HealthArc’s MTM services guarantee positive patient outcomes through the establishment of safe, effective, and appropriate medication regimens. We facilitate patient support through the entire MTM process by applying state-of-the-art technology with clinical expertise. This resolves the issue of time constraints during in-clinic visits.

What is Medication Therapy Management

What is Medication Therapy Management?

Medication Therapy Management is a patient focused approach that involves comprehensive evaluation and management of the various parameters in a patient’s medication regimen. This service is offered by pharmacists and other healthcare professionals in order to optimize medication therapy and improve therapeutic outcomes for patients.

“Our aim is to support healthcare providers in streamlining MTM processes, facilitating communications, and enhancing patient care."

Key Elements Of Our Medication Therapy Management (MTM) Service

Comprehensive Medication Review (CMR)

Comprehensive Medication Review (CMR)

HealthArc's platform allows clinicians to conduct a comprehensive, virtual or in-person medication review by providing health care professionals a 360-degree view of the patient's total medication profile.

Personal Medication Record (PMR)

Personal Medication Record (PMR)

Our platform creates an automatically compiled, complete and continuously updated record of all medications a patient is taking so that healthcare professionals can make informed decisions at every step.

Medication Action Plan (MAP)

Medication Action Plan (MAP)

HealthArc assists the healthcare professional with creating a personalized medication action plan that includes actionable, patient-specific steps to ensure optimal medication use, while achieving individual health goals.

Key Benefits of HealthArc’s MTM Platform

Enhanced Patient Engagement

Enhanced Patient Engagement

HealthArc gives patients the empowerment, knowledge, confidence and tools to manage their medications.

Increase Medication Adherence

Increase Medication Adherence

HealthArc has smart reminders, alerts and mobile notifications to help patients take their medications on time every time.

Decrease Adverse Drug Events (ADEs)

Decrease Adverse Drug Events (ADEs)

HealthArc’s clinical decision support system automatically flags high-risk drug interactions, duplications and contraindications.

Higher Cost Savings

Higher Cost Savings

HealthArc’s MTM platform will identify instances of medications not working, helping to reduce unnecessary medication that is often an out-of-pocket cost to providers and payers.

Care Coordination

Care Coordination

HealthArc can connect EHR's for secure communication between pharmacists, physicians, care managers, and the patient.

Data Analytics

Data Analytics

HealthArc consists of actionable data that can track medication outcomes, adherence, and success rates of interventions by reviewing previous patient population health data.

HealthArc’s Medication Therapy Management Program

HealthArc’s Medication Therapy Management platform brings together knowledge, skills, technology and best practices to help healthcare providers optimize medication use, improve patient safety and improve clinical outcomes—through a streamlined, efficient, technology-supported process. Bringing already established key MTM responsibilities together into one user-friendly technological platform allows pharmacists and care teams to provide better, proactive, and personalized medication support to patients.

Our MTM platform combines clinical intelligence, automation, and seamless collaboration to improve medication use, reduce health costs, and improve long-term patient outcomes.

HealthArc’s Medication Therapy Management Program

How HealthArc's MTM Platform Works For Healthcare Providers

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Patient Enrollment

Patients are selected for MTM services based on several criteria like having multiple chronic conditions, taking multiple medications, or being at risk for medication related problems. Providers can easily enroll patients to receive MTM services directly in the HealthArc platform without any disruption in their workflow.

Initial Assessment

A licensed pharmacist will complete a CMR reviewing the full medication list, health status, and lifestyle factors of the patient. The assessment may identify issues such as drug-drug interactions, improper drug utilization, or gaps in therapy.

The Medication Action Plan (MAP)

After the assessment is completed, a Medication Action Plan is developed. The MAP outlines clear and actionable steps for the patient to follow in order to support adherence, change therapy if needed, or effectively achieve specific health outcomes.

Follow Up and Monitoring

Ongoing follow-ups with patient progress is done through HealthArc, with consultation for new medication issues, and updates made to the Personal Medication Record (PMR) and MAP. This allows care providers to stay aligned with the evolving needs of the patient.

Automated Reminders

The platform will send automatic reminders to take medications, refill prescriptions, and schedule follow-up appointments. The reminders allow for improved adherence and lessen the chance that a patient will miss taking their medication or receive an intervention too late.​​

Provider Collaboration

HealthArc promotes real-time data exchange among pharmacists, physicians, care coordinators, and patients. The continued collaboration in real-time care decisions allows effective treatment modifications.​

HealthArc’s MTM Capabilities

Technology Driven MTM Solutions

Technology Driven MTM Solutions

HealthArc leverages cutting-edge technology to enhance MTM services:

  • Secure Patient Portal
  • Advanced Analytics
  • Provider Communication
  • Data Analytics
  • Monitor Adherence Patterns
MTM Beneficiaries & Eligible Individuals

MTM Beneficiaries & Eligible Individuals

Our MTM services are ideal for:

  • Patients with Multiple Chronic Conditions
  • Elderly Patients
  • Patients on High-Risk Medications
  • Individuals with Medication Adherence Challenges
  • Providing Support & Education to Improve Compliance

Partner with HealthArc for Smarter Medication Management

Healthcare providers can collaborate with HealthArc to offer MTM services, enhancing patient care and achieving better health outcomes. Our platform ensures seamless integration, compliance with regulatory standards, and measurable results.

MTM CPT Codes & Reimbursement Rates

CPT Code 99605

99605 is typically used for the initial 15-minute MTM or comprehensive medication review (CMR) session with a new patient.

Average Reimbursement:
$40–$50

CPT Code 99606

99606 is used for initial 15-minute MTM sessions with returning or established patients.

Average Reimbursement:
$25–$35

CPT Code 99607

99607 is used as an add-on code to account for each additional 15 minutes of MTM service (can be added to 99605 or 99606)

Average Reimbursement:
$15–$25

** – Payments vary with subject to specific locations- Please refer cms.gov

Frequently Asked Questions

What documentation is required for MTM billing?

To bill for MTM services, providers must provide documentation for their:

  • Comprehensive Medication Review (CMR)
  • Personal Medication Record (PMR)
  • Medication Action Plan (MAP)
  • Other interventions, referrals, and follow-up efforts
What is the difference between 99606 and 99607?

99606 is for a 15-minute follow-up MTM visit in with an established patient. 99607 is an add-on code for every additional 15 minutes beyond the time spent during the same visit and can be billed with either visit 99605 or 99606.

Are MTM services reimbursed by private insurers?

Yes, many private and commercial insurance plans may reimburse MTM services billed using CPT codes 99605, 99606, and 99607. This reimbursement may be available through collaborative practice agreements or an alternative value-based care arrangement. You should check each payer’s billing policies.

Who can receive MTM services?

Patients likely having multiple chronic conditions, multiple medications, and high risk for medication-related problems is eligible for receiving MTM services.

Can MTM services be delivered remotely?

Yes. MTM services can be provided via telephonic or video consultations. CMS and many payers recognize remote MTM as valid, especially for CMRs, as long as documentation requirements are met.

Get Started with HealthArc’s MTM Services

Schedule a demo now and empower your practice with HealthArc’s comprehensive Medication Therapy Management solutions.

How can HealthArc help you?

Interested in a demo or just general questions? Fill out the form below and a representative will respond shortly!

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