Bcacp Exam Fully Solved & Updated

Pharmacist mission improve public health through ensuring the safe, effective, and appropriate use of medications 4 main clinical pharmacy practice models pharmaceutical care MTM comprehensive med mgmt CDTM Goal of pharmaceutical care? optimize health related quality of life, achieve positive clinical outcomes Medication therapy management definition? CMS servive or group of services that optimizes therapeutic outcomes for individual patients. Optimize outcomes through improved med use, reduce AE and drug interactions, improve adherence What must be done for CMR? TMR? annually, quarterly Other CMS MTM requirements? need MTM info on plans website, must have process to meaure analyze and report MTM outcomes CPT codes for MTM? No revenue associated at this time. 99605 initial face to face 15 mins, 99606 established 15 mins, 99607 is any additional 15 min blocks Who developed the patient centered medical home definition/standards? NCQA What are the 3 elements of comprehensive medication management? Assessment care plan follow-up What patients are good for CMM? high cost, adherence issues, risk of hospital admin what sort of CMM communication? Needs to be bi-directional, written is one direction (so ansewer is face to face, telephonic, or virtual How often should CDTM be reviewed and updated every 2 years, keep agreement on file in place of service Key elements of CDTM success? access to pt medical records, knowledge, documentation in the medical records, accountability for quality measures, ability to be reimbursed, committed time and resources Definition of credential vs privilege credent: documented evidence of professional qualification privileging: process to grant practitioner the auth to provide specific services For vaccinations, does medicare part B have deductable or copays? no What are transitional care management codes? 99495, 99496 (high complexity) face to face visit Which vaccines are covered under medicare part B pneumococcal influenza hep B any vaccine necessary to treat an injury/illness What is necessary before being able to administer Part B vaccines? enroll with medicare admin contractor before influenza season , need national provider identifer before enrollment What sort of billing for medicare B? roster billing, centralized billing how are other vaccines billed? part D What established medicare coverage for AWV? 2011 affordable care act When are patients eligible for AWV? after 12 months of part B coverage Key components of AWV? Health risk assessment, evaluate cog impairment, list of current providers, written screening schedule established Billing for AWV? G0438 is initial, G0439 is subsequent, no copayment or deductable What is not the normal things necessary for AWV? changing the patients therapy Does credentialing and privilaging increase or decrease legal liability of health care org? decrease (still liable if allowing unqualified practitioner) What is medwatch FDA form 3500 and 3500 A 3500 is voluntary health care professional reporting, 3500 a for mfgr,packer, distributers CAn I disclose PHI to the governemnt entities for public health purposes? Yes what must a generic drug do in order to be approved as a generic? Approval pathway? bioequivalence; ANDA (abreviated) AB rated A rated B rated? ... when must med guides be provided for REMS? ALL settings, hospital, admin by health care provider etc when does an IND application need to be submitted? after preclinical studies, before a clinical study what needs an IND applciation? new drug, new indication, off label use what is 45 CFR part 46? protection of human subjects Title 45? HIPPA privacy rule Title 21 bioavail, bioequivalenc Title 42 vaccines Def of adverse drug reacion? Adverse drug event? preventable adverse drug event? Potential adverse drug event? non-preventable; injury casued by medication use; injury caused by medication error, injusry potential because of med error Compounding, beyond use date for freezer (any risk)? room temp? refrig 45 days; 48-24 hours; 3-14 days based on risk what is the hatch waxman act? helped generic drug availability what is kefauver harris amendment required drug to show efficacy in addition to safety what is durham humphrey amendment differentiated prescription drugs from nonprescription drugs what is biologics price competitioin and innovation acto fo 2009 provision of ACA 2009 that created abbreviated approval path for biologic products or biosimilars what is the drug quality and securty actof of 2013 new FD and C to allow outsourcing facility to volunarity register with FDA, ...?? Waht is FDASIA food and drug adminisration safety and innovation acto fo 2012 ammends the federal food drug and cosmetic (FD and C) to revise and extend the user free programs for prescription drugs and medial devices, to addresss drug shortages for life threatening issues RF for suspected spinal injury? 65 or older, motor vehicle involvement or bicycle crash, fall greater than standing height, pain in neck or back, altered consciousness etc which drug has the most overdoses (class)? opioids; benzo plus opiods most common combo If a patient is having an MI, what is the intervention that must occur if not contraindications? asa 162 - 325 Chewable