MTM and other services questions with accurate
answers
Code 99605 Ans✓✓✓ First encounter service performed face to face
with a patient (up to 15 minutes)
Code 99606 Ans✓✓✓ Subsequent encounters with the same patient (up
to 15 minutes)
emphasis on:
-updating information provided at initial encounter
-assessment of patient compliance and reactions
-further evaluation of new medications to patients therapy
Code 99607 Ans✓✓✓ add to either codes 99605 or 99606 to bill for
additional increments of 15 minutes of time spent
Define patient demographics that qualify to receive MTM Ans✓✓✓
Patient needs to have certain disease states (3+)
Needs to use 8+ medications
Must have a high annual medication spending
Medicare eligible
Discharge from hospital measures (TOC) Ans✓✓✓ -total number of
RX
-number of new RX
, -cost of RX
-length of time between written RX date of discharge vs RX date of fill
-adherence to RX after discharge
-Post-discharge follow-up appointments
-Pt education with counseling
Does MTM require MD permission? Ans✓✓✓ No.
Furnishing hormonal contraception Ans✓✓✓ -Use hormonal
contraception self-screening tool
-only for self administered contraceptive
-council pt
-notify pt PCP of anything dispensed
-pt privacy
-product selection
-provide fact sheet to pt
-referrals if service is unable to be dispensed or pharmacist declines
-keep documentation for 3 years
Furnishing Naloxone Ans✓✓✓ -screen potential recipient
-provide education and fact sheet
-keep documentation for 3 years
Important information:
answers
Code 99605 Ans✓✓✓ First encounter service performed face to face
with a patient (up to 15 minutes)
Code 99606 Ans✓✓✓ Subsequent encounters with the same patient (up
to 15 minutes)
emphasis on:
-updating information provided at initial encounter
-assessment of patient compliance and reactions
-further evaluation of new medications to patients therapy
Code 99607 Ans✓✓✓ add to either codes 99605 or 99606 to bill for
additional increments of 15 minutes of time spent
Define patient demographics that qualify to receive MTM Ans✓✓✓
Patient needs to have certain disease states (3+)
Needs to use 8+ medications
Must have a high annual medication spending
Medicare eligible
Discharge from hospital measures (TOC) Ans✓✓✓ -total number of
RX
-number of new RX
, -cost of RX
-length of time between written RX date of discharge vs RX date of fill
-adherence to RX after discharge
-Post-discharge follow-up appointments
-Pt education with counseling
Does MTM require MD permission? Ans✓✓✓ No.
Furnishing hormonal contraception Ans✓✓✓ -Use hormonal
contraception self-screening tool
-only for self administered contraceptive
-council pt
-notify pt PCP of anything dispensed
-pt privacy
-product selection
-provide fact sheet to pt
-referrals if service is unable to be dispensed or pharmacist declines
-keep documentation for 3 years
Furnishing Naloxone Ans✓✓✓ -screen potential recipient
-provide education and fact sheet
-keep documentation for 3 years
Important information:
