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64 Cards in this Set

  • Front
  • Back

PCN (in insurance)

Processor Control Number


-used as 2nd identifier in insurance claims

NPI

National Provider Identifier


-a unique 10-digit identification number issued to health care providers to transmit health information.

AWP

Average Wholesale Price


-refers to the average purchase price of a medication at the wholesale level.

NCPDP

National Council for Prescription Drug Programs


rganization that developed rejection codes that are used when billing a third-party payer.

HMO

Health Maintenance Organization


-insurance plans can a patient choose a primary care physician from a network of providers, and that physician coordinates his/her care?

DME

Durable Medical Equipment


-any equipment that provides therapeutic benefits to a patient in need because of a medical condition or illness. These are things such as wheelchairs, hospital beds, traction equipment, canes, crutches, walkers, kidney machines, ventilators, oxygen, monitors, pressure mattresses, lifts, nebulizers, bili blankets, and bili lights.

MAC

MAC (Max Allowable Cost)


refers to the maximum amount that a plan will pay for generic drugs and brand name drugs that have a generic available.

PPO

Preferred Orovider Organization

CMS

CMS (Centers for Medicare and Medicaid Services).


On3 who issued NPI

BIN

Bank Identification Number

AAC

Actual acquisition cost


-refers to the actual cost that a pharmacy paid for a medication.

NCPDP

The National Council for Prescription Drug Programs an ANSI-accredited, standards development organization providing healthcare solutions. Through use of a consensus-building process, they create national standards for real-time, electronic exchange of healthcare information. Their focus is on information exchange for prescribing, dispensing, monitoring, managing, and paying for medications and pharmacy services.

PSTAC

Pharmacist Services Technical Advisory Coalition


founded to improve the coding infrastructure used to support the billing of pharmacists’ professional services.

OSHA

Occupational Safety and Health Administration

EPA

Environmental Protection agency


establishes guidelines for the disposal of hazardous waste.

Kefauver-Harris Amendment

requires that manufacturers provide proof of drug effectiveness and safety.

HIPAA

Health Insurance Portability and Accountability Act


Responsible for the protection of privacy

Durham,-Humphrey Amendment

authorized verbal prescriptions and refills of prescription drugs, established separate categories for prescription and over-the-counter drugs, and required that all drugs be labeled with adequate directions for use unless they include the label, “Caution: Federal Law Prohibits Dispensing Without a Prescription.

Omnibus Budget Reconciliation Act

requires the maintenance of a patient profile in any pharmacy setting.

Orange book

Information on the generic equivalence of drugs can be found in which of the following resources

ISMP

Institute for Safe Medication Practices



nonprofit organization devoted entirely to preventing medication errors.

Incorrect dosages, drug-disease contraindications, and drug interactions are issues that are addressed by

DUR


Drug Utilization Reviews

TJC

organizations requires the segregation of medications in order to prevent medication errors and to promote the proper use of medications?

mandates what is addressed in a pharmacy’s infection control policy.

TJC

oversee the Vaccine Adverse Event Reporting System.

CDC


FDA

MAR

Medication Administration Record


record of all the drugs administered to a patient in a facility by a healthcare professional

DAR

Drug Accountability Record


must be completed when dispensing IND

Red book

contains drug pricing information such as the average wholesale price (AWP) and suggested retail price.


AWP

Average Wholesale Price


average purchase price of a medication at the wholesale level.

AAC

Actual Acquisition Cost


refers to the actual cost that a pharmacy paid for a medication.

employer-sponsored benefit that allows employees to use pre-tax dollars to pay for eligible health care expenses

FSA Flexible Spending accounts

If a patient requests that medication be dispensed in a “non-child-resistant” container, the pharmacy should do which of the following?

Document the info in px record

ALCOHOL USP

95% ethyl alcohol

Failing to include information that is necessary for the safe use of a medication is

Error of ommision

"Peri"

Surround

Risks of health information technology include the following:

Implementation may not be carefully planned,


systems may not be updated consistently,


and bar codes may be mislabeled.

proactive method that analyzes the design of a system to identify where and how it might fail.

failure mode and effects analysis

When working in a horizontal laminar flow hood, nothing should pass ___________ a sterile object.

Behind

root cause analysis

continuous quality improvement tool, findings from the analysis can be used to prevent future errors, and it is retrospective.

required air quality for a primary engineering control (PEC).

ISO 5

describes when a laminar flow hood should be turned on?

Continuously

Tylenol w/ Codeine schedule

Sched 2

Prescriptions for non-controlled medications are valid for ______________ from the date written.

12months

According to USP <795>, the beyond-use date for solids and non-aqueous liquids prepared from commercially available dosage forms is ______________ in the absence of other data.

25% of the remaining expiration date of the commercial product, or six months, whichever is earlier.

error-reporting program that is an Internet-accessible method that allows hospitals to anonymously report and track errors within their organizations.

MedMarx

The injection port of an IV bag should be positioned in which of the following directions while compounding in a laminar flow hood?

Towards HEPA filter

any harm or injury caused by the use of a medication.

Adverse drug events

Lovenox GN

Enoxaparin

autoimmune disease in which the thyroid is overactive, and produces excessive amounts of thyroid hormones:

Graves disease

If two drugs are taken together and one of them intensifies the action of the other, what type of drug interaction has occurred?


Potentiation

when the effect of two drugs together is greater than the sum of their individual effects

Synergism

Prof service code:


Sent f ok r appropriate reimbursement of Zostavax

MA medication Administration

Pro service code: indicates prescriber consulted

MO

Result of service code meaning Rx has been clarified but not filled

2B

Result of service code meaning Rx filled with diff dose

1C

Axid GN

NIZAtidine

PEPCID GN

Famotidine

Tagamet GN

Cimetidine

Zantaz GN

Ranitidine

hormone stimulates bone and muscle growth in men?

Testosterone

section of the drug monograph would you find an abbreviated summary of the most clinically adverse reactions

Warning and precautions

Insurance companies enact plan limitations to control drug use, which of the following is a limitation for a mail order pharmacy for days’ supply

Days supply restriction for a mail order supplies is 90 days. Retail pharmacies will have a 30 day limit.

is used to identify and define inventory items based on their usage?

ABC Analysis

dispense as written codes indicates an override?

DAW 6