Final Review

WE

100

Why do Hub Representatives call us if they already have the information they need?

Hub Representatives call to verify the information.

200

Can anyone recall where we can see what stage a referral is in?

Orders/Referrals tab

300

Are we able to schedule deliveries for medications handled by REMS? True or False

False.

400

When searching for a provider the best practice is to use the NPI number. True or False

True

500

What does table 11 mean on the drug list?

We do not fill it or carry it.

MADE

100

Using Mentor, what department are we to warm transfer the call to if the order is in DR CALL?

Pharm Ops. 

200

Which of the following Mentor documents provides the step-by-step process for scheduling an order to an MDO when a valid MD Proactive Scheduling Activity is on file?

1. Completing a Provider Proactive Referral

2. Finalizing the Member Delivery

3. Proactive Scheduling Delivery Eligibility

Finalizing the Member Delivery

300

What are two systems we can use to run a test claim?

RxNova and ScriptMed

400

A member is asking for their drug to be shipped to their home. Where do you look to check the rx can be shipped to the home?

Check the Specialty Drug List, POS on the referral. The referral notes for additional information if needed.

500

On a referral, POS 12 typically indicates that the medication goes where?

Member Home

IT

100

An Rx transfer can be completed by a pharmacy tech. True or False

False - An Rx transfer can only be completed by registered pharmacists.

200

What is the name of the system in which we can locate the transfer templates?

ScriptMed

300

Where do you locate a referral once you have Assigned it to yourself?

Worklist

400

It's okay to invoice a member with a copay of $250. True or False

False. $225

500

What delivery service does CWSP use for deliveries?

FedEx

REVIEW

100

When authenticating the member, can we ask for their social security number? True or False

False

200

Who works the PCB stage?

Pharm Ops

300

Inbound associates obtain the NPI from ____during the authentication process. Outbound associates obtain the NPI number from ____.

the caller / the MDO work list

400

What are two benefits from doing batch order scheduling?

Decreases time to schedule order deliveries

Decreases call handle time

Consolidates orders for providers

Benefits providers by keeping them informed of when patients are ready to schedule

Decreases risk of address errors

And improves provider relations through faster, smoother interactions

500

In Smed which field indicates the date the package is expected to arrive at its destination? 

Need Date

TIME

100

After submitting the Verbal Rx form, what is the final step in the process?

1. Warm transfer the call to one of our pharmacists
2. End the call and enter the interaction in CRM
3. There are no additional steps

Warm transfer the call to one of our pharmacists 

200

If you are not scheduling a delivery, when is it okay to close an MD Proactive Scheduling patient activity?

1. You can not close the MD Proactive Scheduling activity until you receive approval from your supervisor

2. When you have to call the MDO for any reason to schedule a delivery due to inaccuracies in the template

3. When you have to call the MDO to modify the payment information

When you have to call the MDO for any reason to schedule a delivery due to inaccuracies in the template

300

What do we do with a Decision Tree once completed?

Paste in in the referral notes

400

Are we able to edit orders once completed?

Maybe, it depends on the order stage.

500

MDO calling to schedule for 1 patient, you see multiple ready. You can only schedule what they asked for. True or False

False