Question 1
Which entity administers prescription drug benefits on behalf of health plans and negotiates with pharmacies, manufacturers, and plan sponsors?
Correct Answer:
Pharmacy Benefit Manager (PBM)
Question 2
A Medicare beneficiary needs a nebulizer solution (albuterol unit-dose) to use at home with a nebulizer machine. Under which Medicare part is this typically billed?
Correct Answer:
Medicare Part B (as durable medical equipment supply)
Question 3
What does the BIN field on a pharmacy insurance card identify in an NCPDP claim?
Correct Answer:
The processor or PBM that will adjudicate the claim
Question 4
NCPDP reject code 79 indicates what issue?
Correct Answer:
Refill Too Soon
Question 5
NCPDP reject code 70 indicates what issue?
Correct Answer:
Product/Service Not Covered
Question 1
Exam overview

About this Exam

Prepare with the PTCB Billing & Reimbursement Practice Questions - PTCB Billing and Reimbursement Certificate Exam practice quiz. This question bank includes 100 questions covering pharmacy, claim, medicare, patient, and typically. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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PTCB Billing & Reimbursement Practice Questions - PTCB Billing and Reimbursement Certificate Exam

This practice set contains 100 questions from the matching question bank and focuses on pharmacy, claim, medicare, patient, and typically. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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