2025 Medicare Part B Training

A patient drops off a written prescription for "glucose test strips for #100, test QD, for non-insulin dependent diabetes (E11.9)" with PRN refills for one year. Based on this information, can you bill this prescription to Medicare Part B?

No

True or False? The Diabetic Testing Supplies Fax Form can be used as the original hard copy for a Medicare Part B Prescription.

True

Which of the following statements is true about ABNs?

ABNs must be provided to Medicare Part B patients before dispensing a prescription that may not be covered completely by Medicare.

Upon verification with the prescriber, which of the following information can be added to a prescription for diabetic testing supplies by the pharmacy team?

Nothing can be changed or added by the pharmacy team

If a patient's neighbor is picking up a prescription for a Medicare Part B recipient, which of the following is true?

The name of the neighbor and their relationship to the patient must be documented along with the pick-up signature.

Which criteria must be met for Medicare Part B to cover Continuous Glucose Monitors (CGM)?

Patient's prescriber has concluded that the patient or caregiver has sufficient training on using CGM prescribed as evidenced by providing a prescription

A patient had a kidney transplant performed when he was 60 years old and covered under his employer's insurance. Now that he is 65 years old and on Medicare, will Medicare Part B pay for his immunosuppressant medications?

No, Medicare does not cover immunosuppressants for transplants that occurred when the patient was not enrolled in Medicare Part A.

Which of the following statements are true? Check all that apply.

- Nebulizing medications billed to Part B can be delivered

- Anti-emetic medications billed to Part B can be mailed

Which of the following prescription forms is not acceptable under Medicare Part B?

Voicemail left by physician

Which of the following items are covered under Medicare Part B for diabetic patients? Select all that apply.

- Blood glucose monitor

- Control solution

- Blood glucose testing strips

- Insulin for use in a pump

Which of the following are pharmacists NOT required to counsel on for diabetic supplies for Medicare Part B patients?

Proper diet and exercise