Study guides, Class notes & Summaries

Facility fee billing- HOPPS- used for nonmedicare B recognized provider who is employed or contrated by hospital health system supervising physician must be the in the BUILDING APC Code 5012 with G0463 "Incident to" or Clinic Billing- Must be in the same SUITE or office CMS Annual Wellness Visit - Initial Preventive Physical Exam only by physician or NP/PA::: NOT PHARMACIST G0402 CMS AWV Initial- can be done by pharm G0438 CMS AWV Follow-up G0439 For...

Pharmacist mission improve public health through ensuring the safe, effective, and appropriate use of medications 4 main clinical pharmacy practice models pharmaceutical care MTM comprehensive med mgmt CDTM Goal of pharmaceutical care? optimize health related quality of life, achieve positive clinical outcomes Medication therapy management definition? CMS servive or group of services that optimizes therapeutic outcomes for individual patients. Optimize outcomes throug...

incidence of MI 7 year DM/prior MI DM no prior MI 18.8%; DM no prior ME 20.2%; no DM no prior MI 3.5; DM and prior MI 45% Drugs that increase/decrease blood sugar decrease: alcohol; increase steroids, atypical antipsych (those are the maor ones) 4 ways to dx diabetes fasting >126; 2 hour post prand >200; A1c >=6.5, casual and DM symptoms >=200 3 ways for prediabetes fasting 100-125; 2 hour post prand 140-199; A1c 5.7-6.4% ADA recommendations for dealin...

Ho = The Null Hypothesis Accepted when no statistical difference was detected between treatment groups; p-value > 0.05 Ha = The Alternative Hypothesis Opposite of the null hypothesis; accepted when there is a statistical significance between the treatment and placebo groups; p-value <0.05 Independent Variables Variables set by the researcher; can be controlled Dependent Variables Variables that will DEPEND on the independent variables; can not be controlled ...

What is the triple aim of Institute for Health Improvement? 1. improve patients' experience of care 2. reduce cost of care 3. improve population health Complex adaptive systems (CAS) Group of diverse individuals who learn together Interdependent connections that vary in intensity and may be inconsistent Which group is involved in health care interoperability? Office of the National Coordinator (ONC) per the Cures Act of 2016 What is SNOMED CT? SNOMED CT or SNOMED Cli...

how often do you screen for hypothyroidism after > 35 YO every 5 years T4 Levothyroxine T3 Liothyronine Subclinical TSH range 5-9 Starting dose Levothyroxine in healthy adult 1.6 mcg/kg/day If elderly or CAD what is the starting dose levothyroxine 12.5-25 mcg/day Amiodarone can induce ____thyroidism in iodine deficiency hyperthyroidism TSH offers positive/negative feedback from _____ gland pituitary Definitive treatment for hyper...

Causes of cognitive impairment? Depression, thyroid disease, B12 or folate deficiency, Drug induced (anticholinergic, BZD etc), substance abuse, CNS or UTI infection, vascular dx, stroke Common test used in clinical practice for AD? Mini mental state examination Screening tool - not diagnostic Normal MMSE score? 24-30 Mild and moderate impairment according to MMSE? 17-23 10-16 Cholinesterase inhibitors - approved for severe AD? Inc acetylcholine availability d...

99211-14 CPT billing codes billed under an attending provider (NP, MD, PA). Billed under Medicare Part B in a clinic/physicians office. Direct supervision is required G0463 Billing code for pharmacist services under hospital-based outpatient clinic through Medicare Part A. Considered a facility fee 99496 Transitional care code for patients with a high complexity of care. Requires communication within 2 business days of discharge and a face-to-face visit within 7 days of discharg...

MRA recommendation for CHF 1. symptomatic HFrEF </= 35% 2. Post-MI with </=40% and either HF symptoms or DM MRA CI 1. eGFR <30 2. SCr >/=2.5 in male, >/=2.0 in female 3. K >5.0 4. pt already on combination therapy with ACEI + ARB (d/t increase risk of hyperkalemia with MRA) Hydralazine/isosorbide recommended for which CHF patients? 1. AA patients with NYHA class III/IV taking ACEI/ARB , BB +/- MRA 2. any symptomatic HFrEF patients who are intolerant to ACE...

FDA Recall Classes Class 1 - situation in which there is a reasonable probability that the use of, or exposure to, a violative product will cause serious adverse health consequences or death Class 2 - situation in which use of, or exposure to, a violative product may cause temporary or medically reversible adverse health consequences or where the probability of serious adverse health consequences is remote Class 3 - situation in which use of, or exposure to, a violative product is not...