Chapter 10. Reimbursement for Pharmacist Services
Payment to the pharmacist for MTM services may come from all of the following EXCEPT
a. private payment (patient, family, caregivers)
The CPT payment code for MTM-only services is
b. required by CMS for MTM billing.
c. required by PDPs for MTM payment.
d. useful for services beyond MTM.
e. required in transition care management
A requirement for CPT 99605 is
a. face-to-face interaction with the patient.
b. the patient’s goals for therapy.
c. a completed care plan.
d. a reduction in polypharmacy
e. improvement in patient outcomes
A requirement of incident to billing is
a. creation of the first care plan.
b. an extra payment for the primary provider.
c. done in the area where the care was delivered.
d. that the physician be physically present.
e. that adverse drug events must be reduced.
Transitional care management services that may be delegated include
a. collection and review of discharge information.
b. determination of need for follow-up activities.
c. interaction with other healthcare providers.
d. coordination of follow-up activities with other providers and services.