Maricopa Community Colleges  CSR167   20012-20052 
Official Course Description: MCCCD Approval: 11/28/00
CSR167 20012-20052 LEC 3 Credit(s) 3 Period(s)
Prescription and Order Entry
Basic prescription and order entry. Covers patient information, codes, procedures, healthcare plans and registration procedures as well as terminology and exceptions.(##)(##)Prerequisites: None. Prerequisites: None.
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MCCCD Official Course Competencies:
 
CSR167   20012-20052 Prescription and Order Entry
1. Explain basic computer functions. (I)
2. Summarize procedures for patient registration. (II)
3. Differentiate between a Patient Inquiry and a Patient Registration Window. (II)
4. Demonstrate ability to answer prescription questions regarding healthcare plans. (III)
5. Identify and define terms related to third party providers. (III, IV)
6. Identify basic prescription information. (IV)
7. Explain drug classifications and drug substitutions. (V)
8. Summarize procedures for filling and refilling prescriptions. (V)
9. Explain exceptions and how they are created. (V)
10. Differentiate between exceptions that create automatically and exceptions that require intervention. (V)
11. Explain prescription and order entry procedures. (VI)
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MCCCD Official Course Outline:
 
CSR167   20012-20052 Prescription and Order Entry
    I. Basic Computer Overview
        A. Logging On
        B. Using Mouse
        C. Using Keyboard
        D. Navigating
        E. Accessing Applications
        F. Logging Off
      II. Patient Registration
          A. Searching for Patients
          B. Patient Inquiry Window
          C. Patient Registration Window
          D. Compare Information
          E. Registering a Head of Household
          F. Special Situations
          G. Adding Dependents to a Family Profile
          H. Entering Alternate Addresses
          I. Entering Patients and Mail-Order Specific Comments
            1. Patient Comments
            2. Head of Household is Deceased
            3. Patient is an Employee
            4. Patient Provides Information on Pet
        III. Plan Inquiry
            A. Third Party Providers
              1. Overview
              2. History
            B. Plan Information
              1. Access
              2. Plan Parameters
              3. Additional Plan-Related Information
              4. Plan-Specific Pricing Information
              5. Exclusions and Prior Authorization
              6. Contacts
            C. Common Questions
          IV. Terms
              A. Plans
              B. Alias
              C. Unique Plan Identification (UPI)
              D. Dependent Age Limit
              E. Max Days Supply
              F. Early Refill Edit
              G. Identification Format
              H. Effective Date
              I. Termination Date
              J. Group Number
              K. Brand-Flat Co-pay
              L. Generic-Flat Co-pay
              M. Deductible
              N. Mail Exclusions
              O. Exclusions Comment
              P. Client Services Manager
              Q. Eligibility Contact
              R. Member Questions/Benefit Administration
              S. Processor
            V. Creating Exceptions
                A. Certain Exceptions Create Automatically
                  1. Coverage Expired
                  2. Invalid Pharmacy Provider
                  3. Prior Authorization
                  4. Refill Too Soon
                  5. DUR Reject
                  6. Level I
                  7. Allergy Interaction
                  8. PCC Intervention
                B. Exceptions Requiring Intervention
                  1. Invalid Recipient Number
                  2. Invalid Prescriber ID
                  3. Prescriber Plan Provider Number
                  4. Invalid Quantity Requested
                C. Script Level Exceptions Manually Created Through RX Options Menu
                  1. Script Date Expired
                  2. Exception Other
                  3. Incomplete/Illegible Form/Script
                  4. Prerequisite Therapy Required
                  5. Drug Not Covered
                D. Creating Script Level Exception
                E. Handling Exceptions through Order Header Window
                F. Special Situations
                  1. Dependents Not Registered
                  2. Searching For/Registering Prescriber
                  3. Invalid Prescriber ID
                  4. Adding Comments to Prescription
                G. Address Change on Orders
                  1. New
                  2. Alternate
                  3. One-Time Only Address
                H. Adding Prescriptions to an Order
                I. Canceling Prescriptions
                J. Order Level Exceptions
              VI. Procedures
                  A. Drugs Discontinued
                  B. Saving Exceptions
                  C. Processing "No Payment Received" Letters
                  D. "Generic Not Available" Message
                  E. Typing Directions Too Long for Prescription Label
                  F. Processing a Refill With a Long Signature
                  G. Renewal Labels
                  H. Days Supply
                  I. Conversions and Day Supply Configurations
                  J. Common Abbreviations
                  K. Chemical/Lesser Known Chemical Drug Names
                  L. Dispense as Written (DAW) Codes
                  M. Controlled Substances and Arizona State Law
                  N. Increasing Quantities/Decreasing Refills
                  O. Generic
                    1. Ritalin NDCs
                    2. Other NDCs
                    3. Patches and Doses
                    4. Thyroid Medications
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