BCACP Ambulatory Practice Management 4

Question 1

A pharmacist working in a Federally Qualified Health Center (FQHC) can bill for clinical services using which designation that allows direct reimbursement?

Accepted Answer

Eligible Professional under FQHC cost-based reimbursement

Answer

FQHCs use a cost-based prospective payment system that can include pharmacist services as covered encounters when approved under the clinic's approved scope of services.

Question 2

When designing a workflow for a pharmacist-managed diabetes clinic, which tool is most useful for identifying inefficiencies and non-value-added steps?

Accepted Answer

Value stream mapping

Answer

Value stream mapping is a lean improvement tool that visually maps each step in a workflow to identify waste, delays, and non-value-added activities.

Question 3

Which federal program requires that pharmacists providing MTM services complete a comprehensive medication review (CMR) at least annually for eligible enrollees?

Accepted Answer

Medicare Part D MTM Program

Answer

CMS requires Medicare Part D plan sponsors to offer a CMR at least annually to all eligible MTM program enrollees, with the pharmacist documenting a written summary.

Question 4

A pharmacist notices that patients from one demographic group have significantly lower medication adherence rates than the overall population. This finding most likely indicates a need to address which concept?

Accepted Answer

Health equity and social determinants of health

Answer

Disparities in adherence across demographic groups signal underlying health equity issues, including social determinants such as cost, literacy, transportation, and cultural factors.

Question 5

Which element is most important when developing a disease state management protocol for a pharmacist-run lipid clinic?

Accepted Answer

Evidence-based treatment algorithms with defined pharmacist prescribing authority

Answer

Evidence-based algorithms with clearly defined pharmacist prescribing or adjustment authority are essential to ensure safe, guideline-concordant, and legally authorized care.

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP Ambulatory Practice Management 4