Page 31 - FPGEE Management Q&A Book
P. 31

www.pharmacyexam.com                                                                  Krisman

            4. Specialized network:                               1.  The  first  letter  A  or  B  normally  indicates
                                                                  dispensing.  The  second  letter  should  be  the  first
            It is developed to provide a specific class or type of   initial of the prescriber’s last name.
            drug to plan members. Examples include interferon
            (a  drug  related  to  AIDS),  injectables,  etc.  It  also   2. Now add the first, third and fifth numbers, which
            covers specialized services such as home infusion or   is 1 + 4 + 6 = 11.
            anticoagulation clinics.
                                                                  3.  Add  the  sum  of  the  second,  fourth  and  sixth
            30.(d)  All. Medicare is a health insurance program   number and multiply by “2,” which is 2 + 4 + 9 = 15
            for:                                                  x 2 = 30.


            1. People 65 years of age and older.                  4. Add this sum to the first sum, 11 + 30 = 41; the
                                                                  right-most number of this sum (1) must be the ninth
            2. Some people with disabilities less than 65 years   number of the DEA number.
            of age.
                                                                  BB 1244691
            3. People with End-Stage Renal Disease (permanent
            kidney  failure  requiring  dialysis  or  a  kidney   33.(c)  The  Medicare  Advantage  program  is  also
            transplant).                                          known as Medicare Part C.


            Medicare has two parts:                               34. (b)  Ambulatory  care  or  outpatient  care  is
                                                                  medical  care  provided  on  an  outpatient  basis,
            1. Part A (Hospital Insurance)-Part A helps pay for   including  diagnosis,  observation,  consultation,
            care  in  a  hospital,  some  skilled  nursing  facilities,   treatment, intervention, and rehabilitation services.
            hospice, and some home health care. Most people       This care can include advanced medical technology
            do not have to pay a monthly payment (premium)        and  procedures  even  when  provided  outside  of
            for Part A because they (or a spouse) paid Medicare   hospitals.
            taxes while they were working.
                                                                  35.(d)  All.  Utilities  for  a  particular  disease  can  be
            2. Part B (Medical Insurance) - Part B helps pay for   calculated by the following methods:
            doctors,  outpatient  hospital  care,  and  some  other
            medical services that Part A does not cover, such as   1. Through estimation.
            the services of physical and occupational therapists,   2. Through the literature.
            and some home health care.                            3. Through actual measurement.

            Most  people  get  their  Medicare  health  care      Physicians, specialties, researchers or special panels
            coverage  in  one  of  two  ways.  The  costs  vary   can assign the utility value for a particular disease.
            depending on the plan, coverage, and the services
            member use.                                           There  are  three  instruments  that  help to measure
                                                                  utility values. These are:
            31.(b)  If  the  expiration  date  on  a  bulk  bottle  of
            Cephalexin  is  MAY  2021,  the  drug  should  not  be   1. Rating scale.
            used after May 31, 2021.                              2. Standard gamble.
                                                                  3. Time-trade off.
            32.(b)  The authenticity of the DEA number  can be
            verified by the following:                            Rating  scale:  A  rating  scale  is  a  set  of  categories
                                                                  designed to elicit information about a quantitative
                                                                  or  a  qualitative  attribute.  In  the  social  sciences,

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