Dunphy The Business of Advanced
Practice Nursing Exam with Complete
Answers
Identify the primary challenge for insurance carriers in today's health delivery model.
A. Preventing illness
B. Screening for disease
C. Educating the public
D. Reducing health-care spending - Answer-D. Reducing health-care spending
Medicare benefits were offered to U.S. beneficiaries beginning in 1965. What was the
service added with the Medicare D plan in 2006?
A. Health-care screening
B. Health-care education
C. Pharmaceutical coverage
D. Durable medical equipment coverage - Answer-C. Pharmaceutical coverage
The cost of care provided by an APRN is approximately:
A. One-quarter that of a physician
B. One-third that of a physician
C. One-half that of a physician
D. One and one-half that of a physician - Answer-C. One-half that of a physician
How do bundled payments differ from fee-for-service or global capitation?
A. Bundled payments are designed to reduce the number of payments to providers.
B. Bundled payments align payment to care outcomes delivered by the team.
C. Bundled payments reduce the amount of paperwork required for payment.
D. Bundled payments allow for streamlined and coordinated billing for providers. -
Answer-B. Bundled payments align payment to care outcomes delivered by the team.
Patients require education prior to accessing health-care services for the following
reason:
A. Many patients do not understand policy benefits and payment responsibility.
B. Services may change across the beneficiary year.
C. Copayments and deductibles may have already been met by the patient.
D. Coding may need to be adjusted to meet the terms of the patient's benefits. -
Answer-A. Many patients do not understand policy benefits and payment responsibility.
What replaced the Sustainable Growth Rate (SGR) formula?
A. Advanced Alternate Payment Model (APM)
B. Merit-Based Incentive System (MIPS)
C. Medicare Access and CHIP Reauthorization
D. Quality Payment Program (QPP) - Answer-D. Quality Payment Program (QPP)
Practice Nursing Exam with Complete
Answers
Identify the primary challenge for insurance carriers in today's health delivery model.
A. Preventing illness
B. Screening for disease
C. Educating the public
D. Reducing health-care spending - Answer-D. Reducing health-care spending
Medicare benefits were offered to U.S. beneficiaries beginning in 1965. What was the
service added with the Medicare D plan in 2006?
A. Health-care screening
B. Health-care education
C. Pharmaceutical coverage
D. Durable medical equipment coverage - Answer-C. Pharmaceutical coverage
The cost of care provided by an APRN is approximately:
A. One-quarter that of a physician
B. One-third that of a physician
C. One-half that of a physician
D. One and one-half that of a physician - Answer-C. One-half that of a physician
How do bundled payments differ from fee-for-service or global capitation?
A. Bundled payments are designed to reduce the number of payments to providers.
B. Bundled payments align payment to care outcomes delivered by the team.
C. Bundled payments reduce the amount of paperwork required for payment.
D. Bundled payments allow for streamlined and coordinated billing for providers. -
Answer-B. Bundled payments align payment to care outcomes delivered by the team.
Patients require education prior to accessing health-care services for the following
reason:
A. Many patients do not understand policy benefits and payment responsibility.
B. Services may change across the beneficiary year.
C. Copayments and deductibles may have already been met by the patient.
D. Coding may need to be adjusted to meet the terms of the patient's benefits. -
Answer-A. Many patients do not understand policy benefits and payment responsibility.
What replaced the Sustainable Growth Rate (SGR) formula?
A. Advanced Alternate Payment Model (APM)
B. Merit-Based Incentive System (MIPS)
C. Medicare Access and CHIP Reauthorization
D. Quality Payment Program (QPP) - Answer-D. Quality Payment Program (QPP)
