Deck 25: Documentation, Billing, and Collections

Question 1

Which of the following type of law regulates collection procedures?

A) state law
B) federal law
C) both state and federal law
D) neither state nor federal law

Answer 1

both state and federal law

Question 2

The Pharmacist Care Claim Form (PCCF) was modified to create uniformity in

A) protected health information
B) prescription drug programs
C) professional pharmacy services documentation
D) both a and c

Answer 2

professional pharmacy services documentation

Question 3

In the hospital, when pharmacy technicians must look at patients' medical records, they must follow the guidelines of

A) CDC
B) JC
C) HD
D) HIPAA

Answer 3

HIPAA

Question 4

Records of controlled substances must be kept for at least

A) 6 months
B) 12 months
C) 18 months
D) 24 months

Question 5

A nonprofit organization representing every sector of the pharmacy industry that also provides education about pharmacy-related topics is known as the

A) Institute for Safe Medication Practices
B) National Council for Prescription Drug Programs
C) Centers for Disease Control and Prevention
D) Joint Commission

Question 6

Funds recorded and distributed to specific expense accounts are called

A) disbursements
B) disenrollments
C) distributions
D) formulations

Question 7

Which of the following acts is most important in relation to collections?

A) The Fair Debt Collection Practices Act
B) The Controlled Substances Act
C) The Telephone Consumer Protection Act
D) both a and c

Question 8

The most popular type of files used today are

A) hard copies
B) card files
C) tray files
D) color-coded files on open shelves

Question 9

A form that describes a purchase and the amount that is due is called a(n)

A) packing slip
B) statement
C) invoice
D) MAR

Question 10

Clinical documentation provides

A) a temporary document that prescribers can review
B) a permanent written record of observations and actions
C) good record keeping of pharmacy operations
D) good record keeping of compounding

Question 11

Which of the following organizations has standards that are used for the transfer of pharmaceutical care information?

A) HIPAA
B) NCPDP
C) DEA
D) CSA

Question 12

Documentation must be accurate and clear because

A) it may be used for illegal drugs
B) it may be used in legal cases
C) it may become a deciding factor
D) both b and c

Question 13

All of the activities of handling patient accounting and following up to ensure timely payments is called

A) collections
B) invoices
C) dispersal records
D) none of the above

Question 14

Which of the following schedule drugs must be counted or measured exactly?

A) Schedule I
B) Schedule II
C) Schedule III
D) Schedule V

Question 15

In recent years, medication reconciliation has greatly impacted

A) patient safety
B) reduction of adverse medication effects
C) documentation of correct medication profiles
D) both a and c

Question 16

Which of the following is most important about filing systems?

A) cost
B) confidentiality
C) space requirements
D) portability

Question 17

In a hospital, the external audit point system is used to show where

A) medical record documentation is insufficient
B) random audits are conducted
C) diagnoses of patients' conditions are appropriate
D) medications used are either generic or trade name

Question 18

In the retail pharmacy, each metal storage unit easily stores how many prescriptions?

A) 100
B) 200
C) 500
D) 1000

Question 19

Controlled substances are usually indicated by using

A) blue ink
B) red ink
C) black ink
D) stickers

Question 20

A document that notifies a customer that his bill is past due is referred to as a(n)

A) invoice
B) collection letter
C) dispersal record
D) statement

Question 21

Individuals involved in collections may be called ____________________ managers, collections managers, bookkeepers, or collections ____________________.

Question 22

Which statement is true about patient billing in the hospital pharmacy?

A) The pharmacy technician is responsible for patient billing.
B) The pharmacist must conduct all patient billing.
C) Either the pharmacist or the technician can handle patient billing.
D) There is little interaction with patient billing and collections concerning the hospital pharmacy.

Question 23

In the hospital, there are three major types of documentation, including the medical record, the ____________________, and the various pharmacy documents.

Question 24

When an item is not paid for at the time it is purchased, it is known as a(n) ____________________.

Question 25

When a pharmacy purchases multiple supplies and shipments from a supplier, the supplier may request payment from each individual shipment or send a(n) ____________________ afterwards.

Question 26

All Drug Enforcement Administration (DEA) forms must be kept ____________________ to specific DEA rules.

Question 27

Some insurers require ____________________ for certain medications or devices.

Question 28

In the hospital, how many major types of documentation exist?

A) 1
B) 2
C) 3
D) 5

Question 29

All of the activities of handling patient accounting and following up to ensure timely payments may be described as ____________________.

Question 30

Which of the following terms means a "request for payment"?

A) packing slip
B) statement
C) both a and b
D) neither a nor b

Question 31

At the time of payment, the pharmacy technician should compare the statement with the ____________________.

Question 32

The hospital pharmacy uses the patient's medical record ____________________ for ____________________ instead of their name, address, and phone number.

Question 33

Schedule II substance records must be kept ____________________ from other controlled substance records.

Question 34

Which of the following governmental agencies regulates compounding procedures in the hospital?

A) JCAHO
B) DEA
C) FDA
D) both a and b

Question 35

DEA Form 222 serves as a(n) ____________________.

Question 36

The NCPDP created the "WG-10," a work group focusing on professional pharmacy practice in order to set forth a uniform coding system concerning

A) electronic data interchange (EDI)
B) professional pharmacy services (PPS)
C) pharmacist care claim form (PCCF)
D) both b and c

Question 37

For proper insurance ____________________, all information must be completely documented.

Question 38

It is the responsibility of the ______________________ to check medication orders and labels for errors.

Question 39

Some of the considerations in record keeping are size, type, and ____________________ of record.

Question 40

Most hospital computer systems have ____________________ that checks for patient identification errors.

Question 41

Describe why prescription filing is important.

Question 42

Documentation for compounding must be accurate because of the requirements of the JCAHO and the ____________________.

Question 43

The MAR is a document that physicians use to order ____________________ and various lab tests for patients.

Question 44

All drugs dispensed from a pharmacy or removed for any reason must be recorded on ____________________ records.

Question 45

The abbreviation "EDI" stands for ______________________________.

Question 46

Describe documentation of controlled substances.

Question 47

Explain documentation and coding standards in the pharmacy.

Question 48

Explain collection regulations and procedures.

Question 49

Explain the National Council for Prescription Drug Programs (NCPDP).

Question 50

The medical report is used when information is required for the completion of ____________________ claim forms.

Question 51

Pharmacy technicians have less activity with patient ____________________ and collections.

Question 52

Explain accuracy in care delivery.

Question 53

Define fulfillment of billing and reimbursement.

Question 54

The health record, chart note, or hospital record are also called the ____________________.

Question 55

Explain documentation in the retail pharmacy.

Question 56

Why is documentation important?

Question 57

Wholesale records of purchases and sales must be maintained for a minimum of ____________________ years.

Question 58

The medical ____________________ is the most important document in the hospital.

Question 59

Describe principles of documentation.

Question 60

In the hospital pharmacy, the major documents used include invoices, statements, ____________________, various labels, and scheduled drug forms.