Editing Task 07-03.Task - Prescription Rejected as Drug Not Covered

Global Elements

Name	Value
Task Name
Task Type
taskTitle	Prescription Rejected as Drug Not Covered
scenarioText	Terri’s Latuda is rejected as Drug Not Covered. You need to be sure it’s voided in PROscript before you enter the new prescription for Olanzapine.
whyImportant	It’s important to be sure a prescription that is not filled is voided and added back into inventory. This adds the dispensed quantity back into the quantity on hand so that PROscript doesn’t try to order it. Also, voiding claims that are rejected is important so they are not sitting in the batch bill as unresolved.
conclusion	Congratulations! You’ve successfully voided and discontinued a claim and entered a new prescription. You may now exit this course.

Task Steps

Order	Step Text	Edit
↑ 1 ↓	We’ll start out in prescription entry, looking at the rejected claim. Because the medication Olanzapine is not therapeutically equivalent to the previously prescribed Latuda, the Alt+O process (which you will learn about later) cannot be used in this instance. Press the F6 hot key to void the claim. Then, answer yes to void the claim.	Edit
↑ 2 ↓	Since we don't want the medication to order in, answer yes to add the quantity that was attempted to be dispensed, back to inventory.	Edit
↑ 3 ↓	You’ll attach a void reason to the prescription in this section. Click the drop down and select “Insurance Eligibility” as the reason for voiding the claim. Then, click OK.	Edit
↑ 4 ↓	Since Olanzapine is replacing the Latuda that wasn’t covered, you’ll need to discontinue it so it won’t produce therapeutic warnings and to keep the consumers medication profile clean and easy to read. Use the F8 hotkey to pull up Terri's prescription profile. Enter the corresponding letter to discontinue the prescription in the Action field. Enter the line number of the prescription to DC in the Line # field and tab to advance. Confirm the DC by typing a Y.	Edit
↑ 5 ↓	Add a DC justification by selecting OK. Type in the info shown below in the comment box and click OK.	Edit
↑ 6 ↓	Great! Now let’s enter Terri’s Olanzapine. You can still see Terri’s name in the Name field, so you can use the F8 hotkey to pull up her prescription profile from here. You’ll notice the Latuda prescription is no longer visible. Success! Now, in the Action box, enter the letter that will start a new prescription. For the purposes of this training, do not start a new batch.	Edit
↑ 7 ↓	We know that Dr Everett prescribed the Olanzapine for Terri. In the Doct field, type in her last name and then tab to search for her. The Prescriber Listing box will appear. In the Enter Line Number field, enter the number to select Dr. Deanna Everett. Press the Tab key to advance.	Edit
↑ 8 ↓	Now, you’ll search for the drug Dr. Everett prescribed, Olanzapine. Type Olanzapine in to the Drug field and press the Tab key to open the Drug Listing box. Use the info shown below to select the correct drug by typing the line number in the Line to Enter field. Accept the pop up asking if you’d like the brand name displayed. This is helpful for consumers to help identify their prescriptions.	Edit
↑ 9 ↓	Use the prescription below to complete the following fields. Type the refill number in the Refills field and press the Tab key to advance. Enter the Authorized Quantity and press the Tab key so PROscript can calculate the total number of tablets the consumer is authorized to receive. Then, press the Esc key to advance. Terri Is not currently on a cycle. Type the appropriate letter to denote Non-Cycle. PROscript will auto populate the Dispense Quantity field based on what you entered in the Auth Quantity box. You can tab through the next two fields to reach the Directions field.	Edit
↑ 10 ↓	Using the info shown below, enter the directions in the Directions field. This is a SIG code, press the Tab key to see the directions translate to free form text, which is what the consumer will see on the bottle. It’s important to use SIG codes as often as possible so that day supply’s can be calculated correctly.	Edit
↑ 11 ↓	You should enter a time code here, especially if your site does Medication Administration Records or Mars. If the facility were not set up for MARs, this field would be greyed out. We’ll practice it now just for fun! Time Codes denote the time of day the medication is taken. QD for Daily, BID for twice daily, etc. Terri is taking the Olanzapine every evening, enter the appropriate time code in the Time1 field. If the time code were not present in the system, PROscript would ask you to enter it. For training purposes, we’ll assume it is already present.	Edit
↑ 12 ↓	If SIG codes are used, the day supply should calculate correctly. In this case it has, but if it hadn’t you can change that here if necessary. This transmits to the insurance and affects future fill dates, so it’s important it’s correct. Tab past the field to advance. Labels default to 1. Usually you are inly labeling one prescription bittle, tube, etc. If you needed more than 1 label, you could change the number here. Tab past this field to advance.	Edit
↑ 13 ↓	Dr Everett did not specify a DAW and the field defaults to a 0, so you can tab past the field to advance. Dr. Everett handed you a prescription for Terri’s new Olanzapine. Type the correct code for a written prescription here.	Edit
↑ 14 ↓	Great job! You’ve entered all of the information you have for this prescription. Once you land in the Line to Change field, you can edit any fields if necessary. To transmit the claim, you’d press the Enter key. Do this now to continue.	Edit

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