Medications and Medical Concepts (40%) |
Medication strengths/dose, drug class, dosage forms, routes of administration, special handling/storage and administration instructions, and duration of drug therapy. |
Interchangeable drug classes and dosage forms (i.e., to identify cost saving opportunities). |
Patient-friendly terms for medical terminology. |
Definitions of key terms in a medication history process (e.g., medication allergy vs. medication intolerance, medication adherence). |
Definitions of key terms for medical history (e.g, medical conditions, social history, immunizations). |
Common medication-related problems (e.g., side effects, non adherence, affordability, gap in therapy). |
Lab measures (e.g., A1C, potassium, blood pressure) and related medical terms. |
Patient Safety and Quality Assurance Strategies (36%) |
Calculate adherence (e.g., days’ supply, quantity, dose, proportion of days covered). |
Systematically review information for accuracy and completeness (e.g., components of MAP, CMR documentation, PMR, required MTM billing fields). |
Types of prescribing errors and inappropriate prescribing (e.g., abnormal doses, incorrect strength, incorrect drug, incorrect route of administration, incorrect directions, wrong timing, missing dose). |
Potential impact of prescribing errors and medication problems (e.g., inappropriate dosing schedule, inappropriate therapy, duplicate therapy, interactions or conflicting therapies) |
MTM Administration & Management (24%) |
Definition and purpose of MTM programs and core service elements (medication therapy review (MTR), personal medication record (PMR), medication-related action plan (MAP), intervention and/or referral, documentation and follow-up). |
CMS requirements for offering MTM services. |
Decision making and prioritization (e.g., recently discharged patients, follow-up versus new outreach, serious errors identified) when tracking stages of service (pending, in progress, complete) and maintaining schedules and timelines for documentation, follow up, and billing for MTM services. |