SelectRx Policy
SIG Codes
Insurance Rejections
Pioneer/Cycle
Fills
100
How early can you clock in before your scheduled shift?
5 Minutes
100
True or False
Any part of the SIG that needs to be communicated to the patient but does not affect administration time needs to be placed in brackets
True
100
Describe the next steps that are taken for this insurance rejection?
Time Stamp & add the note in the Rx critical comments
Future fill the medication for the date the insurance will pay
100
What is the typical day supply for medication boxes sent by Select Rx?
30 Day Supply
100
When should a medication be future filled?
If the medications RTS date is after the must go date.
200
According to the attendance policy, the days/time you miss are called what by your supervisors?
Occurrences
200
What are the correct default times for a medication that is taken TID?
9AM-1PM-5PM
200
What are the following steps for a medication needing a Prior Authorization?
Start PA if necessary.
Add a note to the RX Critical Comment with PA Key
200
What are some ways to search for a patient in Pioneer?
By Patients Name, Date of Birth or RX number.
200
How many days do we hold for a missing refill or refill too soon?
Until the must go date
300
For childcare, what is the company policy?
You are responsible to set up childcare. Working remotely isn't a replacement for full/part time childcare
300
What is the Sig code for
Take one tablet twice daily?
T1T PO BID @ 9AM-5PM
300
How would you correct the following rejection?
Resubmit the claim.
300
WHAT MEDICATIONS SHOULD BE REMOVED (EXCLUDED ALWAYS)FROM THE MAR?
Bulk, Vials, and ORIG medications.
300
What workflow status do you mark a patient that has a RTS before the must go date?
DE Issue- With RTS date in workflow notes
400
It is ok to have others who live in your home seen & heard on camera, as long as your Supervisor/Trainer doesn't mind. True or False?
FALSE!! No one other than you living in the home should be seen or heard. You need to have your workspace designated to an area where there are no distractions!
400
What is the correct sig code for the following directions: Take two tablets at bedtime as needed
{VIAL} T2T PO PRN [AT BEDTIME]
400
What actions are taken for for following insurance rejection?
Go back to the dispense tab and change the Pharmacist and resubmit the claim.
400
If an RX Status is Purple and the workflow status is Completed- Delivered what is the next step?
Refill any cycle meds that have quantity remaining
400
What do we do if a patient's entire profile is "Refill too soon" ?
Change cycle date- 12 days from the earliest refill too soon date
500
Why is it important & mandatory for trainee’s to have your camera on during training?
It is mandatory to have your camera on so that we know you are paying attention, interacting with the class & present. (Plus, we like to see your smiling faces!)
500
What is the correct sig code for the following directions: Take 2 tablets by mouth every 6 hours as needed
{VIAL} T2T PO Q6H PRN
500
What are actions are take for the following rejection?
Remove any ICD 10 codes and resubmit the claim
500
Where is the Legend located and what is it used for?
A clear way to distinguish between types of prescriptions within a patient's Rx Profile.
500
What are some types of RX blocks?
High copay, hazardous/control block, RPH review, A/R Hold