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Designed to be proactive in identifying non-compliance issues before they become an adverse drug event
300+ prescriptions and OTC medications / metabolites
1/1.5M error rate or 1/10,000 patients results
24-48 hour turnaround for most test results
$75 out of pocket cost if not covered by insurance
Importance of Medication Reconciliation
Most medication reconciliations are done through patient reporting or by a report from the pharmacy
This relies on the patient to recall all of their medications correctly or assumes that all medications picked up from the pharmacy are being taken
Prescriptions that are filled, but never taken
Sample prescriptions provided by a specialist
Prescriptions not taken as directed
OTC medications not reported
Medications taken that were prescribed for someone else
Simple Urine Screening Answers:
Is the patient taking all of their medications?
Is the patient taking prescriptions or OTCs which are not prescribed or reported?
Who Is Eligible?
Any patient with 2 or more chronic conditions:
COPD, CHF, CKD, Diabetes, Hypertension, Hyperlipidemia, etc.
Same criteria as Chronic CareManagement - All CCM patients are eligible
Covered Medicare and Medicare Advantage plans:
Approved by Medicare to be billed up to 12 times/year
Typically utilized 4 times/year as a maximum
Most appropriate to incorporate into:
Annual Wellness Visits
Post-hospital follow-ups (for TCM medication reconciliation compliance)
Office visits for CCM patients
Patients with a high number of prescriptions, multiple specialists, known medication management issues, etc
How Many Medication Consultations Could You Administer Each Month?
The number of consultations is generally equal to about 15% of the total number of Medicare patients your practice treats
105 monthly consultations
potential monthly revenue assumes assumes $154 avg revenue per consult
I am bringing in an extra $8,600 per month. Thank you for bringing this program to our practice.
— Dr. Scott Jensen, MD
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