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In episode-of-care approach, the fee is not for each individual service provided but for the treatment of a specific condition.
What government entity runs Medicaid?
Federal government and states.
Which organization developed billing rejection codes for third-party prescriptions?
Patients with more than one third-party payer will utilize this process for the benefits of both plans to be used.
coordination of benefits
The cost for a bottle of 100 test strips for a glucometer is $67.50. The overhead for the store is $3.50, and the store wants to make a net profit of $23.68. What should the selling price be?
Which of the following is not an advantage of standardized prescription card format?
Increased calls to help desks
What is the gross profit for a drug that has an AWP of $59.99, has a dispensing cost of $3.75, and retails for $67.99?
The process in which a drug requires further review to determine if it is covered is called
What is a flexible spending account?
an account through a patient's employer where patients can use pre-tax dollars for medical expenses
Which of the following should not be a factor in selecting medications for a formulary?
Patients in a Preferred Provider Organization (PPO) can use
in-network or out-of-network pharmacies
Which of the following managed care programs are provided to individuals or families that are below an income level during a calendar year?
3 years ago
3 years ago
I like this App a lot. I got a few apps to prepare for PTCE but this is the best one so far! It has tests and practice questions with explanations.
2 years ago