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Exam (elaborations)

NR 511 Week 1 Quiz 1 Differential Diagnosis and Primary Care Practicum

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NR 511 Week 1 Quiz 1 Differential Diagnosis and Primary Care Practicum Question 1 1 / 1 pts The phrase usual and customary refers to: The success rate of a specified procedure. How much an insurer will charge to provide coverage. Correct Answer How charges for a service compares with charges made to other persons receiving similar services and supplies. How an insurer evaluates the need for an ordered diagnostic test. The phrase usual and customary refers to the comparison of charges with other like charges for services and supplies received in the immediate vicinity as well as in a broader geographic area. Question 2 1 / 1 pts What must you do as an advanced practice registered nurse (APRN) before billing for visits? Correct! Obtain a provider number and familiarize yourself with the rules and policies of the third-party payer. Provide evidence of continuing medical education Obtain a Drug Enforcement Administration (DEA) number. Establish a collaborative agreement with a physician. To bill your clients for services, you must obtain a provider number and familiarize yourself with the rules and policies of each payor.

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