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Exam (elaborations)

MTM and Adherence – Week 9 Review Questions with Verified Answers for Medicare Part D and Clinical Pharmacy Practice

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This document provides a fully verified set of Week 9 study questions focused on MTM (Medication Therapy Management) and medication adherence. Topics include the five dimensions of adherence, intentional vs. unintentional nonadherence, CMS MTM eligibility requirements, CMR and TMR protocols, Medicare opt-out enrollment procedures, health literacy assessment, PDC and MPR equations, and chronic disease targeting. Perfect for pharmacy students and professionals preparing for MTM certification and optimizing medication use in Medicare patients.

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Uploaded on
July 6, 2025
Number of pages
8
Written in
2024/2025
Type
Exam (elaborations)
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Week 9 MTM and Adherence questions with verified
answers
5 dimensions of adherence Ans✓✓✓ - social and economic
- patient-related
- health care system
- condition-related
- therapy-related


after CMR, beneficiary must be provided a summary of the interactive
consultations and an ________________________________ Ans✓✓✓
individualized written "take-away"
- personal medication record, medication action plan, plan for
monitoring, education, or self-management


CMS Part D MTM requirments are associated with... Ans✓✓✓ cost
control and quality improvement


common contributing factors to nonadherence Ans✓✓✓ - adverse
effect
- cost
- lack of understanding
- forgetfullness
- regimen complexity

, condition-related dimension includes... Ans✓✓✓ - lack of sx
- depression
- severity of sx


current eligibility criteria (must have all of these) Ans✓✓✓ - multiple
chronic diseases
- multiple part D drugs
- likely to incur annual costs for covered part d drugs >/= specific cost
threshold ($4255 in 2020)


each Part D sponsor is required to have a _____________ program in
their benefit for Part D Medicare beneficiaries Ans✓✓✓ MTM


extent to which medication intake behavior corresponds with the
recommendations of the provider Ans✓✓✓ adherence


extent to which the patient follows the recommendations of the provider
Ans✓✓✓ compliance


health care system dimension includes... Ans✓✓✓ - lack of continuity
- restricted formularies
- long wait times


health literacy includes the ability to understand... Ans✓✓✓ - how to
navigate health insurance and health care systems

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