Chapter 7: Conducting the Comprehensive Medication Review

Chapter 7. Conducting the Comprehensive Medication Review

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

a. patients may have limited minutes available on their phones

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

c. Star Measures include time and result performance criteria

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

e. payment is based on limited minutes

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?

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

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

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

d. PDC values may tell you something about adherence

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

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

a. Vision capability

b. Hearing capability

c. Low-income status

d. Health literacy

e. All of the above

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:

a. indication inferred from current drugs and could be wrong

b. unfilled prescriptions

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

d. Part B medication use

e. medication not covered by Part D

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

a. cash-only prescriptions

b. Internet obtained prescriptions

c. borrowed medications

d. Part B medications