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Support Overrides Quiz

A visually appealing illustration of a pharmacist reviewing medication prescriptions with charts and codes in the background, symbolizing healthcare and compliance in pharmacy practices.

Support Overrides Knowledge Check

Test your understanding of important submission clarification codes and overrides used in medication management. This quiz is designed for healthcare professionals looking to enhance their knowledge and ensure compliance in their practices.

10 challenging questions
Focus on real-world scenarios
Immediate feedback on your answers

10 Questions2 MinutesCreated by AnalyzingData101

1. What type of override is Submission Clarification Code 04 used for?

Medication Replacement

Vacation

Change in Therapy

Medically Necessary Override

2. What type of override is Submission Clarification code 03 used for?

Other Override

Change in Therapy

Vacation

Emergency Situation

3. What override would we use if there was a change in therapy?

SCC 43

SCC 07

SCC 13

SCC 05

4. Why are overrides important?

It's not. We just use them because we can.

It allows PillPack to send shipments in a timely manner.

It allows us to send medications to the customer using their insurance instead of having them pay out of pocket costs.

It helps insurance track and audit claims

5. Which type of override is rarely covered and requires a police report to be submitted to the insurance?

Lost

Stolen

Damaged

Vacation

6. What type of override requires Travel dates and destination?

Lost

Vacation

Stolen

Dose Change

7. You receive a DEA rejection in your claim, what is your next step after verifying NPI?

Call Insurance

Check the NPI registry to make sure the MD is active then Submit a task request with MD details and claim link for a TL/RT to verify that DEA is active

Submit a task request for a TL/RT to force claim through

Ignore it

8. If the MD's DEA is linked to a hospital, what is your next step?

Tell customer to contact MD

Call the MD to update their information

Call the hospital to verify if the MD is a current active employee and is still a resident

Throw out the prescription

9. What is the SCC 43 override used for?

Confirming that both NPI and DEA is authorized for the MD and they have prescriptive rights.

Confirming that the MD DEA is valid for a hospital

Confirming that the NPI is active

Confirming that the NPI is valid for a hospital

10. What is the SCC 45 override used for?

Confirming the NPI is valid for a hospital

Confirming that the DEA is valid for the individual

Confirming that the DEA is a valid hospital DEA and has prescriptive authority

We don't use it

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