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