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Exam (elaborations)

MTM1 – Comprehensive MTM and Drug Therapy Problem (DTP) Review with Verified CMS Guidelines and Clinical Frameworks

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This document provides a complete and verified question set focused on Medication Therapy Management (MTM) and Drug Therapy Problems (DTPs). Topics include assessment of drug-related needs, CMS Medicare Part D MTM eligibility and requirements, documentation standards (MAP, PMR, SOAP), the pharmaceutical care process, reimbursement models, and MTM service delivery models. Also covers patient engagement strategies, interprofessional collaboration, and structured approaches to resolving DTPs in both outpatient and inpatient settings.

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Institution
Mtm
Course
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Uploaded on
July 6, 2025
Number of pages
24
Written in
2024/2025
Type
Exam (elaborations)
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MTM & DTP questions with verified answers
Assessing Drug - Related Needs to Identify DTPs
• For each medication, ask yourself:
1. Is the medication _____________? (and are all medical conditions
being ____________?)
2. Is the medication ____________?
3. Is the medication ______?
4. Can the patient ____________? Ans✓✓✓ Indicated, treated
Effective
Safe
Adhere


CMS Guidelines for Part D MTM
• May be provided by _____________ or other qualified ___________


• Must provide CMR ____________ and targeted medication reviews
(TMR) at least _______________


• Must use _____________ process to summarize interaction
- Standardized ________ required (as of 1/1/2013) Ans✓✓✓
Pharmacist, provider
Annually, quarterly
Systemic
Format

,CMS Guidelines for Part D MTM (2017)
Eligibility criteria
• Drug spend in Part D medications: ___________


• Multiple Part D medications: ____ to ____


• Targeted disease states or any chronic disease (___-___) Ans✓✓✓
>3,919
≥ 2 to 8
2-3


CMS Targeted Diseases
Must include at least __ of __:
• Alzheimer's
• ESRD
• HTN
• CHF
• DM
• HLD
• Respiratory disease (including COPD, asthma, other chronic lung
disorders)
• Bone disease/arthritis (osteoporosis, osteoarthritis, rheumatoid
arthritis)

, • Mental health disorders (depression, bipolar disorder, schizophrenia,
other "chronic and disabling disorders") Ans✓✓✓ 5, 9


Components of DTPs
1. An undesirable ________ or _____ of an event experienced by the
patient. The problem can take the form of a medical complaint, sign,
symptom, diagnosis, disease, illness, impairment, disability, abnormal
laboratory value, or syndrome. The event can be the result of
physiological, psychological, sociocultural, or economic conditions.


2. The _____ therapy (products and/ or dosage regimen) associated with
the problem


3. The _________________ that exists (or is suspected to exist) between
the undesirable patient event and drug therapy.
• ______________________ of drug therapy
• Need to ____/_________ drug therapy Ans✓✓✓ Event, risk
Drug
Relationship
Consequence
Add/modify


Consensus Definition
• "MTM is a distinct ______________ or group of services that optimize
therapeutic outcomes for individual patients. MTM services are

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