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Chapter 7. Conducting the Comprehensive Medication Review

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The CMR requires drug-problem prioritization for all the following reasons EXCEPT:

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a. patients may have limited minutes available on their phones

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b. more drug-related problems exist than can be discussed during interview time

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c. Star Measures include time and result performance criteria

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d. MTM payer performance measures may not cover all of the patient's drug-related problems

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e. payment is based on limited minutes

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Which of the following is true about doing a call center based pre-CMR (using Rx claims data only) for a first-time PDP patient who is unknown to you?

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a. PDP CMS STAR performance measures do not apply to patients you don't know

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b. Pre-CMR evaluation is unnecessary due to complete prescription claims data

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c. Lack of a medical record makes a Pre-CMR a waste of time

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d. PDC values may tell you something about adherence

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e. The pre-CMR requires a call to the primary care physician for permission to interview the patient

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In order to complete a face-to-face CMR, you need to know the following about each patient:

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a. Vision capability

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b. Hearing capability

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c. Low-income status

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d. Health literacy

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e. All of the above

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Patient A has an indication that does not have a corresponding drug in the PDP's prescription claims. This could be due to all of the following EXCEPT:

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a. indication inferred from current drugs and could be wrong

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b. unfilled prescriptions

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c. prescriptions filled but not picked up and not credited yet

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d. Part B medication use

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e. medication not covered by Part D

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Doing a CMR, using only Rx PDP claims data, would require asking the patient about all of the following EXCEPT:

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a. cash-only prescriptions

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b. Internet obtained prescriptions

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c. borrowed medications

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d. Part B medications

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