Pharmacy Technician & Medical Billing Combination Program
History of Medicine and Pharmacy / Pharmacy Law, Ethics, and Regulatory Agencies — Lesson 2, 25.0 hours
Lakewood University’s Pharmacy Technician program prepares students to aid licensed pharmacists prepare medications, provide customer service, and perform administrative duties within a pharmacy setting. The program outlines the proper communication skills necessary for pharmacy technicians which include telecommunication skills and interpersonal communication skills. The course will focus on the accuracy necessary to ensure that information on prescriptions is complete and accurate. Students in this program will gain the knowledge and skills to qualify them for entry-level positions in pharmacies as well as to be prepared for the National Certification Exam.
Professor
Ollie Thomas
Ollie has over fifteen years of experience working with Fortune 50 companies with twelve of those years serving in the retail pharmacy industry. He has served as a high performing pharmacy technician, pharmacy technician trainer and educator, operations manager, and HR professional. Ollie has a passion for developing talent and providing extraordinary customer care. Throughout his career, he has been a part of the developmental and career journeys of over a thousand individuals. To further drive this passion, he founded an organization that provides professional and event solutions.
He holds a Bachelor of Science Degree in Healthcare Administration and a Master in Business Administration Degree with a Specialization in Organizational Development. He holds certifications as a Certified Pharmacy Technician (CPhT), Senior Professional in Human Resources (SPHR), and SHRM Senior Certified Professional (SHRM-SCP). He also holds licenses from the New Mexico and Texas State Board of Pharmacies as a Registered Pharmacy Technician.
In his personal life, Ollie is involved in several local and national organizations. He enjoys spending time with family, traveling, and training.
Gina Hobert
Gina is the Internal Audit Director at MaineGeneral Health in the Health Information Services Department. Prior to joining MaineGeneral Health, she was a Senior Manager Consultant at BNN’s healthcare management consulting practice, specializing in medical billing and coding education, provider education, chart auditing, billing compliance, provider-based practices and billing, and chargemaster reviews.
Gina has over 25 years of healthcare experience, including managing billing compliance and medical audit functions, and conducted educational sessions for a major New England hospital system. She was also previously employed as the director of the Coding Center, which provided chart auditing services, on-site coding education programs, and coding certification courses.
Online Support (IT) and Moodle Navigation
All members of the Lakewood University community who use the University’s computing, information or communication resources must act responsibly. Support is accessible by calling 1-800-517-0857 option 2 or by emailing info@lakewood.edu
Books and Resources
Pharmacy Technician
Mosby. Elsevier. Mosby’s Pharmacy Technician: Principles and Practice. 4th Edition. Saunders Publishing, 2015. Print
Medical Billing
Green, Michelle A., and Jo Ann C. Rowell. Understanding Health Insurance: A Guide to Billing and Reimbursement. 14th ed. Clifton Park, NY: Delmar Cengage Learning, 2019
Evaluation Method
Graded work will receive a numeric score reflecting the quality of performance.
Course Requirement Summary
- Assignments - Total of 300 Points
- Weekly discussion forums – Total of 40 Points
- Lesson Test - 180 Points
- Lesson 9 – Medication Error Video Response - 100 Points
- Final Exam - 50 Points
Grading Scale
Graded work will receive a numeric score reflecting the quality of performance as given above in evaluation methods. The maximum number of points a student may earn is 670. To determine the final grade, the student's earned points are divided by 670.
Your overall course grade will be determined according to the following scale:
A = (90% -100%)
B = (80% - 89%)
C = (70% - 79%)
D = (60% - 69%)
F < (Below 60%)
Assignment and Discussion Forum Post Rubrics
Writing Assignment Grading Rubric
|
Points |
Excellent |
Good |
Poor |
Very Poor |
No Response |
|
Original Posting ____/10 |
Writing assignment was well thought out, coherent, and thoughtfully organized with all parts of the questions addressed along with appropriate grammar and spelling |
Writing was clear and relatively well organized and responded to many/most of the key points with a few mistakes in regard to grammar and spelling |
Writing was somewhat confusing and not well organized and had little or no focus on the subject matter with significant grammar and spelling errors |
Writing is confusing and hard to follow with no organization while missing the point of the assignment entirely |
No Assignment |
|
Total Points ____/10 |
Additional Comments: |
Discussion Question Grading Rubric
|
Points |
Excellent Pass |
Good Pass |
Poor Fail |
No Response Fail |
|
Original Posting PASS/FAIL |
Original post reflected good focus to the discussion with well thought out ideas and appropriate grammar and spelling |
Original post responded to the topic in a general fashion but failed to organize them well and had a few mistakes in regard to grammar and spelling |
Responded with little or no focus to the discussion and contained short, irrelevant and/or confusing commentary with significant grammar and spelling errors |
No posting |
|
Reply to fellow student PASS/FAIL |
Response to fellow student reflected good focus to the post with well thought out ideas and appropriate grammar and spelling |
Response to fellow student in a general fashion but failed to organize them well and had a few mistakes in regard to grammar and spelling |
Little or no focus to the post and contained short, irrelevant and/or confusing commentary with significant grammar and spelling errors |
No posting |
|
Total Points PASS/FAIL |
Additional Comments: |
Academic Integrity/ Plagiarism
Cheating (dishonestly taking the knowledge of another person whether on a test or an assignment and presenting it as your work) and plagiarism (to take and pass off as one's own the ideas or writing of another) are a serious issue. While it is legitimate to talk to others about your assignments and incorporate suggestions, do not let others "write" your assignments in the name of peer review or "borrow" sections or whole assignments written by others. We do get ideas from life experiences and what we read but be careful that you interpret these ideas and make them your own.
I am aware that many types of assignments are available on the internet and will check these sources when there is legitimate suspicion.
Penalty is a zero on the assignment. In cases where there is a major or continuous breach of trust, further discipline, such as an "F" in the course, may be necessary.
The major consequence of any form of cheating is damage to your character and the result of trust and respect.
Disability Accommodations
Students who have a disability and wish to request an academic accommodation should contact Jim Gepperth, the Disabilities Services Coordinator and Academic Dean. The student can request an accommodation at any time although it is encouraged to do so early in the enrollment process. The student should complete an accommodation request form which begins a conversation between the school and the student regarding the nature of their disability and an accommodation that would help the student succeed in their program. The school may request documentation regarding the disability to address the accommodation request effectively. The school will communicate to the student the type of accommodation arranged. This process typically follows a team approach, bringing together persons from the academic department (including the instructor) and personnel from other departments as necessary. Additional information on disability accommodations may be found in the Lakewood University Catalog.
Disability Services Email: disabilityservices@lakewood.edu
Supplemental Texts
You can use the following resources to assist you with proper source citation.
American Psychological Association Style Guide- https://www.mylakewoodu.com/pluginfile.php/118179/mod_resource/content/1/APA%20Style%20Guide%207th%20edition.pdf
The Purdue OWL website is also a helpful resource for students. Here is a link to the OWL website: https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/general_format.html
Library
Mary O'Dell is the Librarian on staff at Lakewood University
She is available by appointment. You can make an appointment with her by emailing her at modell@lakewood.edu or call at 1-800-517-0857 X 730
You may also schedule a meeting at this link: https://my.setmore.com/calendar#monthly/r3a761583354923270/01032020
She can assist you with navigating LIRN, research, citations etc.
Support
Each student at Lakewood University is assigned a Success Coach. Your Success Coach exists to assist you with academic and supportive services as you navigate your program. They will reach out to you, often, to check-in. Please use the resources they offer.
Student Services is available to assist with technical questions regarding Lakewood University and all services available to you.
1-800-517-0857 option 2
info@lakewood.edu
studentservices@lakewood.edu
Career Services
Students are offered Career Services at any point as they journey their academics at Lakewood University.
1-800-517-0857 option 2
careerservices@lakewood.edu
Objectives
1) Interpret physician orders and prescriptions for accuracy
2) Explain the role a pharmacy technician plays in the compounding of medications
3) Define medical and pharmaceutical terms and common abbreviations
4) Describe the role that the pharmacy technician plays in the pharmacy
5) Perform basic pharmaceutical calculations
6) Explain the differences between brand and generic medications
7) Recognize the role that the pharmacy plays in preventative services such as immunizations
8) Identify the individual state requirements for a pharmacy technician
9) Demonstrate the basic skills needed to effectively prepare for an interview
10) Apply medical terminology
11) Explain the importance of health insurances and managed health care
12) Process an insurance claim for commercial insurance, Blue Cross/Blue Shield, Medicare, Medicaid, TRICARE, and Workers’ Compensation
13) Demonstrate the basics of medical coding
14) Explain the importance of coding for medical necessity
15) Explain the legalities of medical billing
16) Follow essential CMS-1500 Claim instructions
* Outcome 10 refers to a medical terminology mini-course that is a precursor to the combo program.
Lessons
- Lessons 1 – History of Pharmacy
Read Chapter 1
PCTB Registration
- Lessons 2 – Pharmacy Law, Ethics and Regulatory Agencies
Read Chapter 2
Assignment 1 - History & DEA
Assignment 2 – State Law
Lesson Evaluation
- Lesson 3 – Communication, Competencies, Associations, and Settings for Technicians
Read Chapters 3 & 4
Forum 1 - Interviews
Test 1
Lesson Evaluation
- Lesson 4 - Dosage Forms, Routes of Administration, and Drug Information References
Read Chapters 5 & 7
Assignment 3 -Commonly Prescribed Medications
Assignment 4 - Ranitidine
Lesson Evaluation
- Lesson 5 - Community Pharmacy Practice and OTC Medications
Read Chapters 8 & 27
Assignment 5 – Patient Care Process
Assignment 6 - Rx Verification
Assignment 7 - Vitamins & Minerals
Test 2
Lesson Evaluation
- Lesson 6 - Institutional Pharmacy Practice and CAM
Read Chapter 9 & 28
Forum 2 – Electronic Systems
Assignment 8 - Drug Interactions
Test 3
Lesson Evaluation
- Lesson 7 - Pharmacy Practice Settings, Bulk Repackaging and Non-Sterile Compounding
Read Chapters 10 & 11
Forum 3 - PBMs
Assignment 9 - Dosage Forms
Test 4
Lesson Evaluation
- Lesson 8 - Conversions and Calculations
Read Chapter 6
Assignment 10 - Textbook
Lesson 7 Pharmacy Technician
Test 5
Lesson Evaluation
- Lesson 9 - Aseptic Technique and Sterile Compounding
Read Chapter 12
Assignment 11 – Textbook
Assignment 12 – Aseptic Techniques
Lesson Evaluation
- Lesson 10 - Pharmacy Billing, Inventory Management, Medication Safety, and Error Prevention
Read Chapters 13 & 14
Assignment 13 - Drug Recalls
Assignment 14 - Medication Error
Video Response
Assignment 15 - Medication Safety
Test 6
Lesson Evaluation
- Lesson 11 - Therapeutic Agents for the Nervous and Endocrine Systems
Read Chapters 15 & 16
Assignment 16 – Textbook
Assignment 17 – Technicians Corner
Lesson Evaluation
- Lesson 12 - Therapeutic Agents for the Musculoskeletal and Cardiovascular Systems.
Read Chapters 17 & 18
Assignment 18 – Definitions
Assignment 19 – Textbook
Assignment 20 – Technicians Corner
Test 7
Lesson Evaluation
- Lesson 13 - Therapeutic Agents for the Respiratory and Gastrointestinal Systems
Read Chapter 19 & 20
Assignment 21 – Allergies
Assignment 22 – Technician’s Corner
Lesson Evaluation
- Lesson 14 – Therapeutic Agents for the Renal and Reproductive Systems
Read Chapter 21 & 22
Assignment 23– Matching
Assignment 24 - Textbook
Test 8
Lesson Evaluation
- Lesson 15 – Therapeutic Agents for the Immune System and Eyes, Ears, Nose, and Throat. Therapeutic Agents for the Dermatological and Hematological Systems
Read Chapter 23, 24, 25 and 26
Forum 4 – Vaccines
Assignment 25 – Textbook
Assignment 26 – EPA
Assignment 27- Technician’s Corner
Assignment 28 – Common Hemotolgoical Medications
Test 9
Lesson Evaluation
- Lesson 16 – Final Examination
The exam is cumulative, so please review all the chapters in your textbook.
Medical Terminology and NHA Registration
Review all weekly course material
Complete all activities
Health Insurance Specialist Career
Chapter 1: Health Insurance Specialist Career
Complete all activities
Introduction to Health Insurance / Managed Health Care
Chapter 2: Introduction to Health Insurance
Chapter 3: Managed Health Care
Complete all activities
Processing an Insurance Claim
Chapter 4: Revenue Cycle Management
Complete all activities
Legal and Regulatory Issues
Chapter 5: Legal and Regulatory Issues
Complete all activities
ICD-10-CM Coding
Chapter 6: ICD-10-CM Coding
Complete all activities
CPT Coding
Chapter 7: CPT Coding
Complete all activities
HCPCS Coding System
Chapter 8: HCPCS Level II Coding
Complete all activities
HCPCS Coding System
Chapter 8: HCPCS Level II Coding
Complete all activities
CMs Reimbursement Methodologies
Chapter 9: CMS Reimbursement Methodologies
Complete all activities
Coding for Medical Necessity
Chapter 10: Coding Compliance, Clinical Documentation Improvement and Coding for Medical Necessity
Complete all activities
Essential CMS-1500 Claim Instructions
Chapter 11: CMS-1500 and UB-04 Claims
Complete all activities
Commercial Insurance
Chapter 12: Commercial Insurance
Complete all activities
Blue Cross and Blue Shield Plans
Chapter 13: Blue Cross Blue Shield
Complete all activities
Medicare and Medicaid
Chapter 14: Medicare
Chapter 15: Medicaid
Complete all activities
TRICARE and Workers' Compensation
Chapter 16: TRICARE
Chapter 17: Workers' Compensation
Final Exam
Prepare and review all chapters
Complete the Final Exam