SRJC Course Outlines

9/22/2019 1:20:53 PMPHARM 152 Course Outline as of Fall 2019

Changed Course
CATALOG INFORMATION

Discipline and Nbr:  PHARM 152Title:  AMBULATORY PRACTICE  
Full Title:  Ambulatory Pharmacy Practice
Last Reviewed:12/10/2018

UnitsCourse Hours per Week Nbr of WeeksCourse Hours Total
Maximum2.00Lecture Scheduled1.5017.5 max.Lecture Scheduled26.25
Minimum2.00Lab Scheduled2.5017.5 min.Lab Scheduled43.75
 Contact DHR0 Contact DHR0
 Contact Total4.00 Contact Total70.00
 
 Non-contact DHR0 Non-contact DHR Total0

 Total Out of Class Hours:  52.50Total Student Learning Hours: 122.50 

Title 5 Category:  AA Degree Applicable
Grading:  Grade Only
Repeatability:  00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As: 
Formerly: 

Catalog Description:
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An overview of the skills needed to operate effectively in an ambulatory setting, with emphasis on receiving and controlling inventory, computerized prescription processing, medical insurance billing, and customer relations.

Prerequisites/Corequisites:
Course Completion or Current Enrollment in PHARM 150


Recommended Preparation:
Eligibility for ENGL 100 or ESL 100

Limits on Enrollment:

Schedule of Classes Information
Description: Untitled document
An overview of the skills needed to operate effectively in an ambulatory setting, with emphasis on receiving and controlling inventory, computerized prescription processing, medical insurance billing, and customer relations.
(Grade Only)

Prerequisites:Course Completion or Current Enrollment in PHARM 150
Recommended:Eligibility for ENGL 100 or ESL 100
Limits on Enrollment:
Transfer Credit:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP

ARTICULATION, MAJOR, and CERTIFICATION INFORMATION

Associate Degree:Effective:Inactive:
 Area:
 
CSU GE:Transfer Area Effective:Inactive:
 
IGETC:Transfer Area Effective:Inactive:
 
CSU Transfer:Effective:Inactive:
 
UC Transfer:Effective:Inactive:
 
C-ID:

Certificate/Major Applicable: Both Certificate and Major Applicable



COURSE CONTENT

Student Learning Outcomes:
Upon completion of the course, students will be able to:
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1.  Demonstrate correct utilization of specific computer software used in ambulatory
    pharmacies.
2.  Accurately compute the charge for a prescription based on the cost price of the drug and the
    professional fee, identify the customer's payment methods, and demonstrate a working
    knowledge of insurance billing to include Federal, State and private medical insurance.

Objectives: Untitled document
Upon successful completion of this course, students will be able to:
1. Evaluate purchase invoices and assess them for error.
2. Electronically confirm Third Party coverage for a prescription.
3. Verify Third Party claim forms for a prescription by phone when necessary. Complete Third
    Party claim forms. Properly record the payment for pharmaceuticals.
4. Create patient paper and electronic profiles utilizing information obtained from the
    prescription and the patient.

Topics and Scope
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I. Prescription Pricing in the Retail Setting
    A. Medication cost
    B. Professional/dispensing fee
    C. Mark-up
    D. Percent Mark-up
    E. Overhead
    F. Turnover
    G. Depreciation
II.  Understanding the National Drug Code
III. Purchase Orders and the Invoices for Pharmaceuticals, Devices, and Supplies
    A. Procedures for purchasing
    B. The "Want Book", shelf stickers and product list
    C. Suppliers
    D. Receiving and verifying goods
    E. Maintenance of inventory
IV. Discounts
    A. Cash discounts
    B. Trade discounts
V. Returns, Policies and Procedures for Outdates, Recalls, Damaged Goods
    A. Adulterated drugs and devices
    B. Misbranded drugs and devices
VI.  Safety Data Sheets
VII. Transfer of Schedule II Controlled Substances Among Registrants
    A. Registrants
    B. Drug Enforcement Agency (DEA) Form 222 - execution and record keeping
VIII. Transfer of Schedule III, IV, and V Controlled Substances
IX.   Patient Information and Patient Package Inserts
X.    Omnibus Budget Reconciliation Act of 1990 (OBRA '90)
XI.   Special Procedures and Documentation for Investigational Drugs
XII.  Third Party Billing and Insurance
    A. Definitions and terminology
    B. Information required for third party billing
         1. coverage
         3. co-pay procedures and record keeping
         4. handling rejects
         2. eligibility
    C. Cost control methods
         1. brand vs. generic
         2. dispense-as-written codes
         3. quantity limits
         4. refill intervals
         5. age restrictions
         6. dollar amounts
         7. formulary vs. non-formulary
         8. point of sale
    D. Third Party payers
         1. Blue Cross-Blue Shield
         2. other common providers
         3. Workers' Compensation
         4. discount card programs
     E. Government programs
         1. MediCAL/Medicaid
         2. TRICARE
         3. CHAMPVA
         4. Medicare
XIII. Computerized Dispensing Software and Hardware
    A. General computer functions
    B. Computer codes unique to pharmacies
    C. Entering and retrieving data
    D. Verifying third party coverage
XIV. Technician Functions In Assisting Pharmacist Toward Improving Pharmaceutical Care
    A. Customer service
    B. Ethics
    C. Communicating clearly, orally and in writing
    D. Compassion
    E. Confidentiality: Health Insurance Portability and Accountability Act (HIPAA)
    F. Dependability
    G. Problem solving skills
    H. Role-playing with customer service and problem solving
XV. Medicolegal Issues and the Pharmacy
 
Lab Activities and Content
I.     Preparing purchase orders and invoices
II.    Receiving and handling procedures
III.   Stocking goods
IV.   Record keeping for Controlled Substances records
V.    Maintaining Controlled Substances records
VI.   Prescription filling
VII.  Third Party Insurance Claims and Forms. Formulary Usage. Recording Sales. Treatment
      Authorization Requests (TARS). Charge-back and Reject Summary Reports and Patient
      Profiles.
VIII. Utilize pharmacy computer database system to enter and retrieve accurate data, generate
      labels and patient information.

Assignments:
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Lecture-Related Assignments:
1. Create patient profiles manually and electronically
2. Practice customer communication skills utilizing handouts for:
    a. sales
    b. sample purchase orders
    c. private medical, state, and federal medical billing forms
    d. third party claim forms
3. Ten pages of reading per week
4. Answer questions at the end of each chapter on calculating the charge for prescriptions based
    on cost of drug and professional fee (not graded)
5. Learn 10-20 brand/generic drug names and their usage per week (not graded)
6. Weekly quizzes, 1-2 exams, final exam
 
Lab-Related Assignments:
1. Skill demonstrations of lab activities including
    a. Customer service
    b. Ethics
    c. Communicating clearly, orally and in writing
    d. Compassion
    e. Confidentiality: Health Insurance Portability and Accountability Act (HIPAA)
    f. Dependability
    g. Problem solving skills
    h. Role-playing with customer service and problem solving

Methods of Evaluation/Basis of Grade.
Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.Writing
30 - 40%
Written homework, patient profiles
Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.Problem Solving
0 - 0%
None
Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.Skill Demonstrations
30 - 40%
Customer communication skills; Lab activities
Exams: All forms of formal testing, other than skill performance exams.Exams
30 - 40%
Quizzes, exam(s), final exam
Other: Includes any assessment tools that do not logically fit into the above categories.Other Category
0 - 0%
None


Representative Textbooks and Materials:
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Pharmacy Practice for Technicians. 6th ed. Ballington, Don and Anderson, Robert. Paradigm Publishing. 2017
Medical Insurance for Pharmacy Technicians. Liles, Janet and Newby, Cynthia. McGraw-Hill. 2010 (classic)

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