NR511 Week 1 Exam Questions and Answers for Medical Coding and Billing, Exams of Nursing

Download NR511 Week 1 Exam Questions and Answers for Medical Coding and Billing and more Exams Nursing in PDF only on Docsity! NR511 Week 1 Exam Question & Answers 2024 Define diagnostic reasoningCorrect Answers ✅Reflective thinking because the process involves questioning one's thinking to determine if all possible avenues have been explored and if the conclusions that are being drawn are based on evidence. Seen as a kind of critical thinking. What is subjective data?Correct Answers ✅What the patient tells you, complains of, etc. Chief complaint HPI ROS What is objective data?Correct Answers ✅What YOU can see, hear, or feel as part of your exam. Includes lab data, diagnostic test results. Components of HPICorrect Answers ✅Specifically related to the chief complaint only. Detailed breakdown of CC. NR511 Week 1 Exam Question & Answers 2024 OLDCART Why must every procedure code have a corresponding diagnosis code? Correct Answers ✅Diagnosis code explains the necessity of the procedure code. Insurance won't pay if they don't correspond. What are the three components required in determining an outpatient office visit E&M code?Correct Answers ✅Place of service Type of service Patient status What is medical coding?Correct Answers ✅The use of codes to communicate with payers about which procedures were performed and why What is medical billing?Correct Answers ✅Process of submitting and following up on claims made to a payer in order to receive payment for medical services rendered by a healthcare provider. NR511 Week 1 Exam Question & Answers 2024 The more time and consideration involved in dealing with a pt, the higher the reimbursement from the payer. Documentation must reflect MDM! Correctly order the E&M office visit codes based on complexity from least to most complex.Correct Answers ✅New patient: 1. Minimal/RN visit: 99201 2. Problem focused: 99202 3. Expanded problem focused: 99203 4. Detailed: 99204 5. Comprehensive: 99205 Established patient: 1. Minimal/RN visit: 99211 2. Problem focused: 99212 3. Expanded problem focused: 99213 4. Detailed: 99214 5. Comprehensive: 99215 Define the components of a SOAP noteCorrect Answers ✅S: subjective (what the pt tells you) NR511 Week 1 Exam Question & Answers 2024 CC HPI PMH Fam Hx Social Hx ROS O: objective (what you can see, hear, feel on exam) Physical findings VS General survey HEENT Etc... A: assessment Global assessment of pt including differentials in order from most to least likely. Combination of subjective and objective info. List of dx addressed and billed for at the visit P: plan NR511 Week 1 Exam Question & Answers 2024 What you will Rx When to come back Diagnostic tests Pt education What are purposes of the written H&P in relation to the importance of documentation?Correct Answers ✅Important reference document that gives concise info about the pt's Hx and exam findings. Outlines a plan for addressing issues that prompted the visit. Info should be presented in a logical fashion that prominently features all data relevant to the pt's condition. Is a means of communicating info to all providers involved in the pt's care. Is a medical-legal document. Is essential in order to accurately code and bill for services. When is a pt considered a "new" pt?Correct Answers ✅If that pt has never been seen in that clinic or by that group of providers OR if the pt has not been seen in the past 3 years. NR511 Week 1 Exam Question & Answers 2024 for this appointment. Which of the following is the best response to the patient? A. I see you have a list of concerns and I want to discuss them but my schedule will only allow for a few items today. Let's look at them together and identify the 3 most important items for you to discuss today. Then we can make a plan to address the remaining concerns for another visit. B. I'd really like to go over your concerns with you but you were only booked for an acute visit, which is a limited amount of time. I am already behind and I don't want to make the other patients who are waiting mad. Can you the front desk to schedule your next appointment for a longer time slot please? C. Wow that's quite a list. IfCorrect Answers ✅A. I see you have a list of concerns and I want to discuss them but my schedule will only allow for a few items today. Let's look at them together and identify the 3 most important items for you to discuss today. Then we can make a plan to address the remaining concerns for another visit. Which statement(s) regarding practice guidelines is (are) NOT true? a. They are flexible b. They should be utilized in every circumstance NR511 Week 1 Exam Question & Answers 2024 c. They provide a reference point for decision making d. All of the aboveCorrect Answers ✅They should be utilized in every circumstance T/F A maximum of 20 alternative hours can be used as part of the 125 hour practicum requirement for each clinical course.Correct Answers ✅True The number of cases of a particular disease in a population at a given time is known as: a. Prevalence b. Risk c. Incidence d. MorbidityCorrect Answers ✅Incidence Which of the following is required when documenting clinical experiences in your student clinical encounter log? a. E&M visit code (99202, etc.) b. Date of service c. Age NR511 Week 1 Exam Question & Answers 2024 d. All of the aboveCorrect Answers ✅All of the above T/F New practitioners especially need support to develop confidence in their diagnostic and treatment-planning capabilities.Correct Answers ✅True Which of the following statement(s) is (are) true? a. Clinical logs are not legal documents b. You may make an amendment to your NR511 clinical log when you are in NR601 c. Clinical logs must demonstrate a well-rounded clinical experience by graduation d. All of the aboveCorrect Answers ✅Clinical logs must demonstrate a well-rounded clinical experience by graduation Your pt presents with a sore throat x2 days. You suspect that he may have strep pharyngitis because his best friend had it last week. You do not have rapid antigen tests in your office, so you send a throat swab for culture. Which ICD-10 code should you use on the lab requisition? a. Rule out strep pharyngitis (no code) b. Streptococcal pharyngitis (J02.0) NR511 Week 1 Exam Question & Answers 2024 The level of Evaluation & Management (E&M) codding for new and established pt's is based on documentation that is provided in the pt's medical record.Correct Answers ✅True Systematic reviews of randomized clinical trial studies are considered level ____ evidence: a. 1 b. 2 c. 3 d. 4Correct Answers ✅1 T/F Experience is a necessary component in exercising clinical judgement.Correct Answers ✅True Tom Brady is seen in your office with c/o sore throat x2 days. Which body system would not be included in the H&P for this problem-focused visit? a. Skin b. Neuro NR511 Week 1 Exam Question & Answers 2024 c. EENT d. RespiratoryCorrect Answers ✅Neuro Which of the following is NOT a requirement when developing a practice guideline? a. Literature review of EBM b. Rating of the available evidence c. The panel of experts must all be physicians d. Panel members should be chosen based on the focus of the guidelineCorrect Answers ✅The panel of experts must all be physicians T/F Sporadic outbreaks occur when there are occasional cases of an event unrelated in space or time.Correct Answers ✅True Which of the following statements is NOT true? a. Diagnostic tests can be used to confirm or rule out hypotheses b. Diagnostic tests may be used to screen for conditions NR511 Week 1 Exam Question & Answers 2024 c. Diagnostic tests may be used to monitor the progress in managing a chronic condition d. Diagnostic tests vary in usefulness based on severity, specificity, and predictabilityCorrect Answers ✅Diagnostic tests vary in usefulness based on severity, specificity, and predictability Which one of the following students is not meeting the practicum expectations? a. Brianna has a phone in her lab coat; the ringer and notification settings are muted b. Taylor wears a below-the-knee-length skirt on a designated "casual Friday" c. Hannah texts a friend during "down-time" in-between pt's d. Hailey has her Chamberlain student ID visible at all timesCorrect Answers ✅Hannah texts a friend during "down-time" in-between pt's Evidence from well-designed case-control and cohort studies are considered which level of evidence in research design? a. 1 b. 2 c. 3 NR511 Week 1 Exam Question & Answers 2024 T/F Morbidity refers to the number of people who have died from a particular disease.Correct Answers ✅False Malaria in the Southern Hemisphere (Africa) is considered to be a(an) ____________ disease. a. Sporadic b. Endemic c. Pandemic d. None of theseCorrect Answers ✅Endemic Alternative activities can be used toward your clinical requirement. Which of the following should NOT be documented as an "alternative activity?" a. Telephone and/or electronic message communication w/pt's b. Authorizing Rx refill requests c. Tele-visit or e-Visit NR511 Week 1 Exam Question & Answers 2024 d. Reviewing lab results from the previous dayCorrect Answers ✅Tele- visit or e-Visit The Resource-Based Relative Value Scale )RBRVS) is used by Centers for Medicare and Medicaid Services (CMS) to set reimbursement rates which are designed to reflect the costs needed to provide services. Which of the following is NOT one of the components in determining set reimbursement rates for provider services? a. Professional liability and malpractice expenses b. The provider's work or medical expertise c. The pt's insurance coverage d. The practice overhead expenseCorrect Answers ✅The pt's insurance coverage The HPI is a detailed breakdown of the ______ and is documented as ________. a. Review of systems; PMH b. PMH; SOAP c. CC; ROS d. CC; OLDCARTSCorrect Answers ✅CC; OLDCARTS NR511 Week 1 Exam Question & Answers 2024 T/F You are required to submit at least 4 SOAP notes from your practicum site for this class.Correct Answers ✅False Which statement(s) is true regarding documentation of your clinical encounter? a. Using the correct codes in your clinical encounter log is especially important because it provides evidence of the population of pt's that you have seen. b. When faculty reviews your log, we will be looking for both preventative and complaint office visit codes across all age groups. c. If I do not see a sufficient amount of a certain population, such as pediatric pt's or complex visits, I may be required to find a different practicum site than what I originally had planned in a future course. d. All of the aboveCorrect Answers ✅All of the above Which one of the following preceptors would NOT meet the FNP program preceptor requirements? a. Board Certified Adult-Gerontology Nurse Practitioner working in a primary care setting with 2yrs experience in an advanced practice role. NR511 Week 1 Exam Question & Answers 2024 Having a family practice site for all 5 practicum courses guarantees that you will have a well-rounded clinical experience to all ages and conditions.Correct Answers ✅False T/F Reimbursement policy changes by insurance carriers over the years has resulted in a reduction of health care spending.Correct Answers ✅False T/F Cam Newton receives a passing midterm and final eval from his preceptor along with 76% in the didactic portion of the class. Cam will pass the class.Correct Answers ✅False T/F Episodic visits are also known as problem-focused visits.Correct Answers ✅True T/F NR511 Week 1 Exam Question & Answers 2024 Subjective info is what the pt reports, complains of, or tells you in response to your questions.Correct Answers ✅True HIPAA legislation is important to the daily management of the practitioner practice setting. Precautions should be used to protect pt electronic personal info at all times. Which of the following is an appropriate precautionary measure? a. Use of computer screens b. Taping a list of passwords to the back of your keyboard c. Forwarding lab results to your personal email account or server. d. Storing pt documents in an unlocked file cabinet.Correct Answers ✅Use of computer screens The purpose of the FNP program is to guarantee that you will pass the Board Certification exam.Correct Answers ✅False Medical billing is the process of communicating with payers about which procedures were performed and why.Correct Answers ✅False Tommy H. wants to be seen for a sore throat today. You look at his chart and notice that the last time he was seen in your office was in 2012 by your partner. Is Tommy H. considered a new or established patient?Correct Answers ✅New NR511 Week 1 Exam Question & Answers 2024 The three elements needed to determine the level of complexity of a visit include risk, data, and _____.Correct Answers ✅diagnosis A patient who you have not seen in 2.5 years returns to the office for a swollen knee you should code them a an established patientCorrect Answers ✅true which should be considered when ordering a testCorrect Answers ✅all of the above which one of the following is NOT true regarding ICD-10 codesCorrect Answers ✅The Codes communicate the complexity of the visit Reiumburstment policy changes by insurance carriers over the years has reduced health care costCorrect Answers ✅false