NR503 FINAL LATEST EXAM 180 QUESTIONS AND ANSWERS ALREADY GRADED A+

QUESTIONS AND ANSWERS




Exam
NR503 FINAL LATEST EXAM 180 QUESTIONS AND
ANSWERS ALREADY GRADED A+. LATEST UPDATE




TESTED AND CONFIRMED A+ ANSWERS

,Question 1 t


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The phrase usual and customary refers to:
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The success rate of a specified procedure.
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How much an insurer will charge to provide coverage.
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Correct Answer t



t How charges for a service compares with charges made to other persons receiving similar services and supplies.
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How an insurer evaluates the need for an ordered diagnostic test.
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The phrase usual and customary refers to the comparison of charges with other like charges for services and supplies rec
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eived in the immediate vicinity as well as in a broader geographic area.
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Question 2 t


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What must you do as an advanced practice registered nurse (APRN) before billing for visits?
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t Obtain a provider number and familiarize yourself with the rules and policies of the third-party payer.
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Provide evidence of continuing medical education t t t t t



Obtain a Drug Enforcement Administration (DEA) number. Establi
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sh a collaborative agreement with a physician.
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To bill your clients for services, you must obtain a provider number and familiarize yourself with the rules and policies of
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each payor. t




Question 3 t


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Which one of the following is true regarding the importance of documentation?
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t It allows you to communicate your findings to other providers and serves as a record for the visit.
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It is only important in order to bill the patient for your service.
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It is only important for defending yourself in the event of a law suit. It all
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ows you to communicate your findings with the general public.
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, The purposes of documentation are to record the patient's report of symptoms, PMH, lifestyle and family factors,
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positive and negative findings on physical exam and the provider's plan. Documentation is important for billing pur
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poses, communication with other providers and in the case litigation.
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Question 4 t


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Which of the following statements does not belong in the past medical history portion of your chart note?
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Correct Answer t



Your patient had lab work done at their last appointment; CBC was normal.
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Your patient’s father passed away from lung cancer. Y
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our patient had a cholecystectomy 3 years prior.
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Your patient has an allergy to penicillin.
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Allergies, family history and surgical history all belong in the history portion of your note. Test results are objective fi
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ndings and should be in the diagnostic tests (objective) section of the note.
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Question 5 t


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In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
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t Subjective, objective, assessment, plan. t t t



Symptoms, observations, assessment, plan. Sympto t t t t



ms, objective findings, assessment, plan. Subjective,
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outward findings, assessment, plan. t t t




The acronym SOAP stands for subjective, objective, assessment and plan.
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Question 6 t


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Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does thi
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s mean?
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The HMO reimburses the provider on a fee-for-
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service basis. The HMO is not responsible for provider reimburs
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ement.
The HMO reimburses the provider only if the patient has paid their deductible.
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Correct Answer t



t The HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex.
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The reimbursement mechanism called capitation that some HMOs use is one in which the HMO reimburses the pr
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ovider a set fee per client per month based on the client's age and sex. HMOs are prepaid, comprehensive systems
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of health benefits that combine both financing and delivery of services to subscribers. They may pay providers on a
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capitated or fee-for-service basis. t t t