1. Which of the following demonstrates a subjective finding?: Pain level
2. The Affordable Care Act which was passed in 2010 has a number of provi-sions, including the
establishment of health exchanges.The purpose of healthinsurance exchange is to: Create an online
marketplace for the sale and purchaseof health insurance for consumers
3. What must you do as an APRN before billing visits?: Obtain a provider numberand familiarize
yourself with the rules and policies of the third-party payer
4. Which of the following statements does not belong in the past medical history portion of your
chart note?: Your patient had lab work done at their lastappointment. CBC was normal.
5. An 81 y/o presents for a physical recent fall and has trouble walking up the stairs. The only
restroom is on the second floor and she also has a flightof stairs outside her house in order to
reach the street level and is having difficulty. Where does this information belong in the chart?:
Functional healthproblems
6. What is an accountable care organization?: A group of providers and supplierswho come together
voluntarily to give coordinated, high quality care to medicare patients.
7. Most HMOs use a reimbursement mechanism called capitation. What does that mean?: The
HMO reimburses the provider a predetermined fee per clinic per month based on the client's age and
sex.
8. Denial of provider status is something that seriously impedes a NP abilityto practice. If that
occurs, some steps one can take is: Writing letters to the organizations president and CEO activating
others to lobby on your behalf and reapply after a 6 month period
9. In relation to writing a patient encounter note, the acronym SOAP standsfor?: Subjective,
objective, assessment, plan
10. Specificity question: 80
11. The phrase usual and customary refers to: How charges for a service com- pares with charges
made to other persons receiving similar services and supplies
12. Which is an objective finding?: Respiratory rate
13. Which of the following is true about Medicaid?: Medicaid is a program for theindigent financed
jointly by the federal and state governments.
14. Which one of the following is true regarding the importance of documen-tation?: It allows
you to communicate your findings to other providers and servesas a record for the visit.
15. Which of the following is the best method for evaluating the efficacy of anew clinical
intervention?: A randomized controlled trial
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