PhT 13-14

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Across
  1. 4. ______ is a method of payment in which the doctor receives a fixed amount for each member patient regardless of how many times the patient visits the physician.
  2. 5. The name a company assigns to a commercial drug product for marketing and identification purposes is called the ___ name.
  3. 7. What term refers to the portion of the prescription bill that the patient is responsible for paying?
  4. 10. Which insurance has a higher co pay HMO or PPO?
  5. 11. Some insurance policies require that the person pay a monthly
  6. 12. Information contained on a bar code includes all of the following except:
  7. 13. A _____ ______ can identify the drug, strength, dosage form, quantity, cost, package size, and any other information necessary about a drug.
  8. 14. The typical drugs included in a formulary are drugs that are
  9. 16. Which regulatory body can issue a drug recall?
  10. 17. An inventory system that automatically orders stocks as it is used is called:
  11. 18. If the patient must self-bill the insurance company for reimbursement, then the patient will need the ______ to submit to the insurance company.
  12. 21. Medicare Part D specifically covers
  13. 22. Which one of the following illnesses is the patient not exempt from insurance company limitations?
  14. 23. What type of error occurs when an IV medication, reconstituted with the incorrect diluent, is given to a patient?
  15. 24. Who established the standards for the layout, equipment, maintenance, training, and all procedures related to preparing sterile medications?
Down
  1. 1. What is the meaning of AWP?
  2. 2. A percentage of each _______ _______ is applied toward Medicaid.
  3. 3. Falsely billing charges for medication that was not dispensed is a _______
  4. 6. The most important aspect of dealing with errors is
  5. 8. The processing of claims by insurance companies over a computerized system is called:
  6. 9. Which of the following medications may require prior authorization before adjudicating the prescription claim?
  7. 15. A physician ordering an IV to run at 100 ml/hr instead of 15 ml/hr is an example of what type of error?
  8. 19. Workers’ compensation is paid for by
  9. 20. Which of the following is not a government-managed program?