PTCB Medication Therapy Management
Certificate Exam questions with accurate
answers
A1C Ans✓✓✓ blood test that measures glycosylated hemoglobin
(HbA1c) to assess glucose control
Can technicians and pharmacist reach out to health care providers if to
clarify drug orders or missing details? Ans✓✓✓ Yes if the patient has a
HIPPA form on file
chronic disease Ans✓✓✓ an ongoing condition or illness that last three
months or longer
commission error Ans✓✓✓ patients record list drug a patient isn't
actually taking
CPT 99605 Ans✓✓✓ First 15 minutes (individual face-to-face
assessment and intervention with pharmacist for MTM)
CPT 99606 Ans✓✓✓ Follow-up visit or established patient,15 minutes
CPT 99607 Ans✓✓✓ An add on code to be used with 99605 or 99606
when additional 15 minute increments are spent
,Drugs are deemed bioequivalent if? Ans✓✓✓ - the rate and extent of
absorption of test drug is not significantly different from referenced drug
OR
-rate of absorption may differ but this is intentional and is reflected in
the product labeling
For patients to qualify for MTM services under Part D what are the
qualifications? Ans✓✓✓ - Two or more chronic diseases
- Use of multiple drugs
- High annual medication cost
Geriatric Syndromes Ans✓✓✓ common conditions found in older
adults that tend to be multifactorial and do not fall under discrete disease
categories, such as falls, delirium, frailty, dizziness, and urinary
incontinence
How are patients chosen for MTM? Ans✓✓✓ 1. Have at least 2 chronic
disease states *most programs require 3*
2. Taking multiple chronic maintenance medications
3. Likely to incur a high annual medication cost
*patients can also elect to have MTM services themselves*
how do you calculate portion of days covered? Ans✓✓✓ (# of days
drug is on hand / specified time interval) x 100
, How does a patient get out of the "donut hole"? Ans✓✓✓ After patient
meets CMS designated max amount they must pay up to 40% of drug
cost of their branded medications and up to 35% of the generics until
they fulfil the amount spending required. Once that's reached the patient
is in the catastrophic coverage level and receives a 75% discount for
brand and generics
How is MTM different from other pharmacy services? Ans✓✓✓ - It is
PATIENT CENTERED instead of product centered
- a more comprehensive approach focusing on complete health care
- focuses on whole regimen not just one drug
- collaboration of pharmacist and other health care providers
hypercholesterolemia or hyperlipidemia Ans✓✓✓ elevated cholesterol
Hypertension Ans✓✓✓ high blood pressure
Intermediate risk factors Ans✓✓✓ raised blood pressure
raised blood glucose
abnormal blood lipids
overweight/obesity
Interoperability Ans✓✓✓ the ability to exchange and use information
within and across networks and providers
Certificate Exam questions with accurate
answers
A1C Ans✓✓✓ blood test that measures glycosylated hemoglobin
(HbA1c) to assess glucose control
Can technicians and pharmacist reach out to health care providers if to
clarify drug orders or missing details? Ans✓✓✓ Yes if the patient has a
HIPPA form on file
chronic disease Ans✓✓✓ an ongoing condition or illness that last three
months or longer
commission error Ans✓✓✓ patients record list drug a patient isn't
actually taking
CPT 99605 Ans✓✓✓ First 15 minutes (individual face-to-face
assessment and intervention with pharmacist for MTM)
CPT 99606 Ans✓✓✓ Follow-up visit or established patient,15 minutes
CPT 99607 Ans✓✓✓ An add on code to be used with 99605 or 99606
when additional 15 minute increments are spent
,Drugs are deemed bioequivalent if? Ans✓✓✓ - the rate and extent of
absorption of test drug is not significantly different from referenced drug
OR
-rate of absorption may differ but this is intentional and is reflected in
the product labeling
For patients to qualify for MTM services under Part D what are the
qualifications? Ans✓✓✓ - Two or more chronic diseases
- Use of multiple drugs
- High annual medication cost
Geriatric Syndromes Ans✓✓✓ common conditions found in older
adults that tend to be multifactorial and do not fall under discrete disease
categories, such as falls, delirium, frailty, dizziness, and urinary
incontinence
How are patients chosen for MTM? Ans✓✓✓ 1. Have at least 2 chronic
disease states *most programs require 3*
2. Taking multiple chronic maintenance medications
3. Likely to incur a high annual medication cost
*patients can also elect to have MTM services themselves*
how do you calculate portion of days covered? Ans✓✓✓ (# of days
drug is on hand / specified time interval) x 100
, How does a patient get out of the "donut hole"? Ans✓✓✓ After patient
meets CMS designated max amount they must pay up to 40% of drug
cost of their branded medications and up to 35% of the generics until
they fulfil the amount spending required. Once that's reached the patient
is in the catastrophic coverage level and receives a 75% discount for
brand and generics
How is MTM different from other pharmacy services? Ans✓✓✓ - It is
PATIENT CENTERED instead of product centered
- a more comprehensive approach focusing on complete health care
- focuses on whole regimen not just one drug
- collaboration of pharmacist and other health care providers
hypercholesterolemia or hyperlipidemia Ans✓✓✓ elevated cholesterol
Hypertension Ans✓✓✓ high blood pressure
Intermediate risk factors Ans✓✓✓ raised blood pressure
raised blood glucose
abnormal blood lipids
overweight/obesity
Interoperability Ans✓✓✓ the ability to exchange and use information
within and across networks and providers
