We have all heard of waste, fraud and abuse in relation to rules set down by the Centers for Medicare and Medicaid services. Fraud is where pharmacy staff personnel might bill for brand name drugs instead of the generics that were given, basically, willingly obtaining money under false pretenses from healthcare benefit programs or insurance, Waste is caused by overuse of materials or services causing unnecessary costs to these programs. Abuse occurs when payment happens due to deliberately distorted facts.
This website is an online, webinar style review seminar for the practicing pharmacy technician to use when studying to pass the PTCB exam. I narrate a video presentation, explaining each page and solving most math questions that are seen on the test. There are 6 modules that allow the student to review math, both basic and pharmaceutical. I go over federal pharmacy law, top 200 drugs, hospital information and risk management. It is a very comprehensive and enjoyable way to study for the test.
Some of the most important roles of a pharmacist is to make sure people take their meds correctly, understand what they are taking and give them confidence on the therapy that they are using. Technicians can have a profound impact on this.
What goes into processing a prescription claim to an insurance company or using a manufacturer's coupon. Here, I try to point out the basics and what to look for when solving the problem of insurance adjudication
Any pharmacist will tell you that in making a medication misfill, their confidence is rocked. Their aim is to help and not hurt. But unfortunately, misfills can happen. Quality assurance techniques and strategies help prevent these misfills