Question: CVS does not currently bill Medicare Part B for?

Answer: -Continuous glucose monitors

-Nebulizers

Question: Medicare Part B claims are adjudicated in a/an _____ manner

Answer: Non-real time

Question: Beneficiaries are responsible for _____ of prescription costs after their yearly deductible has been met.

Answer: 20%

Question: When is a supplier standards form required to be provided to the beneficiary?

Answer: -When requested by the beneficiary on their authorized representative

-Upon the fist fill (i.e, fill 00)

Question: AOB forms must be collected every time a beneficiary fills a Medicare Part B prescription at any CVS location

Answer: False

Question: Failure to report the correct insulin dependence indication, or procedure modifier code, may be considered waste under medicare’s fraud, waste and abuse regulations.

Answer: True

Question: If the group ID of TPPC 22345 is populated with a state abbreviation and medicaid ID or a COBA ID, this will result in a claim bing auto-crossed

Answer: True

Question: Beneficiary owned equipment information prompt must be completed on dts and respiratory products to remain compliant with Medicare Part B billing guidelines and to avoid denials

Answer: True

Question: What is the purpose of the assignment of benefts form?

Answer: Authorize CVS pharmacy to bill medicare for payment and serves as a medical release authorization

Question: Medicare standard utilization guidelines for diabetic testing supplies are as follow…

Answer: -For insulin dependent, max testing 3x a day

-For non-insulin dependent, max 1x a day