MTM Documentation & Clinical Communication 2

Question 1

Which component of a SOAP note contains the pharmacist's assessment of a drug-related problem identified during an MTM encounter?

Accepted Answer

Assessment

Answer

The Assessment section of a SOAP note is where the clinician documents their professional interpretation of findings, including identified drug-related problems.

Question 2

When documenting a Comprehensive Medication Review (CMR), the Personal Medication Record (PMR) must include which of the following for each medication?

Accepted Answer

Medication name, dose, frequency, and indication

Answer

CMS requires the PMR to include medication name, strength, dose, frequency, route of administration, and indication for each medication.

Question 3

A pharmacist is documenting a Medication Action Plan (MAP) after a CMR. The MAP is best described as a patient-centered document that:

Accepted Answer

Outlines action steps the patient and care team will take to address medication issues

Answer

The MAP is written in patient-friendly language and lists specific action steps for the patient and/or care team to address identified medication-related problems.

Question 4

Under HIPAA regulations, a pharmacist conducting an MTM session by phone must:

Accepted Answer

Verify the patient's identity before disclosing protected health information

Answer

HIPAA requires verification of patient identity before disclosing PHI in telephone encounters to prevent unauthorized disclosure.

Question 5

Which CMS billing code is used to document a Targeted Medication Review (TMR) with follow-up intervention for Medicare Part D MTM programs?

Accepted Answer

99606

Answer

CPT code 99606 is used for MTM services provided by a pharmacist for an established patient, including a TMR with intervention, lasting up to 30 minutes.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Documentation & Clinical Communication 2