Test Your Knowledge About HIPAA And Pharmacy! Trivia Quiz

1. If you forgot to discuss the account balance with the Member, you should not include the balance within your log notes.

True

False

If you forgot to discuss the account balance with the Member, it is still important to include the balance within your log notes. This is because the account balance is a crucial piece of information that may impact future interactions or decisions related to the member's account. By including the balance in the log notes, it ensures that all relevant information is documented and easily accessible for future reference.

Explanation

If you forgot to discuss the account balance with the Member, it is still important to include the balance within your log notes. This is because the account balance is a crucial piece of information that may impact future interactions or decisions related to the member's account. By including the balance in the log notes, it ensures that all relevant information is documented and easily accessible for future reference.

2. If a HealthWell Member has questions regarding ordering their ID cards, where should they be directed?

Www.welldyne.com

Www.welldynerx.com

Www.healthwell.com

Www.healthwellfoundation.org

The correct answer is www.healthwellfoundation.org. This website is the most appropriate place for HealthWell Members to direct their questions regarding ordering their ID cards. The other websites listed are not specifically related to HealthWell and may not have the necessary information or resources to address the member's concerns.

Explanation

The correct answer is www.healthwellfoundation.org. This website is the most appropriate place for HealthWell Members to direct their questions regarding ordering their ID cards. The other websites listed are not specifically related to HealthWell and may not have the necessary information or resources to address the member's concerns.

3. If a NetCard Member reaches an Orders MSR and wants prescription benefit information, the Orders MSR should warm-transfer the Member to an Inquiry MSR.

True

False

If a NetCard Member reaches an Orders MSR and wants prescription benefit information, it is appropriate for the Orders MSR to warm-transfer the Member to an Inquiry MSR. This is because the Orders MSR's primary responsibility is to handle orders, while the Inquiry MSR specializes in providing information and answering questions. By warm-transferring the Member, the Orders MSR ensures that the Member receives accurate and detailed prescription benefit information from the appropriate specialist.

Explanation

If a NetCard Member reaches an Orders MSR and wants prescription benefit information, it is appropriate for the Orders MSR to warm-transfer the Member to an Inquiry MSR. This is because the Orders MSR's primary responsibility is to handle orders, while the Inquiry MSR specializes in providing information and answering questions. By warm-transferring the Member, the Orders MSR ensures that the Member receives accurate and detailed prescription benefit information from the appropriate specialist.

4. I should always include the account balance in my log notes, even if I did not mention it to the Member.

True

False

Including the account balance in log notes is important because it provides a comprehensive record of the communication or interaction with the member. Even if the account balance was not explicitly mentioned during the conversation, noting it down can be helpful for future reference or in case there is a need to review the account history. It ensures accuracy and completeness in documenting important details related to the member's account.

Explanation

Including the account balance in log notes is important because it provides a comprehensive record of the communication or interaction with the member. Even if the account balance was not explicitly mentioned during the conversation, noting it down can be helpful for future reference or in case there is a need to review the account history. It ensures accuracy and completeness in documenting important details related to the member's account.

5. Which information must be entered into the Pharmacy Card Look-Up Tool when a HealthWell Member wants to order ID cards?

Member's name and date of birth

Member's phone number and last 4 digits of social security number

Member's address and phone number

Member's date of birth and last 4 digits of social security number

The Pharmacy Card Look-Up Tool requires the member's phone number and last 4 digits of their social security number in order to order ID cards. This information is likely used to verify the member's identity and ensure that the ID cards are being sent to the correct individual.

Explanation

The Pharmacy Card Look-Up Tool requires the member's phone number and last 4 digits of their social security number in order to order ID cards. This information is likely used to verify the member's identity and ensure that the ID cards are being sent to the correct individual.

6. If a HealthWell Member calls to order ID cards in May, an Inquiry MSR can place the order.

True

False

An Inquiry MSR cannot place an order for ID cards if a HealthWell Member calls to order them in May.

Explanation

An Inquiry MSR cannot place an order for ID cards if a HealthWell Member calls to order them in May.

7. After verifying HIPAA and the 6 areas, which step should you do first when a Member wants to cancel an order?

Email the Arbiter

Determine how the order was placed

Check with a Supervisor or Lead

Determine the Status of the order

Before canceling an order, it is important to determine how the order was placed. This step is crucial because it will help in understanding the process through which the order was initiated and will provide insights into the appropriate procedure for canceling it. By determining how the order was placed, the necessary steps can be taken to ensure that the cancellation is handled correctly and in compliance with any relevant protocols or guidelines.

Explanation

Before canceling an order, it is important to determine how the order was placed. This step is crucial because it will help in understanding the process through which the order was initiated and will provide insights into the appropriate procedure for canceling it. By determining how the order was placed, the necessary steps can be taken to ensure that the cancellation is handled correctly and in compliance with any relevant protocols or guidelines.

8. If we are in Red, it is acceptable for an Inquiry MSR to inform an Orders MSR, what to tell the Pharmacy.

True

False

In this scenario, the statement is false. If we are in the Red status, it is not acceptable for an Inquiry MSR to inform an Orders MSR about what to tell the Pharmacy. The Red status indicates a critical situation where urgent action is required, and it is crucial for the Orders MSR to directly communicate with the Pharmacy to ensure prompt and accurate handling of the situation. Therefore, the Inquiry MSR should not intervene in this process.

Explanation

In this scenario, the statement is false. If we are in the Red status, it is not acceptable for an Inquiry MSR to inform an Orders MSR about what to tell the Pharmacy. The Red status indicates a critical situation where urgent action is required, and it is crucial for the Orders MSR to directly communicate with the Pharmacy to ensure prompt and accurate handling of the situation. Therefore, the Inquiry MSR should not intervene in this process.

9. An MSR should send a request to the Arbiter to cancel an order in AUTODISP.

True

False

In AUTODISP, an MSR should not send a request to the Arbiter to cancel an order. Therefore, the correct answer is False.

Explanation

In AUTODISP, an MSR should not send a request to the Arbiter to cancel an order. Therefore, the correct answer is False.

10. Only Management can request an order to be canceled if it is not in AUTO DISP.

True

False

In this statement, it is mentioned that only management can request an order to be canceled if it is not in AUTO DISP. However, the correct answer is False. This means that it is not true that only management can request the cancellation of an order if it is not in AUTO DISP. This implies that other individuals or departments may also have the authority to cancel orders in such cases.

Explanation

In this statement, it is mentioned that only management can request an order to be canceled if it is not in AUTO DISP. However, the correct answer is False. This means that it is not true that only management can request the cancellation of an order if it is not in AUTO DISP. This implies that other individuals or departments may also have the authority to cancel orders in such cases.