Drop Off/clerical
Controls
Insurance/
verification faxes
Payments
Problems/patient call
100
Kenneth mails in a refill request and asks to use his visa-1234, but that number is not on file. What do we do?
What is set up refill with out payment and let it go to payment processing so a patient care coordinator can call for mop
100
When we receive a C-II and its 21 days after the written date we mail the rx back to the patient because its expired. True or False
What is True
100
How do you set up Wal-mart Associates? A. Carrier = WMS,Plan = Default B. Carrier = WMS, Plan = 0001 C. Leave Third Party info blank D. Both A and B are correct
What is B .Carrier = WMS, Plan = 0001
100
If a patient mails in a order for lisinopril which costs $49.46 and zyrtec costs $208.84, but check totals $260.00 what do we do with the $1.70 from the order?
What is post check in check ref with $260.00 rf $1.70 put amount $258.30 in amount field to match up with total patient amount in order detail screen , then do refund request in swb and log in pharmacy notes of what was done.
100
Tiyi says that she wants to go to another pharmacy to get HCTZ at a lower price, but she has filled her prescription here before: A. She needs to get another script from her doctor B. Mail the rx she filled back to her C. Advise the patient to contact her pharmacy for a transfer D. All answers are correct
What is C. Advise the patient to contact her pharmacy for a transfer
200
What information needs to be on the RX when doing clerical?
What is Name, dob, city and state and PMD (post mark date ,control needs full address ,DEA# and DPS# )
200
Nurse practionioners in Texas are authorized to write C-III and C-IV scripts at mail order for 90 day supply. True or False
What is false only for 30 days for state of Texas only and all other states need to be signed by supervisor MD with a DEA#
200
When we do not get a response from the Dr. to verify faxes we place them in the blue box? True or False
What is False ...we place all faxes in the red box if no response from dr.
200
John Frisco mailed in a refill request and request to send to alt address, bestway, but did not put method of payment, What option would you select in order detail screen and what will happen to the order?
What is select telecheck and log pharamcy notes that no mop was indicated with order and the someone in PCC department will call once the order is in Payment Processing
200
Customer request for us to contact Dr. for new RX, but the Dr never responded after the second request. What do we do to resolve this matter?
What is contact patient and inform the customer they need to contact dr and have them refax with a coversheet of the person that faxed order over.Also dr can call it in or patient can get a new RX from dr and mail it in. After the second attempt it is the customer's responsibility to get the new RX to us.
300
Customer mails in 13 new RX's what is the procedure of scanning in these prescriptions? A. make two copies of rx and scan no more than ten RX prescriptions in one order in drop off, vernad, and place barcode, today's date and initials by barcode, select address, carrier and mop and log all notes including the shipment # B. mark out the last medication on first copy and scan it in. Then second copy mark all medications except for the one that you marked out on the first copy and scan it. Customer should have two seperate orders. C. If customer mailed in more than 11 RX's customer should have two seperate orders. D. A and B E. ALL correct
What is D. A and B
300
We can accept fax control II from what states? A. Texas B. New York C. New Jersey D. All of the above E. None of the above
What is E. None of the above only can fill CIII and CIV's from the state of Texas
300
Placed an order for a Wal-mart Associate and has a method of payment on file but the price is different from last time they paid for it ,what do we do? A. Charge card and log it in pharmacy notes. B. Call customer to let them know price is different. C. Set up order and select telecheck in order detail screen. Log pharmacy notes. D. A and B
What is C. Set up order and select telecheck in order detail screen. (order will go to payment Queue.and someone in PCC will call for balance) note: Never charge card if Wal-mart Associate always select Telecheck regardless if price is same from previous
300
Recieved a payment thru mail check #123 $10.00 for order# 1234569 but when viewing order the total amount was $13.00 what can we do? A. Call customer let then know we need three more dollars in order for us to process the order. Then log pharmacy notes. B. Cancel the order and mail back check with balance letter and log Pharmacy notes. C. Release order and put ck# amount and owe in the check Ref and log pharmacy notes D. All correct
What is C. Release order (since it is under $5.00) and put ck# amount and owe in the check ref and log pharmacy notes NOTE:make sure the amt field and total patient pay matches up for the order to leave our facility otherwise it will go to payement processing for patient care to call the customer to get remaining balance.
300
Name two out of the four reason options on the Patient Call Letter why we would send it to the customer?
invalid patient name, missing the physicians name and /or phone #, signed by an NP/PAC
400
All prescriptions must have the Full address and DEA# along with the patient's date of birth. True or Fasle
What is False ...only controls
400
What does DEA stand for?
What is Drug Enforcement Agency
400
If the insurance plan is in Connexus but not in Switchboard you can set it up in section called "third party" in Patient Maintenance Screen. True or False
What is True ...FYI can set it up and ADJ order to see if order will go thru the insurance
400
Mr. Jack Frost mailed in check #155 $75.00 for ship# 7898798 $65.00 for his wife Mrs. Frost. While placing the payment you noticed that Mr. Frost had an order set up for $10.00. How would you solve and post the check to Mr. and Mrs. Jack Frost account?
What is split payment and log both accounts.
400
Recieved a New RX fax for a Jean Goodman and called to verify who faxed it in from the Dr. Office. The Dr. office said did not fax any new RX's for this customer. What is the next step or action we would take?
What is call the customer to let them know the dr office states they did not fax any new rx's to us and ask the customer if they faxed it their self. If so let them know only a dr can fax it and the customer can only mail in new RX's. At this time the customer would need to provide a way to get the New RX to us (either contact dr or mail in new RX)
500
How do you scan in an order?
What is Drop off (select order priority, vernad, barcode with date and initials above it)
500
How many refills are on a control 3,4 and 5?
What is one refill
500
Tom mailed int three RX's and one of them was a $10.00 drug and you were not sure if we take insurance, but the insurance pulls up in Connexus, how would you handle this situation? A. set up profile as cash account and log in pharmacy notes that need to verify insurance before sending out and put it in the blue box/problems to contact insurance company or customer. B. Set up the profile and send the $10.00 drug out as cash price and put the other three RX's on hold and contact customer to verify insurance or want to pay cash? C. Place all three RX's in an order with insurance and if we don't take that insurance order will go to troubleshoot queue to be worked on. D. A and C
What is D. A and C both can be correct
500
When posting a check to a order what information needs to be on the check?
What is vernad,your initials/date and circle or put name of customer on check
500
What is eligible queue?
What is when a RX is scanned in and it is not eligible to read or there is an error on RX (clerical, type, etc...)
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