{"id":111408,"date":"2023-08-04T01:38:40","date_gmt":"2023-08-04T01:38:40","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=111408"},"modified":"2023-08-04T01:38:42","modified_gmt":"2023-08-04T01:38:42","slug":"nr-511-differential-diagnosis-primary-care-practicum","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/04\/nr-511-differential-diagnosis-primary-care-practicum\/","title":{"rendered":"NR-511 Differential Diagnosis & Primary Care Practicum"},"content":{"rendered":"\n

What is specificity of a test (equation)
\u2713 True negatives \/ #false pos + true neg
What is sensitivity of a test (equation)
\u2713 True positives \/ #false negative + true positives
What is the prevalence of a disease
\u2713 Number of cases at a given time
What is the incidence of a disease
\u2713 The number of new cases that occur over a period of time
What is the positive predictive value (definition not equation)
\u2713 How likely it is that the positive result is actually positive
What is the negative predictive value (definition not equation)
\u2713 How likely it is that the negative is really negative
1 \/ 4
What is the positive predictive value (equation)
\u2713 # True positives \/total tested positives (false pos and true pos)
What is the negative predictive value (equation)
\u2713 True negatives \/ total tested negatives (false neg and true neg)
What does low specificity of a test mean?
\u2713 You get higher incidence of false positives
What does low sensitivity of a test mean
\u2713 High occurrence of false negatives
What does high specificity of a test mean
\u2713 Accurately identifies truly un-diseased people
What does a high sensitivity of a test mean
\u2713 Correctly identifies actually positive diseased patients
T or F: the HPI is a breakdown of the chief complaint
\u2713 True
What is needed to make sound clinical decision (3)
\u2713 EBP \/ research
\u2713 Clinical practice guideline
\u2713 Algorithms (evidence based)
2 \/ 4
Patients on Medicare usually have _<\/em><\/strong> % out of pocket costs
\u2713 20
How do traditional Medicare patients pay for the 20% out of pocket costs that they have
when on this plan
\u2713 Usually get secondary insurance
Medicare part a covers (4)
\u2713 Inpatient hospital
\u2713 SNF
\u2713 Hospice
\u2713 Home health
Medicare part b covers (7)
\u2713 Outpatient services, md visit, surgery, lab, equipment, preventative exams
Traditional Medicare includes which parts? Are they free?
\u2713 A and B; no – part b has a premium and usually both have 20% out of pocket
costs
Medicare part c includes
\u2713 Wellness services, vision, hearing, glasses, hearing aids and sometimes
dental
3 \/ 4
Medicare part d includes
\u2713 Prescriptions
Which parts of Medicare are part of the advantage plan
\u2713 A b and d are usually bundled and sometimes c
What is the difference between traditional Medicare and advantage plan
\u2713 Advantage – through a private insurance that follows Medicare standards –
usually part a b and d
Medicare – government run, usually only part a and d
Who qualifies for Medicare? (3)
\u2713 Persons 65 years or older
\u2713 People with permanent kidney failure
\u2713 Person who has been on some social security program for at least 24
months \/ disability
Who has lower copayments – Medicare traditional or Medicare advantage
\u2713 Advantage
How are Medicare advantage carriers paid by CMS?
\u2713 Subsidies per member \/ per patient
What is the reimbursement percentage for NPS
\u2713 85% of physician reimbursement<\/p>\n","protected":false},"excerpt":{"rendered":"

What is specificity of a test (equation)\u2713 True negatives \/ #false pos + true negWhat is sensitivity of a test (equation)\u2713 True positives \/ #false negative + true positivesWhat is the prevalence of a disease\u2713 Number of cases at a given timeWhat is the incidence of a disease\u2713 The number of new cases that occur […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[],"tags":[],"class_list":["post-111408","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=111408"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/111408\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=111408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=111408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=111408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}