NCA 622 COMPREHENSIVE EXAM PLAYPOSITS/QUIZ/BUPPERT
QUESTIONS AND CORRECT ANSWERS |LATEST UPDATE
|ALREADY GRADED A+
"At will" employment is best defined as: - ANS -A working relationship that either
party may terminate for any reason at any time.
T/F: In most states, unless there is a written contract defining the duration of
employment, employment is "at will." - ANS -True
A nurse practitioner has been employed with a heart failure clinic for 20 years.
The nurse practitioner resigned from her position at the clinic in order to open
her own heart failure clinic. She would like to take her patients with her to her
new clinic, which will be located about 2 blocks away. Before she makes any
major moves, what piece of advice would you give her? - ANS -The NP should
review her previous contract for a restrictive covenant in the contract.
T/F: Patient satisfaction is subjective, therefore it cannot be reliably used to
evaluate performance. - ANS -False
A nurse practitioners performance is most often evaluated by all of the following,
EXCEPT: - ANS -number of awards and achievements
Nurse practitioners must know and follow the standards for health maintenance
recommendations because an increase in the demand for higher quality
healthcare as well as _________ care, affects reimbursement now more than
ever. - ANS -Preventative
,A nurse practitioner has just been hired for her first job as an NP at a diabetes
clinic. She is in a meeting with the manager and is discussing certain aspects of
the contract. While discussing the structure for bonus-pay, the manager states
that most reimbursement to the clinic is capitated. The NP immediately knows
that under this type of payment system a _____________ bonus system would
work best. - ANS -quality-based
Because hospitals. emergency rooms, and specialists are high cost centers for
health plans, health plans want to keep admissions and referrals to the
emergency room and specialists at a minimum. This statement underlines the
concept of: - ANS -utilization
In order to measure quality, a ___________ must first be set. - ANS -standard
The first step in understanding collaborative practice requirements is to: - ANS -
Review the state law regarding NP scope of practice.
Medical decision making refers to the complexity of establishing a diagnosis
and/or selecting a management option. According to The Centers for Medicare
and Medicaid Services (CMS), the level of medical decision making is determined
by considering all of these factors, EXCEPT:
A. The risk of significant complications, morbidity, or mortality
B. Time spent triaging the patient over the phone
C. The amount and complexity of data to be reviewed by the provider
D. The number of diagnoses - ANS -B. Time spent triaging the patient over the
phone
,Medicare covers which groups (select all that apply):
A. Disabled individuals who qualify for Social Security disability payments and
benefits.
B. Adults 65 and over who have enrolled and pay premiums
C. Mothers and children who qualify on the basis of poverty.
D. Adults who are disabled for the short term (less than 1 year) and who qualify
on the basis of poverty. - ANS -A & B
ICD-10 CM coding is used to code for a medical diagnosis. Which statement best
describes the structure and function of the ICD-10 coding system?
A. ICD-10 codes are made up of a maximum of 6 alphanumeric digits and allow for
expansion as new illnesses emerge or new procedures are developed.
B. ICD-10 codes are made up of a maximum of 6 alphanumeric digits and never
include the letter "U."
C. ICD-10 codes are made up of a maximum of 7 alphanumeric digits and one
complete code can code for one medical diagnosis.
D. ICD-10 codes are made up of a maximum of 7 alphanumeric digits and include
aspects of etiology, location, and laterality. - ANS -D. ICD-10 codes are made up of
a maximum of 7 alphanumeric digits and include aspects of etiology, location, and
laterality.
A nurse practitioner is precepting a new AGACNP student and they are discussing
billing and coding. The student asks what a CPT code is. The NP explains that it is
vital that the student understands what a CPT code is because they represent:
, A. hospital visits
B. Office visits
C. procedures and services
D. Medical diagnoses - ANS -C. Procedures and services
Evaluation and management (E/M) services are billed using multiple aspects of
the patient encounter. Billing Medicare for E/M services requires the selection of
a code that best represents all of the following, EXCEPT:
A. Presence of a collaborating physician
B. Setting of service
C. Patient type (new vs. established patient)
D. Level of service performed - ANS -A. Presence of a collaborating physician
An NP works in an outpatient clinic for patients with advanced heart failure. The
NP has finished the visit with Mr. Jones and he is determining how he will bill for
this encounter. His decision to bill for an "Incident-To" visit is supported by all of
the following statements, EXCEPT:
A. During this visit the NP followed up on a plan of care for the patient that was
initiated by the collaborating physician
B. During this visit the NP adjusted the heart failure medications according to the
clinic's standard protocol for medication adjustments.
C. During this visit the physician was present in the office suite and available for
assistance.
QUESTIONS AND CORRECT ANSWERS |LATEST UPDATE
|ALREADY GRADED A+
"At will" employment is best defined as: - ANS -A working relationship that either
party may terminate for any reason at any time.
T/F: In most states, unless there is a written contract defining the duration of
employment, employment is "at will." - ANS -True
A nurse practitioner has been employed with a heart failure clinic for 20 years.
The nurse practitioner resigned from her position at the clinic in order to open
her own heart failure clinic. She would like to take her patients with her to her
new clinic, which will be located about 2 blocks away. Before she makes any
major moves, what piece of advice would you give her? - ANS -The NP should
review her previous contract for a restrictive covenant in the contract.
T/F: Patient satisfaction is subjective, therefore it cannot be reliably used to
evaluate performance. - ANS -False
A nurse practitioners performance is most often evaluated by all of the following,
EXCEPT: - ANS -number of awards and achievements
Nurse practitioners must know and follow the standards for health maintenance
recommendations because an increase in the demand for higher quality
healthcare as well as _________ care, affects reimbursement now more than
ever. - ANS -Preventative
,A nurse practitioner has just been hired for her first job as an NP at a diabetes
clinic. She is in a meeting with the manager and is discussing certain aspects of
the contract. While discussing the structure for bonus-pay, the manager states
that most reimbursement to the clinic is capitated. The NP immediately knows
that under this type of payment system a _____________ bonus system would
work best. - ANS -quality-based
Because hospitals. emergency rooms, and specialists are high cost centers for
health plans, health plans want to keep admissions and referrals to the
emergency room and specialists at a minimum. This statement underlines the
concept of: - ANS -utilization
In order to measure quality, a ___________ must first be set. - ANS -standard
The first step in understanding collaborative practice requirements is to: - ANS -
Review the state law regarding NP scope of practice.
Medical decision making refers to the complexity of establishing a diagnosis
and/or selecting a management option. According to The Centers for Medicare
and Medicaid Services (CMS), the level of medical decision making is determined
by considering all of these factors, EXCEPT:
A. The risk of significant complications, morbidity, or mortality
B. Time spent triaging the patient over the phone
C. The amount and complexity of data to be reviewed by the provider
D. The number of diagnoses - ANS -B. Time spent triaging the patient over the
phone
,Medicare covers which groups (select all that apply):
A. Disabled individuals who qualify for Social Security disability payments and
benefits.
B. Adults 65 and over who have enrolled and pay premiums
C. Mothers and children who qualify on the basis of poverty.
D. Adults who are disabled for the short term (less than 1 year) and who qualify
on the basis of poverty. - ANS -A & B
ICD-10 CM coding is used to code for a medical diagnosis. Which statement best
describes the structure and function of the ICD-10 coding system?
A. ICD-10 codes are made up of a maximum of 6 alphanumeric digits and allow for
expansion as new illnesses emerge or new procedures are developed.
B. ICD-10 codes are made up of a maximum of 6 alphanumeric digits and never
include the letter "U."
C. ICD-10 codes are made up of a maximum of 7 alphanumeric digits and one
complete code can code for one medical diagnosis.
D. ICD-10 codes are made up of a maximum of 7 alphanumeric digits and include
aspects of etiology, location, and laterality. - ANS -D. ICD-10 codes are made up of
a maximum of 7 alphanumeric digits and include aspects of etiology, location, and
laterality.
A nurse practitioner is precepting a new AGACNP student and they are discussing
billing and coding. The student asks what a CPT code is. The NP explains that it is
vital that the student understands what a CPT code is because they represent:
, A. hospital visits
B. Office visits
C. procedures and services
D. Medical diagnoses - ANS -C. Procedures and services
Evaluation and management (E/M) services are billed using multiple aspects of
the patient encounter. Billing Medicare for E/M services requires the selection of
a code that best represents all of the following, EXCEPT:
A. Presence of a collaborating physician
B. Setting of service
C. Patient type (new vs. established patient)
D. Level of service performed - ANS -A. Presence of a collaborating physician
An NP works in an outpatient clinic for patients with advanced heart failure. The
NP has finished the visit with Mr. Jones and he is determining how he will bill for
this encounter. His decision to bill for an "Incident-To" visit is supported by all of
the following statements, EXCEPT:
A. During this visit the NP followed up on a plan of care for the patient that was
initiated by the collaborating physician
B. During this visit the NP adjusted the heart failure medications according to the
clinic's standard protocol for medication adjustments.
C. During this visit the physician was present in the office suite and available for
assistance.
