PSYCHIATRIC ASSESSMENT FOR PMHNP
EXAM 2026 COMPLETE QUESTION DIGEST
WITH CORRECT SOLUTIONS
◉Definition of "incident to" billing. Answer: When billing a
physician's service, a practice may be reimbursed 100% of the
physician fee schedule
integral part of the physician's professional service
commonly rendered and provided in the office
Physician establishes care, NP follows up
Physician is in the office at the time and immediately available
"incident to" billing is not allowed in a hospital setting
An assistant to the NP can be reimbursed such as EKG
,◉Which reimbursement form differs from state to state. Answer:
Medicaid
◉Purpose of case management. Answer: Mobilize, monitor, and
control resources that a patient uses during a course of an illness
while balancing quality and cost
◉Quality Assurance, Improvement, continuous process
improvement. Answer: improve care continuously monitoring
structure, process, and outcome standards
◉Root cause analysis defintion. Answer: a tool to identify prevention
stategies to ensure safety
the process is build a cutlure of safety and move beyond the culture
of blame
Need to identify the changes and be impartial as possible
◉Sentinel Events. Answer: Unexpected occurrences involving death
or serious physical or psychological injury or risk
signal need for immediate investipation
, sentinel events and medical error are not the same, not all sentinel
events occur because of an error and not errors result in a sentinel
event
need to conduct a root cause analysis
◉NP scope of practice is defined by. Answer: the State Nurse
Practice Act
guidelines varies from state to state
◉NP standards of Professional Nursing Practice. Answer: American
Nurses Association: defines standards of professional nursing
practrice
◉NP prescriptive authority. Answer: state practice act dictates the
prescriptive authority and dictate the level of prescriptive authority
allowed
◉NP credentialing. Answer: The LACE consensus model: Licensure
Accreditation Certification Education establish minimal levels of
acceptable performance
It ensure the safe healthcare of qualified individuals
Mandates accountability
EXAM 2026 COMPLETE QUESTION DIGEST
WITH CORRECT SOLUTIONS
◉Definition of "incident to" billing. Answer: When billing a
physician's service, a practice may be reimbursed 100% of the
physician fee schedule
integral part of the physician's professional service
commonly rendered and provided in the office
Physician establishes care, NP follows up
Physician is in the office at the time and immediately available
"incident to" billing is not allowed in a hospital setting
An assistant to the NP can be reimbursed such as EKG
,◉Which reimbursement form differs from state to state. Answer:
Medicaid
◉Purpose of case management. Answer: Mobilize, monitor, and
control resources that a patient uses during a course of an illness
while balancing quality and cost
◉Quality Assurance, Improvement, continuous process
improvement. Answer: improve care continuously monitoring
structure, process, and outcome standards
◉Root cause analysis defintion. Answer: a tool to identify prevention
stategies to ensure safety
the process is build a cutlure of safety and move beyond the culture
of blame
Need to identify the changes and be impartial as possible
◉Sentinel Events. Answer: Unexpected occurrences involving death
or serious physical or psychological injury or risk
signal need for immediate investipation
, sentinel events and medical error are not the same, not all sentinel
events occur because of an error and not errors result in a sentinel
event
need to conduct a root cause analysis
◉NP scope of practice is defined by. Answer: the State Nurse
Practice Act
guidelines varies from state to state
◉NP standards of Professional Nursing Practice. Answer: American
Nurses Association: defines standards of professional nursing
practrice
◉NP prescriptive authority. Answer: state practice act dictates the
prescriptive authority and dictate the level of prescriptive authority
allowed
◉NP credentialing. Answer: The LACE consensus model: Licensure
Accreditation Certification Education establish minimal levels of
acceptable performance
It ensure the safe healthcare of qualified individuals
Mandates accountability
