Professional Role ANCC crash course|| 85
QUESTIONS|| CORRECT ANSWERS||
VERIFIED
highest to lowest levels of evidence - ANSWER 1. meta analysis/systematic reviews - gold standard
2. all the Cs: randomized control trials, quasi experimental design, cohort studies, case control studies,
cross sectional studies.
longitudinal and retrospective
3. editorials/opinions: no real research.
difference between randomized controlled trial and quasi experimental design - ANSWER in randomized
controlled trials there is randomization and in quasi experimental design there is not
what is the health belief model - ANSWER people will not change their health behaviors unless they
personally believe they are at risk and they want to avoid negative health consequences
the health belief model helps to not only __ but also __ health behaviors - ANSWER explain and predict
what parts of the health belief model predict health behavior - ANSWER perceived risks susceptibility,
belief of consequence, risk severity, benefits to action, self efficacy and cues to action
Credentialing is a process that you go through in order to be allowed to bill - ANSWER medicare,
medicaid, etc
credentialing can be though of as a massive __ - ANSWER verification process
two types of liability insurance - ANSWER claims based and occurrence based
, what Is claims based insurance - ANSWER you have coverage while you're still employed, when you leave
that job you lose coverage
occurrence based insurance is not affected by - ANSWER job changes or retirement
what is occurrence based insurance - ANSWER as long as you had an active policy when you saw that
patient in the clinic you're covered
with the transitional care model you are doing what - ANSWER transitioning their care
what is the goal of the transitional care model - ANSWER prevent readmissions and exacerbations
what the diff between ICD-10 code and CPT code - ANSWER ICD-10 code identifies the diagnosis and tells
the insurance what disease process or condition we are billing for
CPT code is for any procedure that were done during the visit. ex: diagnostics, labs, x rays, surgical
procedures
3 things that are needed when doing a note about a pt with ICD-10 or CPT codes - ANSWER history,
physical exam, and a plan
the Swiss cheese model is all about - ANSWER risk analysis and management
the Swiss cheese model is put to use when - ANSWER an error happens and we go back after the fact,
notice where the error occurred, and how it reached the pt
the Swiss cheese model is focused not on blame, but on - ANSWER root cause analysis to prevent it from
happening in the future
what is incident to billing - ANSWER Means MD initiates treatment and NP is an extension of the care
and directly under the supervision of the MD.
Allows NP to get reimbursed at 100% rather than 85%.
QUESTIONS|| CORRECT ANSWERS||
VERIFIED
highest to lowest levels of evidence - ANSWER 1. meta analysis/systematic reviews - gold standard
2. all the Cs: randomized control trials, quasi experimental design, cohort studies, case control studies,
cross sectional studies.
longitudinal and retrospective
3. editorials/opinions: no real research.
difference between randomized controlled trial and quasi experimental design - ANSWER in randomized
controlled trials there is randomization and in quasi experimental design there is not
what is the health belief model - ANSWER people will not change their health behaviors unless they
personally believe they are at risk and they want to avoid negative health consequences
the health belief model helps to not only __ but also __ health behaviors - ANSWER explain and predict
what parts of the health belief model predict health behavior - ANSWER perceived risks susceptibility,
belief of consequence, risk severity, benefits to action, self efficacy and cues to action
Credentialing is a process that you go through in order to be allowed to bill - ANSWER medicare,
medicaid, etc
credentialing can be though of as a massive __ - ANSWER verification process
two types of liability insurance - ANSWER claims based and occurrence based
, what Is claims based insurance - ANSWER you have coverage while you're still employed, when you leave
that job you lose coverage
occurrence based insurance is not affected by - ANSWER job changes or retirement
what is occurrence based insurance - ANSWER as long as you had an active policy when you saw that
patient in the clinic you're covered
with the transitional care model you are doing what - ANSWER transitioning their care
what is the goal of the transitional care model - ANSWER prevent readmissions and exacerbations
what the diff between ICD-10 code and CPT code - ANSWER ICD-10 code identifies the diagnosis and tells
the insurance what disease process or condition we are billing for
CPT code is for any procedure that were done during the visit. ex: diagnostics, labs, x rays, surgical
procedures
3 things that are needed when doing a note about a pt with ICD-10 or CPT codes - ANSWER history,
physical exam, and a plan
the Swiss cheese model is all about - ANSWER risk analysis and management
the Swiss cheese model is put to use when - ANSWER an error happens and we go back after the fact,
notice where the error occurred, and how it reached the pt
the Swiss cheese model is focused not on blame, but on - ANSWER root cause analysis to prevent it from
happening in the future
what is incident to billing - ANSWER Means MD initiates treatment and NP is an extension of the care
and directly under the supervision of the MD.
Allows NP to get reimbursed at 100% rather than 85%.
