Ambulatory Practice Management Flashcards
7 cards from real BCACP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Ambulatory Practice Management flashcards as text
A pharmacist working in a Federally Qualified Health Center (FQHC) can bill for clinical services using which designation that allows direct reimbursement?
Answer: Eligible Professional under FQHC cost-based reimbursement
FQHCs use a cost-based prospective payment system that can include pharmacist services as covered encounters when approved under the clinic's approved scope of services.
When designing a workflow for a pharmacist-managed diabetes clinic, which tool is most useful for identifying inefficiencies and non-value-added steps?
Answer: Value stream mapping
Value stream mapping is a lean improvement tool that visually maps each step in a workflow to identify waste, delays, and non-value-added activities.
Which federal program requires that pharmacists providing MTM services complete a comprehensive medication review (CMR) at least annually for eligible enrollees?
Answer: Medicare Part D MTM Program
CMS requires Medicare Part D plan sponsors to offer a CMR at least annually to all eligible MTM program enrollees, with the pharmacist documenting a written summary.
A pharmacist notices that patients from one demographic group have significantly lower medication adherence rates than the overall population. This finding most likely indicates a need to address which concept?
Answer: Health equity and social determinants of health
Disparities in adherence across demographic groups signal underlying health equity issues, including social determinants such as cost, literacy, transportation, and cultural factors.
Which element is most important when developing a disease state management protocol for a pharmacist-run lipid clinic?
Answer: Evidence-based treatment algorithms with defined pharmacist prescribing authority
Evidence-based algorithms with clearly defined pharmacist prescribing or adjustment authority are essential to ensure safe, guideline-concordant, and legally authorized care.
A pharmacist is calculating the number of patients needed to see per day to make a new anticoagulation clinic financially viable. This analysis is an example of which planning tool?
Answer: Break-even analysis
Break-even analysis determines the minimum volume of services (patient visits) needed for revenue to equal costs, establishing the threshold for financial viability.
According to the APhA-ASCP model for pharmacist-delivered care, which term describes a long-term relationship where a pharmacist assumes responsibility for a patient's medication-related outcomes?
Answer: Pharmaceutical care
Pharmaceutical care, as defined by Hepler and Strand, describes the pharmacist's commitment to accept responsibility for a patient's drug therapy outcomes to improve quality of life.