BCACP - Board Certified Ambulatory Care Pharmacist Ambulatory Practice Management Questions and Answers

Question 1

An ambulatory care pharmacist is developing a business plan to justify the implementation of a new comprehensive medication management (CMM) service within a primary care clinic.
To make a compelling case to administration, which of the following components is MOST critical to include in the business plan?

Accepted Answer

A multi-year projection of service revenue, operating expenses, and return on investment (ROI).

Answer

A detailed list of all potential drug information resources required.

Answer

An extensive Strengths, Weaknesses, Opportunities, and Threats (SWOT) analysis of competing local pharmacies.

Answer

The complete curriculum vitae of all pharmacists who will be providing the service.

Question 2

A pharmacist in a physician's office provides an extensive medication review and counseling session for an established patient with Medicare Part B. The service is performed under a collaborative practice agreement. To bill for this service as 'incident-to' the physician, which of the following conditions is required?

Accepted Answer

The physician must be present in the office suite during the pharmacist-provided service.

Answer

The pharmacist must have their own National Provider Identifier (NPI) and be enrolled as a Medicare provider.

Answer

The service must be billed using the pharmacist-specific CPT codes 99605 or 99606.

Answer

The patient must be seeing the pharmacist for their initial visit to establish care.

Question 3

A clinical pharmacist at a busy anticoagulation clinic wants to reduce patient wait times. She decides to implement a quality improvement project using the Plan-Do-Study-Act (PDSA) model. Which of the following activities would occur during the 'Study' phase of the PDSA cycle?

Accepted Answer

Analyzing the wait time data collected after implementing the new scheduling template.

Answer

Developing a flowchart of the current patient check-in and testing process.

Answer

Implementing a new scheduling template for a single day to test its effect.

Answer

Expanding the use of the new scheduling template to all clinic days.

Question 4

An ambulatory care pharmacist is providing MTM services to a new patient for the first time. The face-to-face visit lasts 18 minutes. Which CPT code(s) should be used to bill for this service?

Accepted Answer

99605 only

Answer

99606 only

Answer

99605 and 99607

Answer

99211

Question 5

Which of the following is the most effective strategy for an ambulatory care pharmacy manager to justify the expansion of clinical services to a hospital's executive leadership?

Accepted Answer

Providing data demonstrating the service's positive impact on patient outcomes and cost savings.

Answer

Presenting a summary of recent national surveys showing high pharmacist job satisfaction.

Answer

Submitting testimonials from patients who are highly satisfied with current pharmacy services.

Answer

Highlighting the advanced degrees and board certifications held by the pharmacy staff.

Question 6

A pharmacist is establishing a new transitions of care service in a health system. To ensure the service is financially sustainable, a key component of the practice management plan is to identify appropriate billing mechanisms. Which of the following represents a viable billing strategy for pharmacist-led transitions of care services under Medicare?

Accepted Answer

Billing 'incident-to' a physician for services provided in the outpatient clinic post-discharge.

Answer

Billing directly under the pharmacist’s provider number using MTM codes.

Answer

Using facility fees only, as no professional service codes apply.

Answer

Enrolling the pharmacy as a durable medical equipment (DME) supplier.