Chapter 9: Documentation

Chapter 9. Documentation

Barriers to pharmacist documentation include all of the following EXCEPT

a. pharmacy culture and relationship to physicians.

b. job descriptions do not include documentation as a primary responsibility.

c. technology limitations.

d. lack of documentation experience.

e. that it is not required since pharmacists are not Medicare qualified providers.

Answer e.

MTM documentation challenges include all of the following EXCEPT

a. varying documentation methods.

b. that HIPAA prohibits pharmacists from documenting social and family histories.

c. adoption of SNOMED terminology.

d. pharmacy practice setting diversity.

e. lack of MTM software interoperability.

Answer b.

Which statement is true about MTM-required documentation?

a. The MAP must include all identified problems.

b. The PML may only include Part D medications.

c. The care plan is not part of MTM documentation.

d. The physician communication must be sent by fax.

e. The physician communication must be in the SOAP format.

Answer c.

Creating a MAP requires

a. the patient must fill out the action part and return it to the MTM provider.

b. writing in such a way to gain attention, hold attention, achieve understanding, and move to appropriate action.

c. CMS-approved MAP content for disease conditions.

d. the physician must sign off on the MAP.

e. the MAP must include comments on medication adherence and access to low-cost medications.

Answer b.

Which of the following is a question that a patient using a personal health record (PHR) should ask?

a. Can I allow my physicians or family members to look at my PHR for me?

b. If a physician offers a PHR, can I use it to refill my prescriptions or make appointments?

c. What are the PHR’s ...