MTM Transitions of Care & Care Coordination

Question 1

Which intervention is MOST critical for a pharmacist conducting MTM during a patient's transition from hospital to home?

Accepted Answer

Reconciling the discharge medication list against pre-admission medications

Answer

Scheduling a follow-up appointment with the cardiologist

Answer

Ordering a complete metabolic panel within 48 hours

Answer

Contacting the insurance company to verify new formulary coverage

Question 2

A patient is discharged from the hospital on warfarin. Within the first 30 days post-discharge, which MTM activity best reduces readmission risk?

Accepted Answer

Conducting a targeted medication review with INR monitoring follow-up

Answer

Mailing a comprehensive medication list to the patient

Answer

Referring the patient directly to anticoagulation clinic without pharmacist contact

Answer

Waiting for the next scheduled CMR in 6 months

Question 3

According to CMS guidelines, how soon after hospital discharge should an MTM follow-up contact ideally occur to reduce readmissions?

Accepted Answer

Within 7 days

Answer

Within 30 days

Answer

Within 60 days

Answer

Within 90 days

Question 4

Which tool is MOST commonly used by pharmacists to document medication discrepancies identified during care transitions?

Accepted Answer

Best Possible Medication History (BPMH)

Answer

Medication Therapy Management Action Plan (MAP)

Answer

Personal Medication Record (PMR)

Answer

Medication Error Reporting Program (MERP)

Question 5

A patient newly prescribed a beta-blocker for heart failure is being transitioned from a hospitalist to a primary care provider. The MTM pharmacist's MOST important coordination action is to:

Accepted Answer

Communicate the indication, dose titration schedule, and monitoring parameters to the receiving provider

Answer

Discontinue the beta-blocker until the PCP reviews the case

Answer

Switch the patient to a different antihypertensive to simplify the regimen

Answer

Defer communication until the patient has a follow-up lab result

Question 6

Which patient characteristic most significantly increases the risk of medication-related problems during care transitions?

Accepted Answer

Polypharmacy (5 or more chronic medications) in a patient with multiple comorbidities

Answer

Age under 40 with a single chronic condition

Answer

Recent vaccination at a retail pharmacy

Answer

Enrollment in a Medicare Advantage plan

Question 7

During a post-discharge MTM call, a patient reports not filling two of five new prescriptions due to cost. The pharmacist's BEST initial action is to:

Accepted Answer

Assess the clinical priority of each unfilled medication and explore financial assistance options

Answer

Advise the patient to skip those medications until their next physician visit

Answer

Call the prescriber immediately to discontinue all five medications

Answer

Document the non-adherence and close the case