N582 ACTUAL 2026 TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔How do bundled payments differ from fee-for-service or global capitation?
A. Bundled payments are designed to reduce the number of payments to providers.
B. Bundled payments align payment to care outcomes delivered by the team.
C. Bundled payments reduce the amount of paperwork required for payment.
D. Bundled payments allow for streamlined and coordinated billing for providers. - ✔✔B.
Bundled payments align payment to care outcomes delivered by the team.
✔✔All of the following are covered by Medicare part A except:
A. Outpatient visits
B. Home health care
C. Inpatient hospitalizations
D. Hospice care - ✔✔A. Outpatient visits
✔✔Medicare advantage plans are Medicare managed care organizations (MCOs).
These plans must be approved by the Centers for Medicare and Medicaid services
(CMS) as alternative carriers of Medicare beneficiaries. Which of the following is not a
characteristic of these plans?
A. Offer lower copayments
B. Follow Medicare benefits
C. Follow the commercial carriers rules
D. Offer additional benefits - ✔✔B. Follow Medicare benefits
✔✔Medicare benefits were offered to the U.S. beneficiaries in 1965. What was the
service added with Medicare part D plan in 2006?
A. Health care screenings
B. Durable medical equipment
C. Health care education
D. Pharmaceutical coverage - ✔✔D. Pharmaceutical coverage
✔✔The cost of care provided by an APRN is approximately:
A. One-quarter that of a physician
B. One and one half that of a physician
C. One-half that of a physician
D. One-third that of a physician - ✔✔C. One-half that of a physician
✔✔The current procedural terminology (CPT) and payment fee values are applicable
only to CMS services and are regulated and paid by the regional CMS carriers. How
does this impact MCOs?
A. MCOs must continue to use modifiers
B. MCOs can independently determine whether to utilize certain CPT code rules and or
the reimbursement values for the payment year
C. MCOs can create personalized CPT codes
, D. MCOs are the only groups able to adjust standard payment rules - ✔✔B. MCOs can
independently determine whether to utilize certain CPT code rules and or the
reimbursement values for the payment year
✔✔What replaced the sustainable growth rate (SGR) formula?
A. Advanced alternative payment model (APM)
B. Merit-based incentive system (MIPS)
C. Quality payment program (QPP)
D. Medicare access and CHIP reauthorization - ✔✔C. Quality payment program (QPP)
✔✔A patient is experiencing extrapyramidal side effects from his antipsychotic
medications. The clinician would most likely take which of the following approaches to
treating these side effects?
a. Give the patient a "drug holiday" until the symptoms resolve and then restart the
medication.
b. Switch the patient to a different antipsychotic.
c. Treat the patient with anticholinergics.
d. Treat the patient with anticonvulsants. - ✔✔D. Treat patients with anticholinergics
✔✔A patient presents to the clinician after experiencing four episodes in the last month
of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about
10 minutes. The patient is now becoming very fearful of future events and has been
reluctant to leave the house. The clinician suspects panic disorder but wants to rule out
any possible medical causes. Which of the following medical conditions can mimic the
symptoms of a panic attack?
a. Pheochromocytoma
b. Hyperthyroidism
c. Cardiac arrhythmias
d. All of the above - ✔✔D. All of the above
✔✔According to Kübler-Ross, the stages of grief occur in which order?
a. Anger, denial, depression, bargaining, acceptance
b. Anger, denial, bargaining, acceptance, depression
c. Denial, anger, depression, bargaining, acceptance
d. Denial, anger, bargaining, depression, acceptance - ✔✔d. Denial, anger, bargaining,
depression, acceptance
✔✔After discontinuing fluoxetine, how long must a person wait before starting a
monoamine oxidase inhibitor?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔D. 5 weeks
ANSWERS GRADED A+
✔✔How do bundled payments differ from fee-for-service or global capitation?
A. Bundled payments are designed to reduce the number of payments to providers.
B. Bundled payments align payment to care outcomes delivered by the team.
C. Bundled payments reduce the amount of paperwork required for payment.
D. Bundled payments allow for streamlined and coordinated billing for providers. - ✔✔B.
Bundled payments align payment to care outcomes delivered by the team.
✔✔All of the following are covered by Medicare part A except:
A. Outpatient visits
B. Home health care
C. Inpatient hospitalizations
D. Hospice care - ✔✔A. Outpatient visits
✔✔Medicare advantage plans are Medicare managed care organizations (MCOs).
These plans must be approved by the Centers for Medicare and Medicaid services
(CMS) as alternative carriers of Medicare beneficiaries. Which of the following is not a
characteristic of these plans?
A. Offer lower copayments
B. Follow Medicare benefits
C. Follow the commercial carriers rules
D. Offer additional benefits - ✔✔B. Follow Medicare benefits
✔✔Medicare benefits were offered to the U.S. beneficiaries in 1965. What was the
service added with Medicare part D plan in 2006?
A. Health care screenings
B. Durable medical equipment
C. Health care education
D. Pharmaceutical coverage - ✔✔D. Pharmaceutical coverage
✔✔The cost of care provided by an APRN is approximately:
A. One-quarter that of a physician
B. One and one half that of a physician
C. One-half that of a physician
D. One-third that of a physician - ✔✔C. One-half that of a physician
✔✔The current procedural terminology (CPT) and payment fee values are applicable
only to CMS services and are regulated and paid by the regional CMS carriers. How
does this impact MCOs?
A. MCOs must continue to use modifiers
B. MCOs can independently determine whether to utilize certain CPT code rules and or
the reimbursement values for the payment year
C. MCOs can create personalized CPT codes
, D. MCOs are the only groups able to adjust standard payment rules - ✔✔B. MCOs can
independently determine whether to utilize certain CPT code rules and or the
reimbursement values for the payment year
✔✔What replaced the sustainable growth rate (SGR) formula?
A. Advanced alternative payment model (APM)
B. Merit-based incentive system (MIPS)
C. Quality payment program (QPP)
D. Medicare access and CHIP reauthorization - ✔✔C. Quality payment program (QPP)
✔✔A patient is experiencing extrapyramidal side effects from his antipsychotic
medications. The clinician would most likely take which of the following approaches to
treating these side effects?
a. Give the patient a "drug holiday" until the symptoms resolve and then restart the
medication.
b. Switch the patient to a different antipsychotic.
c. Treat the patient with anticholinergics.
d. Treat the patient with anticonvulsants. - ✔✔D. Treat patients with anticholinergics
✔✔A patient presents to the clinician after experiencing four episodes in the last month
of sweating, palpitations, chest pain, nausea, and shaking. Each episode lasted about
10 minutes. The patient is now becoming very fearful of future events and has been
reluctant to leave the house. The clinician suspects panic disorder but wants to rule out
any possible medical causes. Which of the following medical conditions can mimic the
symptoms of a panic attack?
a. Pheochromocytoma
b. Hyperthyroidism
c. Cardiac arrhythmias
d. All of the above - ✔✔D. All of the above
✔✔According to Kübler-Ross, the stages of grief occur in which order?
a. Anger, denial, depression, bargaining, acceptance
b. Anger, denial, bargaining, acceptance, depression
c. Denial, anger, depression, bargaining, acceptance
d. Denial, anger, bargaining, depression, acceptance - ✔✔d. Denial, anger, bargaining,
depression, acceptance
✔✔After discontinuing fluoxetine, how long must a person wait before starting a
monoamine oxidase inhibitor?
a. 2 weeks
b. 3 weeks
c. 4 weeks
d. 5 weeks - ✔✔D. 5 weeks
