PTCB MEDICATION THERAPY MANAGEMENT CERTIFICATION: EXAM QUESTIONS
AND CORRECT ANSWERS |GRADE A+!!!
What is CMS and what does it provide?
Center for Medicare & Medicaid Services (CMS) provides coverage for people over the age of 65, blind,
or disabled individuals, people with end -stage renal disease
What is Medicare Part D?
1st outpatient prescription drug coverage program available to all Medicare beneficiaries. Private
companies approved by Medicare provide the coverage.
What is a medication error?
any preventable event that may cause or lead to inappropriate medication use or patient harm while the
medication is in the control of the health care professional, patient, or consumer
an event doesn't need to cause actual harm to be considered an error
prescribing error
an incorrect drug, dose, dosage form, quantity route, concentration, rate of administration, or
instructions for use that a prescriber has ordered or authorized. It includes illegible prescriptions or
medication orders leading to errors that reach the patient
Preparation and Dispensing Error
- when a incorrect dose or med is dispensed to the patient (ex: wrong med, dose, or form; drug given to
the wrong patient ect.)
- omission errors: when prescribed medication is not admin (ex: "wrong time error": delay of admin of
medication at the incorrect time)
- admin error (ex: patient takes med not prescribed for them, patient takes wrong med, or wrong route
of admin.)
Medicaid
joint federal-state medical insurance program for low-income people
Medicare
A federal program of health insurance for persons 65 years of age and older and younger people with
certain disabilities
Medicare Part A
Medicare Coverage for Hospital Stays, stays in skilled nursing facilities, and hospice care.
Medicare Part B
, Medicare Part B covers mainly for outpatient medical services including some medications administered
in a physicians office
When does a patients Medicate Part B coverage begin?
Once the patient meets his or her deductible; after that Medicare covers 80%
Medicare Part D
Prescription drug coverage
Medicaid Share of Cost
Similar to a deductible: the amount of medical expenses an individual or family must pay before
Medicaid benefits kick in. This share of cost must be met monthly (not accrued over time).
Medicare Low-Income Subsidy(Extra-Help Program)
Government program providing assistance to help patients pay Part D monthly premiums, deductible,
coinsurance, and copayments.
Medicare Advantage Plan
Medicare program that combines Medicare drug coverage and a comprehensive health plan. Covers all
Medicare services except hospice care. Not all Advantage plans include Part D. Some require purchase of
a separate Part D
Medicare Supplement Insurance (Medigap)
Supplemental insurance sold by private companies to cover some healthcare costs not covered by
Medicare. Patient must have Medicare Part A and Part B
Medicare Part D "Donut Hole"
Coverage gap after patient has reached maximum annual Medicare Part D drug benefit
Patient Assistance Programs (PAPs)
Programs administered by drug manufacturers to provide medications or copayment assistance to
individuals
Qualified Disabled and Working Individuals (QDWI)
A Medicare savings program that allows people with disabilities to receive Medicare benefits; and allows
low-income people to receive Medicare benefits and continue working
Qualified Medicare Beneficiary (QMB)
Program allowing those who are eligible to enroll in Medicare Part A to receive help with Medicare costs
Specified Low-Income Medicare Beneficiary (SLMB); SLMB-QI
Program that allows patients who do not fully qualify for Medicaid to pay partial or full premiums to
receive care under the Medicare program
AND CORRECT ANSWERS |GRADE A+!!!
What is CMS and what does it provide?
Center for Medicare & Medicaid Services (CMS) provides coverage for people over the age of 65, blind,
or disabled individuals, people with end -stage renal disease
What is Medicare Part D?
1st outpatient prescription drug coverage program available to all Medicare beneficiaries. Private
companies approved by Medicare provide the coverage.
What is a medication error?
any preventable event that may cause or lead to inappropriate medication use or patient harm while the
medication is in the control of the health care professional, patient, or consumer
an event doesn't need to cause actual harm to be considered an error
prescribing error
an incorrect drug, dose, dosage form, quantity route, concentration, rate of administration, or
instructions for use that a prescriber has ordered or authorized. It includes illegible prescriptions or
medication orders leading to errors that reach the patient
Preparation and Dispensing Error
- when a incorrect dose or med is dispensed to the patient (ex: wrong med, dose, or form; drug given to
the wrong patient ect.)
- omission errors: when prescribed medication is not admin (ex: "wrong time error": delay of admin of
medication at the incorrect time)
- admin error (ex: patient takes med not prescribed for them, patient takes wrong med, or wrong route
of admin.)
Medicaid
joint federal-state medical insurance program for low-income people
Medicare
A federal program of health insurance for persons 65 years of age and older and younger people with
certain disabilities
Medicare Part A
Medicare Coverage for Hospital Stays, stays in skilled nursing facilities, and hospice care.
Medicare Part B
, Medicare Part B covers mainly for outpatient medical services including some medications administered
in a physicians office
When does a patients Medicate Part B coverage begin?
Once the patient meets his or her deductible; after that Medicare covers 80%
Medicare Part D
Prescription drug coverage
Medicaid Share of Cost
Similar to a deductible: the amount of medical expenses an individual or family must pay before
Medicaid benefits kick in. This share of cost must be met monthly (not accrued over time).
Medicare Low-Income Subsidy(Extra-Help Program)
Government program providing assistance to help patients pay Part D monthly premiums, deductible,
coinsurance, and copayments.
Medicare Advantage Plan
Medicare program that combines Medicare drug coverage and a comprehensive health plan. Covers all
Medicare services except hospice care. Not all Advantage plans include Part D. Some require purchase of
a separate Part D
Medicare Supplement Insurance (Medigap)
Supplemental insurance sold by private companies to cover some healthcare costs not covered by
Medicare. Patient must have Medicare Part A and Part B
Medicare Part D "Donut Hole"
Coverage gap after patient has reached maximum annual Medicare Part D drug benefit
Patient Assistance Programs (PAPs)
Programs administered by drug manufacturers to provide medications or copayment assistance to
individuals
Qualified Disabled and Working Individuals (QDWI)
A Medicare savings program that allows people with disabilities to receive Medicare benefits; and allows
low-income people to receive Medicare benefits and continue working
Qualified Medicare Beneficiary (QMB)
Program allowing those who are eligible to enroll in Medicare Part A to receive help with Medicare costs
Specified Low-Income Medicare Beneficiary (SLMB); SLMB-QI
Program that allows patients who do not fully qualify for Medicaid to pay partial or full premiums to
receive care under the Medicare program
