Exam (elaborations)
NUR 613 Test 1 Questions And Correct Answers
- Course
- Institution
NUR 613 Test 1 Questions And Correct Answers...
[Show more]
Content preview
NUR 613 Test 1 Questions And Correct AnswersUnder which act is the NPI required? - ANSWER HIPAA
Who administers the NPI? - ANSWER CMS
How many numbers is the NPI? - ANSWER 10 - intelligence free
Who do you have to share your NPI with? - ANSWER Other providers, health plans,
clearinghouses, and any entity that may need it for billing purposes
What do you need to have to apply for an NPI? - ANSWER an APN license
Do you need a new NPI number if you change practice states? - ANSWER No
Where is the NP scope of Practice found? - ANSWER Nurse practice act and is state
regulated
Steps for credentialing with insurance companies - ANSWER 1. Get NPI number
2. Decide which applications you need: CMS
3. Apply
Components of RAF - ANSWER Age, Sex, disability, medicaid status, institutionalization,
frailty, HCC coding
What does HCC stand for? - ANSWER Hierarchical Condition Categories
, HCC top conditions - ANSWER DM, CHF, asthma, and pulmonary disease, major
depressive and bipolar disorders, rheumatoid arthritis, specific heart arrhythmias,
breast, colon and kidney cancers
How do you determine which level to bill - ANSWER number and types of problems
addressed
complexity of establishing a diagnosis
management decisions made
documentation specifics
99211 - ANSWER doesn't require presence of a provider minimal problem, 5 minutes
99212 - ANSWER Problem-focused history + exam, straightforward medical decision
Requires 2 of 3 components
problem self limiting/minor, 10 minutes
99213 - ANSWER Expanded problem focused history and exam, low complexity medical
decision
Requires 2 of 3 key components
Continued symptoms or extended issue, 15 min
99214 - ANSWER Presenting problem mod- high intensity
Requires 2 of 3 key components (detailed)
Individual symptoms - full clinical picture
25 minutes
99215 - ANSWER Comprehensive history + exam, high complexity medical decision
Assessment is broad in scope or content, extensive understanding of patient's condition
Requires 2 of 3 key components ( comprehensive)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Easton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now