NP ROLE FINAL EXAM AND NEW

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NP ROLE FINAL EXAM AND 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?

• Applying for a national provider number
• Completing a third-party credentialing process 1 / 4

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• Requesting an employer provider number
• 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?

• Collaboration agreement
• Supervision
• Delegation
• 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 2 / 4

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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?

• Ambulance transport
• History of asthma
• Diagnosis of respiratory distress
• Albuterol administration - correct answer - Ambulance transport
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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?

• Coordination of care
• Credentialing
• Medical record documentation
• 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?

• Detailed history of present illness (HPI)
• Pertinent past family and social history (PFSH)
• Brief history of present illness (HPI)
• Complete past family and social history (PFSH) - correct

answer - Brief history of present illness (HPI)

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