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Exam (elaborations)

Medication Therapy Management – Comprehensive MTM Process Review with Verified Questions and CMS Requirements

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Uploaded on
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Written in
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This document provides an extensive set of verified questions and answers covering the full scope of Medication Therapy Management (MTM). Key topics include MTM program structure, Medicare Part D requirements, patient eligibility, documentation standards (PMR, MAP), CMS reporting expectations, targeted diseases, service delivery methods, and pharmacist responsibilities. It also details MTM-related quality metrics, CPT billing, MTM's impact on Medicare spending, and implementation strategies for pharmacist-driven care.

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Mtm
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Mtm









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Institution
Mtm
Course
Mtm

Document information

Uploaded on
July 6, 2025
Number of pages
13
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

Subjects

Content preview

Medication Therapy Management questions with
accurate answers
# beneficiaries targeted
# beneficiaries participating
# beneficiaries who declined MTM
# beneficiaries who disenrolled
Total drug cost PMPM per patient receiving MTM services Ans✓✓✓
Plan MTM reporting requirements for 2006


Plans to report details on their MTM programs, and will work with other
plans and pharmacy organizations to develop measures that can be used
to evaluate programs.
Plans must report


79% Ans✓✓✓ Approximately ___% of the current programs target
beneficiaries with a minimum of three chronic diseases, compared to
72% requiring a minimum of three chronic conditions in 2010.
Other with more than 10% is kidney dis, osteoarthritis, Alzheimer's


80% Ans✓✓✓ Medicare beneficiaries with four or more chronic
conditions account for ___% of Medicare spending, which totaled $402
billion in 2006.
Complex drug therapy
Cost-efficacy management
Drug therapy indications

, Drug therapy efficacy
Drug therapy safety
Drug therapy compliance


Address problems or concerns that the patient may be experiencing


Improve patients' knowledge of their medication


Empower patients to self-manage their medications and their health
condition(s)


Build professional relationship




*Clincal appropriateness, duplication, untreated disease, suboptimal
dosage Ans✓✓✓ MTR is designed to


collecting (patient-specific information)


assessing (medication therapies to identify medication-related problems)


developing (a prioritized list of medication-related problems)


creating (a plan to resolve them)

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