Page | 1
NP ROLE FINAL EXAM 2025| BRAND NEW
ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Which aspect of the nurse practitioner's (NP's) reimbursement
eligibility requirements is typically fulfilled by the practice
manager?
a. Applying for a national provider number
b. Completing a third-party credentialing process
, Page | 2
c. Requesting an employer provider number
d. Filling out an attestation form - correct answer - Completing a
third-party credentialing process
For the nurse practitioner (NP), reduced practice authority
requires which action on the part of a fellow provider?
a. Collaboration agreement
b. Supervision
c. Delegation
d. Team management - correct answer - Collaboration agreement
Discuss the nature and purpose of medical coding using
International Classification of Diseases (ICD) codes and Current
Procedural Terminology (CPT) codes. - correct answer - Medical
coding is best defined as the translation of the original medical
record documentation regarding patient diagnoses and
procedures into a series of code numbers that describe the
information in a standard manner. Coded medical information is
used for patient care, research, reimbursement, and evaluation of
services. International Classification of Diseases (ICD) codes,
developed by the World Health Organization, are used to identify
the patient's diagnoses or reasons for seeking care. These codes
cover specific illnesses or diseases as well as signs and
symptoms resulting in the patient encounter. ICD codes are also
useful for classifying morbidity and mortality data from inpatient
and outpatient records and most National Center for Health
, Page | 3
Statistics (NCHS) surveys. Another component of medical billing
is the Current Procedural Terminology (CPT), which describes the
services and/or procedures for which reimbursement is sought.
CPT codes are used for specific types of patient encounters,
including procedures and diagnostic studies.
Incorporate the use of Current Procedural Terminology (CPT)
codes and International Classification of Diseases (ICD) codes to
explain medical necessity. - correct answer - Medical necessity is
defined as medical items and services that are "reasonable and
necessary" for a variety of purposes. Medical necessity
represents the combination of "what was done" with "why it was
done." The formula for determining medical necessity may be
expressed as CPT + ICD-10 = medical necessity.
A patient is transported to the emergency department by
ambulance for treatment of respiratory distress related to asthma.
The nurse practitioner (NP) orders administration of nebulized
albuterol. The Healthcare Common Procedure Coding System
(HCPCS) Level II code set must be used for identification of which
aspect of the patient's care?
a. Ambulance transport
b. History of asthma
c. Diagnosis of respiratory distress
d. Albuterol administration - correct answer - Ambulance transport
, Page | 4
Discuss the most important document in the reimbursement
process. - correct answer - The medical record is the most
important document in the reimbursement process. Any
information provided to the patient on a particular date of service
must be recorded in the record. If it was not documented, it was
not done.
The resourced-based relative value scale (RBRVS) is directly
relevant to which aspect of the nurse practitioner's (NP) practice?
a. Coordination of care
b. Credentialing
c. Medical record documentation
d. Reimbursement - correct answer - Reimbursement
Which component of the patient history must be present in order
to classify the patient interaction as Level 2/problem focused?
a. Detailed history of present illness (HPI)
b. Pertinent past family and social history (PFSH)
c. Brief history of present illness (HPI)
d. Complete past family and social history (PFSH) - correct
answer - Brief history of present illness (HPI)
NP ROLE FINAL EXAM 2025| BRAND NEW
ACTUAL EXAM WITH 100% VERIFIED
QUESTIONS AND CORRECT SOLUTIONS|
GUARANTEED VALUE PACK| ACE YOUR
GRADES.
Which aspect of the nurse practitioner's (NP's) reimbursement
eligibility requirements is typically fulfilled by the practice
manager?
a. Applying for a national provider number
b. Completing a third-party credentialing process
, Page | 2
c. Requesting an employer provider number
d. Filling out an attestation form - correct answer - Completing a
third-party credentialing process
For the nurse practitioner (NP), reduced practice authority
requires which action on the part of a fellow provider?
a. Collaboration agreement
b. Supervision
c. Delegation
d. Team management - correct answer - Collaboration agreement
Discuss the nature and purpose of medical coding using
International Classification of Diseases (ICD) codes and Current
Procedural Terminology (CPT) codes. - correct answer - Medical
coding is best defined as the translation of the original medical
record documentation regarding patient diagnoses and
procedures into a series of code numbers that describe the
information in a standard manner. Coded medical information is
used for patient care, research, reimbursement, and evaluation of
services. International Classification of Diseases (ICD) codes,
developed by the World Health Organization, are used to identify
the patient's diagnoses or reasons for seeking care. These codes
cover specific illnesses or diseases as well as signs and
symptoms resulting in the patient encounter. ICD codes are also
useful for classifying morbidity and mortality data from inpatient
and outpatient records and most National Center for Health
, Page | 3
Statistics (NCHS) surveys. Another component of medical billing
is the Current Procedural Terminology (CPT), which describes the
services and/or procedures for which reimbursement is sought.
CPT codes are used for specific types of patient encounters,
including procedures and diagnostic studies.
Incorporate the use of Current Procedural Terminology (CPT)
codes and International Classification of Diseases (ICD) codes to
explain medical necessity. - correct answer - Medical necessity is
defined as medical items and services that are "reasonable and
necessary" for a variety of purposes. Medical necessity
represents the combination of "what was done" with "why it was
done." The formula for determining medical necessity may be
expressed as CPT + ICD-10 = medical necessity.
A patient is transported to the emergency department by
ambulance for treatment of respiratory distress related to asthma.
The nurse practitioner (NP) orders administration of nebulized
albuterol. The Healthcare Common Procedure Coding System
(HCPCS) Level II code set must be used for identification of which
aspect of the patient's care?
a. Ambulance transport
b. History of asthma
c. Diagnosis of respiratory distress
d. Albuterol administration - correct answer - Ambulance transport
, Page | 4
Discuss the most important document in the reimbursement
process. - correct answer - The medical record is the most
important document in the reimbursement process. Any
information provided to the patient on a particular date of service
must be recorded in the record. If it was not documented, it was
not done.
The resourced-based relative value scale (RBRVS) is directly
relevant to which aspect of the nurse practitioner's (NP) practice?
a. Coordination of care
b. Credentialing
c. Medical record documentation
d. Reimbursement - correct answer - Reimbursement
Which component of the patient history must be present in order
to classify the patient interaction as Level 2/problem focused?
a. Detailed history of present illness (HPI)
b. Pertinent past family and social history (PFSH)
c. Brief history of present illness (HPI)
d. Complete past family and social history (PFSH) - correct
answer - Brief history of present illness (HPI)
