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NBMTM BCMTMS Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|---|---|
| Professional Practice and Communication | 25% | - Communicate effectively with healthcare team members - Utilize technology and documentation systems - Apply reimbursement principles for MTM services - Adhere to legal, regulatory, and ethical standards - Maintain continuing education and competency |
| Patient Assessment and Documentation | 25% | - Review and interpret patient data for MTM eligibility - Document patient encounters appropriately - Identify drug therapy problems - Gather patient-specific information (medical history, current medications, lab results) |
| Medication Therapy Management (MTM) Care Plan Development | 30% | - Recommend evidence-based pharmacotherapy - Establish therapeutic goals with measurable outcomes - Develop individualized medication therapy care plans - Address polypharmacy and medication optimization |
| Patient Education and Follow-up | 20% | - Modify care plans based on patient response - Promote adherence and self-management strategies - Provide patient-centered counseling on medications - Schedule and conduct follow-up assessments |
NBMTM Board Certified Medication Therapy Management Specialist Sample Questions:
1. A patient with a history of hypertension and Design prostatic hyperplasia presents with complaints of nasal congestion. Which medication would be most appropriate to recommend?
A) Pseudoephedrine
B) Acetaminophen
C) Fluticasone nasal spray
D) Cetirizine
2. A cardiologist recently made a financial investment and now holds 40% total ownership in a pharmacy. The physician refers an patients who are enrolled in Medicare to that pharmacy and asks the patients to only pick up medications from that pharmacy With regards to laws governing Medicare fraud and abuse, which legislation has been violated by the referring cardiologist^
A) Anti-KicKback statute
B) Criminal Health Care Fraud Statute
C) False Claims Act
D) Stark Law
3. A prescription is faxed over for a new patient for methotrexate 7.5mg. Upon reviewing the prescription claim, the pharmacist realizes there is a DUR rejection and realizes it is regarding the days' supply. When the prescription was sent over, it was written for 4 tablets by mouth daily instead of weekly, making the days' supply 4 days instead of 30 days. Knowing that methotrexate is a high-risk medication and can either be taken weekly for rheumatoid arthritis or daily for cancer, which of the following actions should the pharmacist perform NEXT to resolve the DUR rejection?
A) Have the pharmacy technician verify the DUR with the patient.
B) Ask the patient how they are supposed to take the medication
C) Override the rejection claim and counsel patient to take daily.
D) Call the prescriber and verify the directions of the prescription and diagnosis code.
4. A patient presents to his scheduled appointment Tor face-to-face MTM with a pharmacist. The patient has a list of personal medications and bottles of over-the counter herbal supplements Upon review ol the entire medication checklist the pharmacist wants to educate the patient on managing the drug interaction that was found between warfarin and SI John's won supplement What would be the BEST approach to guide the patient in managing the drug interaction?
A) St. John's wort will increase the INR
B) St John's wort will decrease the INR
C) St Jonns wort has to be replaced with gingKo blloba.
D) St John's wort should be OK as long as the physician is aware
5. A 71-year-ow patient who was recently diagnosed withheart failurepresents for a comprehensive medication review. The pharmacist notes that a I of the patient's medications are up to date except eplerenone,which shows as 98 days past due for a refill When the pharmacist inquires about this, the patient responds by saying.
"My insurance does not cover this medication and i cannot afford the cash price " The pharmacist tens the patient spironolactone would be a cheaper option andhas shown to be just as effectivefor heart failure as eplerenone.The patient responds by saying. "Well, can you tell that to my doctor?" Which style of communication shouldthe pharmacist use while calling the patient's prescriber?
A) Assertive
B) Passive
C) Aggressive
D) Passive-aggressive
Solutions:
| Question # 1 Answer: C | Question # 2 Answer: A | Question # 3 Answer: D | Question # 4 Answer: A | Question # 5 Answer: A |
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