Medications and Medical Concepts
40%of exam
Strength and DoseDrug ClassesRoutesMedication ProblemsMedical History
Patient Safety and Quality Assurance
36%of exam
MTM Administration and Management
24%of exam
Core ElementsCMS RequirementsPrioritizationDocumentationFollow-up
Quick Facts
- Credential
- PTCB MTM Certificate
- Questions
- 65 multiple-choice
- Exam time
- 80 minutes
- Appointment
- 90 minutes total
- Passing score
- 300 scaled score
- Score range
- 0-400
- Eligibility
- Active CPhT plus training
- Renewal
- No renewal required
Record Check
Name, strength, dose, route, frequency, duration
NameStrengthDoseRouteFrequencyDuration
Allergy vs Intolerance
Allergy
- Immune reaction concern
- Record reported details
Intolerance
- Nonimmune unwanted effect
- Record reported details
Do not treat as synonyms
Medication Record Essentials
- Medication name
- Drug identity
- Strength
- Amount per unit
- Dose
- Amount each use
- Route
- How medicine enters body
- Frequency
- How often used
- Duration
- Planned treatment length
Medication Problem Signals
- Side effect
- Unwanted medicine effect
- Nonadherence
- Plan not followed
- Affordability
- Cost blocks use
- Gap in therapy
- Needed treatment absent
- Duplicate therapy
- Overlapping treatment
- Interaction
- Conflicting medicine effects
History Terms
- Medication allergy
- Immune reaction concern
- Medication intolerance
- Unacceptable nonimmune effect
- Adherence
- Uses medicine as planned
- Medical conditions
- Diagnosed health problems
- Social history
- Relevant life context
- Immunizations
- Recorded vaccine history
Medical Concept Cues
- A1C
- Blood glucose marker
- Potassium
- Electrolyte lab measure
- Blood pressure
- Cardiovascular measure
- Dosage form
- Medicine physical form
- Drug class
- Related medicine category
- Special handling
- Storage or use instructions
PDC Formula
Covered days over measurement period
Covered daysMeasurement periodDivide
PDC vs Days Supply
PDC
- Covered days divided period
- Adherence calculation input
Days supply
- Expected coverage duration
- Calculation component
Use each in context
Safety Issue Routing
- Medication details missing→Clarify record(Name, dose, route)
- Records conflict→Compare sources(Resolve discrepancy)
- Possible prescribing error→Escalate promptly(Protect patient safety)
- Reaction is reported→Document specifics(Capture patient report)
- Refill gap appears→Explore adherence(Ask neutral questions)
- Cost barrier appears→Document barrier(Route for review)
- Counseling is needed→Refer pharmacist(Stay within role)
- Urgent concern remains→Follow escalation policy(Do not delay)
Adherence Calculations
- Days supply
- Days medicine should last
- Quantity
- Units dispensed
- Dose
- Units used per day
- PDC
- Covered days divided period
- Covered day
- Medication available that day
- Refill gap
- Uncovered treatment days
Prescribing Error vs Problem
Prescribing error
- Incorrect order element
- Check strength or route
Medication problem
- Potential therapy impact
- Check duplication or interactions
Identify then escalate
Accuracy Review
- MAP
- Check required components
- CMR documentation
- Check completeness
- PMR
- Check medication details
- Billing fields
- Check required fields
- Source comparison
- Resolve conflicting records
- Completeness
- Find missing information
Prescribing Error Types
- Abnormal dose
- Dose needs review
- Incorrect strength
- Wrong unit amount
- Incorrect drug
- Wrong medicine selected
- Incorrect route
- Wrong administration path
- Incorrect directions
- Instructions do not match
- Missing dose
- Dose information absent
Core Elements Sequence
Review, record, act, refer, follow up
MTRPMRMAPIntervention or referralDocumentation and follow-up
PMR vs MAP
PMR
- Personal medication record
- Patient medicine information
MAP
- Medication-related action plan
- Patient action information
List versus action plan
MTM Deliverable Picker
- Need medication review→Complete MTR(Review medication therapy)
- Need patient list→Create PMR(Personal medication record)
- Need patient tasks→Create MAP(Medication-related action plan)
- Issue needs care→Intervene or refer(Coordinate next action)
- Action remains open→Schedule follow-up(Reassess completion)
- Service is performed→Document service(Include required fields)
- Work is unfinished→Mark in progress(Track next step)
- Requirements met→Mark complete(Close documented work)
MTM Core Elements
- MTR
- Medication therapy review
- PMR
- Personal medication record
- MAP
- Medication-related action plan
- Intervention
- Address medication issue
- Referral
- Connect appropriate care
- Follow-up
- Reassess outstanding action
New Outreach vs Follow-up
New outreach
- Initial patient contact
- Start service workflow
Follow-up
- Later patient contact
- Reassess open actions
Track service stage
Program Workflow
- Pending
- Work not started
- In progress
- Work underway
- Complete
- Required work finished
- New outreach
- First patient contact
- Follow-up
- Later patient contact
- Recently discharged
- Priority review cue
Administration Priorities
- Serious error
- Prioritize rapid action
- Schedule
- Maintain service timing
- Timeline
- Track required deadlines
- Documentation
- Record completed service
- Billing
- Maintain required records
- CMS requirements
- Offer MTM services correctly
Common Traps
Assessment versus collection
Gather complete factual details ≠ Escalate clinical concerns promptly
PDC versus possession
PDC measures coverage days ≠ Coverage does not prove use
PMR versus MAP
PMR is medication information ≠ MAP is action information
Allergy versus intolerance
Allergy raises immune concern ≠ Intolerance is nonimmune effect
Complete versus in progress
Complete required work first ≠ Track unfinished next steps
Error versus impact
Find incorrect order element ≠ Consider medication problem impact
Last Minute
- 1.Know 40, 36, 24
- 2.Remember 65 questions
- 3.Allow 80 exam minutes
- 4.Pass at 300 scaled
- 5.Separate allergy from intolerance
- 6.Calculate covered days carefully
- 7.Check MAP and PMR completeness
- 8.Spot strength, route, directions errors
- 9.Recall MTR, PMR, MAP
- 10.Prioritize serious safety issues
- 11.Track pending, progress, complete
- 12.Document then schedule follow-up
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