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
pts
t t t
The phrase usual and customary refers to:
t t t t t t
The success rate of a specified procedure.
t t t t t t
How much an insurer will charge to provide coverage.
t t t t t t t t
Correct Answer t
t How charges for a service compares with charges made to other persons receiving similar services and supplies.
t t t t t t t t t t t t t t t t
How an insurer evaluates the need for an ordered diagnostic test.
t t t t t t t t t t
The phrase usual and customary refers to the comparison of charges with other like charges for services and supplies rec
t t t t t t t t t t t t t t t t t t t
eived in the immediate vicinity as well as in a broader geographic area.
t t t t t t t t t t t t
Question 2 t
pts
t t t
What must you do as an advanced practice registered nurse (APRN) before billing for visits?
t t t t t t t t t t t t t t
t Obtain a provider number and familiarize yourself with the rules and policies of the third-party payer.
t t t t t t t t t t t t t t t
Provide evidence of continuing medical education t t t t t
Obtain a Drug Enforcement Administration (DEA) number. Establi
t t t t t t t
sh a collaborative agreement with a physician.
t t t t t t
To bill your clients for services, you must obtain a provider number and familiarize yourself with the rules and policies of
t t t t t t t t t t t t t t t t t t t t t
each payor. t
Question 3 t
pts
t t t
Which one of the following is true regarding the importance of documentation?
t t t t t t t t t t t
t It allows you to communicate your findings to other providers and serves as a record for the visit.
t t t t t t t t t t t t t t t t t
It is only important in order to bill the patient for your service.
t t t t t t t t t t t t
It is only important for defending yourself in the event of a law suit. It all
t t t t t t t t t t t t t t t
ows you to communicate your findings with the general public.
t t t t t t t t t
, The purposes of documentation are to record the patient's report of symptoms, PMH, lifestyle and family factors,
t t t t t t t t t t t t t t t t t
positive and negative findings on physical exam and the provider's plan. Documentation is important for billing pur
t t t t t t t t t t t t t t t t
poses, communication with other providers and in the case litigation.
t t t t t t t t t
Question 4 t
pts
t t t
Which of the following statements does not belong in the past medical history portion of your chart note?
t t t t t t t t t t t t t t t t t
Correct Answer t
Your patient had lab work done at their last appointment; CBC was normal.
t t t t t t t t t t t t t
Your patient’s father passed away from lung cancer. Y
t t t t t t t t
our patient had a cholecystectomy 3 years prior.
t t t t t t t
Your patient has an allergy to penicillin.
t t t t t t
Allergies, family history and surgical history all belong in the history portion of your note. Test results are objective fi
t t t t t t t t t t t t t t t t t t t
ndings and should be in the diagnostic tests (objective) section of the note.
t t t t t t t t t t t t
Question 5 t
pts
t t t
In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
t t t t t t t t t t t t t t t t
t Subjective, objective, assessment, plan. t t t
Symptoms, observations, assessment, plan. Sympto t t t t
ms, objective findings, assessment, plan. Subjective,
t t t t t t
outward findings, assessment, plan. t t t
The acronym SOAP stands for subjective, objective, assessment and plan.
t t t t t t t t t
Question 6 t
pts
t t t
Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does thi
t t t t t t t t t t t t t
s mean?
t
The HMO reimburses the provider on a fee-for-
t t t t t t t
service basis. The HMO is not responsible for provider reimburs
t t t t t t t t t
ement.
The HMO reimburses the provider only if the patient has paid their deductible.
t t t t t t t t t t t t
Correct Answer t
t The HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex.
t t t t t t t t t t t t t t t t t t
The reimbursement mechanism called capitation that some HMOs use is one in which the HMO reimburses the pr
t t t t t t t t t t t t t t t t t
ovider a set fee per client per month based on the client's age and sex. HMOs are prepaid, comprehensive systems
t t t t t t t t t t t t t t t t t t t t
of health benefits that combine both financing and delivery of services to subscribers. They may pay providers on a
t t t t t t t t t t t t t t t t t t t
capitated or fee-for-service basis. t t t
Exam
NR503 FINAL LATEST EXAM 180 QUESTIONS AND
ANSWERS ALREADY GRADED A+. LATEST UPDATE
TESTED AND CONFIRMED A+ ANSWERS
,Question 1 t
pts
t t t
The phrase usual and customary refers to:
t t t t t t
The success rate of a specified procedure.
t t t t t t
How much an insurer will charge to provide coverage.
t t t t t t t t
Correct Answer t
t How charges for a service compares with charges made to other persons receiving similar services and supplies.
t t t t t t t t t t t t t t t t
How an insurer evaluates the need for an ordered diagnostic test.
t t t t t t t t t t
The phrase usual and customary refers to the comparison of charges with other like charges for services and supplies rec
t t t t t t t t t t t t t t t t t t t
eived in the immediate vicinity as well as in a broader geographic area.
t t t t t t t t t t t t
Question 2 t
pts
t t t
What must you do as an advanced practice registered nurse (APRN) before billing for visits?
t t t t t t t t t t t t t t
t Obtain a provider number and familiarize yourself with the rules and policies of the third-party payer.
t t t t t t t t t t t t t t t
Provide evidence of continuing medical education t t t t t
Obtain a Drug Enforcement Administration (DEA) number. Establi
t t t t t t t
sh a collaborative agreement with a physician.
t t t t t t
To bill your clients for services, you must obtain a provider number and familiarize yourself with the rules and policies of
t t t t t t t t t t t t t t t t t t t t t
each payor. t
Question 3 t
pts
t t t
Which one of the following is true regarding the importance of documentation?
t t t t t t t t t t t
t It allows you to communicate your findings to other providers and serves as a record for the visit.
t t t t t t t t t t t t t t t t t
It is only important in order to bill the patient for your service.
t t t t t t t t t t t t
It is only important for defending yourself in the event of a law suit. It all
t t t t t t t t t t t t t t t
ows you to communicate your findings with the general public.
t t t t t t t t t
, The purposes of documentation are to record the patient's report of symptoms, PMH, lifestyle and family factors,
t t t t t t t t t t t t t t t t t
positive and negative findings on physical exam and the provider's plan. Documentation is important for billing pur
t t t t t t t t t t t t t t t t
poses, communication with other providers and in the case litigation.
t t t t t t t t t
Question 4 t
pts
t t t
Which of the following statements does not belong in the past medical history portion of your chart note?
t t t t t t t t t t t t t t t t t
Correct Answer t
Your patient had lab work done at their last appointment; CBC was normal.
t t t t t t t t t t t t t
Your patient’s father passed away from lung cancer. Y
t t t t t t t t
our patient had a cholecystectomy 3 years prior.
t t t t t t t
Your patient has an allergy to penicillin.
t t t t t t
Allergies, family history and surgical history all belong in the history portion of your note. Test results are objective fi
t t t t t t t t t t t t t t t t t t t
ndings and should be in the diagnostic tests (objective) section of the note.
t t t t t t t t t t t t
Question 5 t
pts
t t t
In relation to writing a patient encounter note, the acronym SOAP stands for which of the following?
t t t t t t t t t t t t t t t t
t Subjective, objective, assessment, plan. t t t
Symptoms, observations, assessment, plan. Sympto t t t t
ms, objective findings, assessment, plan. Subjective,
t t t t t t
outward findings, assessment, plan. t t t
The acronym SOAP stands for subjective, objective, assessment and plan.
t t t t t t t t t
Question 6 t
pts
t t t
Most health maintenance organizations (HMOs) use a reimbursement mechanism called capitation. What does thi
t t t t t t t t t t t t t
s mean?
t
The HMO reimburses the provider on a fee-for-
t t t t t t t
service basis. The HMO is not responsible for provider reimburs
t t t t t t t t t
ement.
The HMO reimburses the provider only if the patient has paid their deductible.
t t t t t t t t t t t t
Correct Answer t
t The HMO reimburses the provider a predetermined fee per client per month based on the client’s age and sex.
t t t t t t t t t t t t t t t t t t
The reimbursement mechanism called capitation that some HMOs use is one in which the HMO reimburses the pr
t t t t t t t t t t t t t t t t t
ovider a set fee per client per month based on the client's age and sex. HMOs are prepaid, comprehensive systems
t t t t t t t t t t t t t t t t t t t t
of health benefits that combine both financing and delivery of services to subscribers. They may pay providers on a
t t t t t t t t t t t t t t t t t t t
capitated or fee-for-service basis. t t t
