MTM Documentation Standards & Regulatory Compliance 4

Question 1

Under the MTM documentation framework, a 'follow-up plan' included in the CMR written summary must address which of the following?

Accepted Answer

Scheduled follow-up interactions and criteria for re-evaluation of drug therapy problems

Answer

CMS guidance requires the CMR written summary to include a follow-up plan specifying when and under what circumstances the patient should be re-evaluated for identified drug therapy problems.

Question 2

Which of the following best describes the purpose of an 'intervention' in MTM documentation?

Accepted Answer

A documented action taken by the pharmacist to resolve or prevent a drug therapy problem

Answer

An intervention in MTM documentation records the specific action the pharmacist took—such as contacting a prescriber or counseling a patient—to address an identified drug therapy problem.

Question 3

OBRA '90 requirements most directly influenced MTM by establishing the mandate for pharmacists to:

Accepted Answer

Conduct prospective drug utilization review and offer patient counseling

Answer

OBRA '90 required pharmacists to conduct prospective DUR and offer counseling for Medicaid patients, laying the professional and regulatory groundwork for modern MTM services.

Question 4

A pharmacist submits an MTM claim using CPT code 99605. This code is most appropriately used for:

Accepted Answer

An initial MTM service with a new patient, face-to-face, up to 15 minutes

Answer

CPT 99605 is designated for an initial MTM encounter with a new patient, face-to-face, for up to 15 minutes, and is distinct from follow-up or telephone-based service codes.

Question 5

Which of the following situations requires the pharmacist to file a breach notification under HIPAA?

Accepted Answer

A pharmacist inadvertently emails a patient's MTM summary to the wrong patient and the error is not immediately correctable

Answer

An impermissible disclosure of PHI that cannot be mitigated triggers HIPAA breach notification requirements to the affected individual and, depending on scale, to HHS.

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

(MTM) Medication Therapy Management Certification for Pharmacists Practice Test

MTM Documentation Standards & Regulatory Compliance 4