PTCB PTCE Exam - Topic 6 Question 66 Discussion

Actual exam question for PTCB's PTCE exam

Question #: 66
Topic #: 6

A patient who received90 tabletsone month ago contacts the pharmacy to request a refill. The insurance rejects the claim, saying that the refill is56 days too soon.The claim rejection is likely the result of submitting an incorrect:

ADays supply

BNDC number

CQuantity

DIndication

Show Suggested Answer

Suggested Answer: D

by Willow at Feb 27, 2023, 12:36 PM

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Louis

8 months ago

NDC number seems less likely, but who knows?

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Lynna

8 months ago

I disagree, it could also be the quantity submitted.

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Kaycee

9 months ago

Wait, how can it be 56 days too soon? That's wild!

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Casie

9 months ago

Definitely A, they probably calculated it wrong.

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Willie

9 months ago

Sounds like a days supply issue to me.

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Von

9 months ago

I’m a bit confused about the indication part. I don’t think it would cause a refill issue, but I could be wrong.

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Gladys

9 months ago

This question seems similar to one we practiced where the days supply was incorrectly calculated. I think that’s the most likely reason for the rejection here.

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Dorothea

9 months ago

I’m not entirely sure, but I think the NDC number is more about identifying the drug itself rather than affecting the refill timing.

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Sabra

9 months ago

I remember discussing how days supply can affect refill requests. If they were supposed to get 30 days but got 90, that could definitely be an issue.

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Caitlin

9 months ago

Okay, let me try to break this down step-by-step. I think the key is understanding the radix parameter.

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Louisa

9 months ago

Automatic sourcetyping sounds like it could help, but I'm not sure if that's the best practice. I'll have to weigh the options.

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Berry

10 months ago

I'm pretty sure the answer is B. Key goal indicator seems like the right performance measure to assess a specific focus area.

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Val

1 year ago

The answer is clearly C) Quantity. I mean, who doesn't know that 90 divided by 30 days is 3? Insurance companies must have some serious math issues.

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Lanie

1 year ago

User 3: The quantity must have been entered wrong for the claim to be rejected.

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Terrilyn

1 year ago

User 2: Yeah, they probably just want to make sure everything is accurate.

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Candra

1 year ago

User 1: The insurance company is so strict with refills.

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Levi

1 year ago

Indication? What is this, a mystery novel? The insurance just wants the facts, ma'am.

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Tanesha

1 year ago

C: Quantity

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Salena

1 year ago

B: NDC number

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Anika

1 year ago

A: Days supply

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Arlette

1 year ago

Quantity? Come on, who can't count to 90? Well, maybe the insurance company needs to invest in some better arithmetic skills.

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Ollie

1 year ago

C) Quantity

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Scarlet

1 year ago

B) NDC number

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Ira

1 year ago

A) Days supply

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Lynelle

1 year ago

NDC number, huh? I bet the pharmacist just grabbed the wrong bottle and scanned the wrong code. Rookie mistake!

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Deeanna

1 year ago

D: Indication

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Beckie

1 year ago

C: Quantity

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Katlyn

1 year ago

B: NDC number

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Apolonia

1 year ago

A: Days supply

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Verona

1 year ago

D: Indication

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Lasandra

1 year ago

C: Quantity

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Ammie

1 year ago

B: NDC number

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Tiffiny

1 year ago

A: Days supply

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Lashon

1 year ago

Days supply, definitely. The insurance company is all about that precise data. Gotta get those numbers right!

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Janey

1 year ago

B) NDC number

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Elke

1 year ago

Days supply is crucial for insurance claims.

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Merlyn

1 year ago

A) Days supply

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Alethea

1 year ago

I'm not sure, but I think it could also be C) Quantity. Maybe the pharmacy dispensed too many tablets at once.

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Gail

1 year ago

I agree with Staci. The patient received 90 tablets one month ago, so the days supply must have been calculated incorrectly.

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Staci

1 year ago

I think the answer is A) Days supply.

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