Chapter 13: Pharmacy Billing and Inventory Management Homework Assignment Think Critically (1 gt each) 1. Should Medicare cover all medical and prescription costs for elderly patients? Give three pros and three cons for this issue. 2. Many Canadian pharmacies are offering prescription drugs at vastly reduced prices compared with U.S. prices. Is there any reason not to "go across the border" for your medications? 3. Choosing an insurance health plan can be overwhelming. What type of coverage would best meet your needs? Outline all items you would need to have total health coverage. Short Answers (0.5 pts each) 1. When a pharmacy is billing for medication, what is the minimum information the insurance company requires? 2. List four common reasons a prescription may not be covered. 3. One of the most common problems resulting in a claim rejection is a non-ID match. What patient information should be double-checked in these cases? 4. Explain what prior authorization is. What is the pharmacy technician's responsibility concerning prior authorization? How would you explain this to a patient? Accessibility: Good to go