day.
TRUE or FALSE: we can save the supply list to our computer and use that daily.
FALSE: the supply list should always be open from one note, since it changes often, that is where the most current one will always be
TRUE or FALSE: When we are assigned Clarifications/Entry, we can just move to entry if we don't want to work clarifications.
FALSE: the clarification queue needs to be cleared out completely to prevent aged clarifications before entry can be worked.
What category drugs do we handle for all patients including Carelon?
What is LDD or limited distributed drugs
How do you determine if an SPC is not a valid rx?
What is, when you click on FULL RX RECORD and it has a watermark over it stating "NOT A VLAID PRESCRIPTION-DO NOT DISPENSE"
After making the first attempt on a clarification, what is the NEXT CRUCIAL step to ensure proper workflow?
What is going back into the clarification, putting in your attempt number and notes and PUTTING IN THE FOLLOW-UP DATE.
For an NPE Ocrevus with no history or pump sheet, should the directions follow the pre-defined sig or leave it how the ERX states?
Leave the ERX as stated, do not add any other directions if not stated.
When updating ICD-10 codes, which code can be removed if there?
What is R69?