HIPAA
NO COGNITIVE IMPAIRMENT: If a member is not available, can we proceed with call? Why?
NO COGNITIVE IMPAIRMENT
1. In instances where no cognitive impairment is indicated for the member, caregivers may assist member and complete CMR jointly.
a. If a member is not available, clinician cannot proceed with CMR and should schedule appointment at a time when member will be available.
How would you verify and document this medication?
LANTUS SOLOS INJ 100/ML
TYPE 2 DIABETES
INJECT [ ] SUBCUTANEOUSLY UNDER THE SKIN ONCE DAILY AS NEEDED
See live response.
What does CPP stand for?
Clinical Products Platform
A member takes lisinopril and losartan. What MTM concern should be evaluated?
Potential duplicate therapy (ACEI + ARB). Assess whether concurrent use is intentional and address/document appropriately.
Give me at least 3 Brand names of Metformin.
Glucophage, Glumetza, Fortamet, Riomet
Who is the recipient of Consultation if member has CI but member did the review?
Beneficiary/Member
Select appropriate Actions for DTP Review.
When to use Verified?
When to use Verified and Send to Prescriber?
Select appropriate Actions for DTP Review:
If discussed select Verified, then select Reason For Not Contacting Prescriber. If reason for not contacting prescriber is not one of the options, select “Other” and document the reason in text box.
If intervention is needed, select Verified and Send to Prescriber. If unable to discuss, select Verified and Send to Prescriber and note reason for not discussing in case notes.
Show us how to search member and authorized representative in Advocate Central.
Share screen.
A member takes Metoprolol ER 100 mg BID and Metoprolol ER 50 mg BID. What should you clarify?
Determine if both strengths are being used together intentionally to achieve the prescribed total dose.
What is the Generic name of Qbrelis?
Lisinopril
CI Pathway: Provide who can lead the medication review.
a. GPS/AC Authorized Representative
b. Verbal Consent
c. Non-Verbal Consent where caregiver is not healthcare provider (i.e. spouse, friend, daughter/son)
d. Non-Verbal Consent where caregiver is a healthcare provider (i.e. nurse in LTCF, home health nurse)
a. GPS/AC Authorized Representative
i. Clinician can lead with medication list.
b. Verbal Consent
i. Clinician can lead with medication list.
c. Non-Verbal Consent where caregiver is not healthcare provider (i.e. spouse, friend, daughter/son)
i. Caregiver must lead with medication list.
d. Non-Verbal Consent where caregiver is a healthcare provider (i.e. nurse in LTCF, home health nurse)
i. Clinician can lead with medication list.
ii. Ensure LTCF name is documented in caregiver section when applicable.
How would you document this medication?
Insulin Lispro: 100 units/mL
Insulin Lispro: 100 units/mL
Direction: Inject subcutaneously under the skin three times daily based on the sliding scale: Inject [4 units] for 150-200 mg/dL, Inject [8 Units] for 201-250 mg/dL and Inject [12 units] for >300 mg/dL. Do no administer if < 150 mg/dL.
Which medication does NOT belong?
Lisinopril (ACEI). The others are ARBs.
Which medication would most likely be taken on an empty stomach?
A. Metformin
B. Levothyroxine
C. Atorvastatin
B. Levothyroxine
Give me at least 3 Brand names of Albuterol?
Ventolin HFA, ProAir HFA, Proventil HFA, AccuNeb
Show us how to search member in GPS. Check if member has an authorized representative.
Share screen
What is the Generic name of Seroquel?
Quetiapine
Give me an SSRI drug and provide it's generic and brand name.
Generic: Sertraline Brand: Zoloft
Generic: Escitalopram Brand: Lexapro