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MTMS-DSM

Patient FAQs

Pharmacist FAQs

What is Medication Therapy Management Services (MTMS)?
The pharmacist meets face-to-face with the patient, who has chronic disease, to determine the effectiveness and safety of your prescription medications, over-the-counter medicine, supplements, etc. The pharmacist looks at side effects and allergies and evaluates a medication plan to improve your overall health.
Why does MTMS matter?
MTMS is an opportunity for pharmacists to improve patient health through their clinical skills and be paid for their knowledge and expertise. Community pharmacies are providing MTMS for patients, through Medicare PartD, PDP providers, at long-term care and assisted living businesses.
How will I be trained in MTMS?
A certificate program in a particular disease, residency or fellowship in a particular field may be required. Cross training from other pharmacists or physicians may be expected.
How long will a typical MTMS session last?
The initial face-to-face encounter should last 30 minutes or longer. Services are billed in 15 minute increments.
Will I be paid for MTMS services?
Each patient care service is dependent on the PDP provider, Medicare PartD or can be paid by the patient.
National Provider Identifier Standard (NPI) Application
CPT Codes
Which PDP providers have MTMS?
Some PDP providers with MTMS are Mirixa & Outcomes Pharmaceutical Health Care. Pharmacists may also have patients referred from physicians and long-term care facilities.
Which multiple chronic disease states are identified by the Centers for Medicare and Medicaid (CMS)?
Asthma
Diabetes
Hypertension
Increased cholesterol
Multiple medications or high drug expenses

Patient FAQs

What is Medication Therapy Management (MTMS)?
The pharmacist meets face-to-face with the patient, who has chronic disease, to determine the effectiveness and safety of your prescription medications, over-the-counter medicine, supplements, etc. The pharmacist looks at side effects and allergies and evaluates a medication plan to improve your overall health.
What is a chronic disease?
A chronic disease is defined as an illness that requires medication and care for a period of time. The most common diseases benefiting from MTMS are diabetes, asthma and heart disease.
How does MTMS improve patient care?
The pharmacist, working with your doctor and other health professionals, monitors the patient's condition through regular MTMS appointments and medicine regulation. Through patient education and improved communication, the pharmacist can increase compliance of the medication regimen.
Do I need MTMS?
Any individual who has a chronic disease can benefit from MTMS. MTMS has been documented to improve the patient's health through medication compliance and education. Medication compliance reduces the risk of hospital/ER visits, which offers significant medical savings to the patient. Also, adverse "drug reactions are a leading cause of patient mortality." (Manasse, 1989; Lazarou,1998)
Does my pharmacist work with my physician(s)/healthcare provider(s)?
Pharmacists collaborate with your health care providers to improve your level of health care and health cost savings by making sure you are taking only the medications you need and not spending more than you need for these medications.

 

How long is typical MTMS appointment time and how often do I need to meet my pharmacist? Can my caregiver attend?

A typical appointment time is 30 minutes. Your face-to-face meetings with your pharmacist may be a monthly or bi-monthly frequency. Caregivers are encouraged to attend MTMS appointments for optimal education and communication.
Will my vitals be checked at the MTMS appointment?
The pharmacist may need to check your vitals to assess your overall health and to help regulate your medicine properly.
Am I able to have appointments by phone?
The initial MTMS appointment should be done face-to-face. Once the relationship is established, the pharmacist and other health care professionals can determine if appointments by phone are the most beneficial to your care. Reminder calls about refills may be one way the pharmacist supports your MTMS health plan.
Are only specific diseases covered under MTMS?
MTMS services are intended to improve the health care of individuals with chronic conditions. MTMS services can help individuals with diabetes, asthma, hypertension, high cholesterol, congestive heart failure, Chronic Obstructive Pulmonary Disease (COPD), and more.
Why am I taking these medications?
Your pharmacist will help you to understand why you have been prescribed these medicines, when you should be taking your medicine, and the side effects.
What does the comprehensive medication review identify?
You and your pharmacist do a thorough evaluation of your current medications, supplements, herbal products, vitamins, over the counter (OTC) medicines, any allergies or conditions and how all these interact. The pharmacist may identify drug interactions, discuss side effects or find duplicate therapy. Once evaluated, the pharmacist will adjust your medications to give you with better health and/or health care savings.
Should I list my OTC's, natural and dietary supplements, vitamins and minerals, and/or herbal products during the Medication Review?
Yes, the pharmacist needs a complete understanding of interactions with your medicines and over-all wellbeing to provide you with a better understanding of how to achieve optimal health through the most effective use of your medicine.
Why is a personal medication record important? Why can't I just tell the doctor myself?
A complete personal medication record can help the doctor and pharmacist identify medication interactions and unsuccessful treatments to plan a more effective medication therapy for improved health. A patient with a personal medication record utilizes an effective way to decrease medication errors with a complete list of current and past medication treatments.
How are MTM services different from the information that I already receive with my medications?
At the MTMS appointment, the pharmacist is able to develop a personalized action plan with you that will increase your understanding of how your medicine works and the importance of compliance to improve the quality and vitality of your life.

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