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NR 511 Differential Diagnosis and Primary CarePracti
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(Complete solutions and resources for the course exam)
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,NR 511 Week 1: Quiz1
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Questionm1
1m/m1mpts
Themphrasemusualmandmcustomarymrefersmto:
Themsuccessmratemofmamspecifiedmprocedure.
Howmmuchmanminsurermwillmchargemtomprovidemcoverage.
CorrectmAnswer
mmHowmchargesmformamservicemcomparesmwithmchargesmmademtomothermpersonsmreceivingmsimilarmservicesmandms
upplies.
Howmanminsurermevaluatesmthemneedmformanmorderedmdiagnosticmtest.
Themphrasemusualmandmcustomarymrefersmtomthemcomparisonmofmchargesmwithmothermlikemchargesmformservicesmandm
suppliesmreceivedminmthemimmediatemvicinitymasmwellmasminmambroadermgeographicmarea.
Questionm2
1m/m1mpts
Whatmmustmyoumdomasmanmadvancedmpracticemregisteredmnursem(APRN)mbeforembillingmformvisits?
mmObtainmamprovidermnumbermandmfamiliarizemyourselfmwithmthemrulesmandmpoliciesmofmthemthird-
partympayer.mProvidemevidencemofmcontinuingmmedicalmeducation
ObtainmamDrugmEnforcementmAdministrationm(DEA)mnumber.mEst
ablishmamcollaborativemagreementmwithmamphysician.
Tombillmyourmclientsmformservices,myoummustmobtainmamprovidermnumbermandmfamiliarizemyourselfmwithmthemrulesman
dmpoliciesmofmeachmpayor.
Questionm3
1m/m1mpts
Whichmonemofmthemfollowingmismtruemregardingmthemimportancemofmdocumentation?
mmItmallowsmyoumtomcommunicatemyourmfindingsmtomothermprovidersmandmservesmasmamrecordmformthem
visit.mItmismonlymimportantminmordermtombillmthempatientmformyourmservice.
Itmismonlymimportantmformdefendingmyourselfminmthemeventmofmamlawms
uit.mItmallowsmyoumtomcommunicatemyourmfindingsmwithmthemgeneralmp
ublic.
, Thempurposesmofmdocumentationmaremtomrecordmthempatient'smreportmofmsymptoms,mPMH,mlifestylemandmfamily
mfactors,mpositivemandmnegativemfindingsmonmphysicalmexammandmthemprovider'smplan.mDocumentationmismimporta
ntmformbillingmpurposes,mcommunicationmwithmothermprovidersmandminmthemcasemlitigation.
Questionm4
1m/m1mpts
Whichmofmthemfollowingmstatementsmdoesmnotmbelongminmthempastmmedicalmhistorymportionmofmyourmchartmnote?
CorrectmAnswer
mmYourmpatientmhadmlabmworkmdonematmtheirmlastmappointment;mCBCmwasmnormal.m
Yourmpatient’smfathermpassedmawaymfrommlungmcancer.
Yourmpatientmhadmamcholecystectomym3myearsmpri
or.mYourmpatientmhasmanmallergymtompenicillin.
Allergies,mfamilymhistorymandmsurgicalmhistorymallmbelongminmthemhistorymportionmofmyourmnote.mTestmresultsmaremobj
ectivemfindingsmandmshouldmbeminmthemdiagnosticmtestsm(objective)msectionmofmthemnote.
Questionm5
1m/m1mpts
Inmrelationmtomwritingmampatientmencountermnote,mthemacronymmSOAPmstandsmformwhichmofmthemfollowing?
mmSubjective,mobjective,massessment,mplan.mSympt
oms,mobservations,massessment,mplan.mSymptom
s,mobjectivemfindings,massessment,mplan.mSubjectiv
e,moutwardmfindings,massessment,mplan.
ThemacronymmSOAPmstandsmformsubjective,mobjective,massessmentmandmplan.
Questionm6
1m/m1mpts
Mostmhealthmmaintenancemorganizationsm(HMOs)musemamreimbursementmmechanismmcalledmcapitation.mWhatmdo
esmthismmean?
ThemHMOmreimbursesmthemprovidermonmamfee-for-
servicembasis.mThemHMOmismnotmresponsiblemformprovidermreimb
ursement.
ThemHMOmreimbursesmthemprovidermonlymifmthempatientmhasmpaidmtheirmdeductible.
CorrectmAnswer
mmThemHMOmreimbursesmthemprovidermampredeterminedmfeempermclientmpermmonthmbasedmonmthemclient’smagem
andmsex.
ThemreimbursementmmechanismmcalledmcapitationmthatmsomemHMOsmusemismoneminmwhichmthemHMOmreimburs
esmthemprovidermamsetmfeempermclientmpermmonthmbasedmonmthemclient'smagemandmsex.mHMOsmaremprepaid,mcom
prehensivemsystemsmofmhealthmbenefitsmthatmcombinembothmfinancingmandmdeliverymofmservicesmtomsubscribers.m
Theymmaympaymprovidersmonmamcapitatedmormfee-for-servicembasis.