Author Question: The nurse reviews clients' records and the care they received while in the hospital for an insurance ... (Read 67 times)

daltonest1984 · **on:** Jul 23, 2018

The nurse reviews clients' records and the care they received while in the hospital for an insurance company.

Part of the job description requires the nurse to make sure that the client and insurance company were billed for services and treatment/therapies rendered and that there were no errors in billing. Which type of audit is the nurse completing?
1. Concurrent
2. Peer review
3. Nursing audit
4. Retrospective

Question 2

A nursing unit's records of client care have been reviewed for accuracy in documentation. Which type of review is being completed on these records?

1. Nursing audit
2. Peer review
3. Individual audit
4. Concurrent audit

hollysheppard095 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: A concurrent audit is the evaluation of a client's health care while the client is still receiving the care from an agency.
Rationale 2: A nursing audit is a type of peer review, in which the audit focuses on evaluating a specific nurse's nursing care through the review of records.
Rationale 3: A nursing audit is a type of peer review, in which the audit focuses on evaluating a specific nurse's nursing care through the review of records.
Rationale 4: A retrospective audit is the evaluation of a client's record after discharge from an agency. The word retrospective means relating to the past. If the nurse is reviewing records after the client has been discharged, the information being examined is in the past.

Answer to Question 2

Correct Answer: 1
Rationale 1: An audit is an examination or review of records. A nursing audit is a type of peer review that focuses on evaluating nursing care through the review of records. The success of these audits depends on accurate documentation.
Rationale 2: Peer review is a type of evaluation where nurses functioning in the same capacity perform the audit. Peer review is based on pre-established standards or criteria.
Rationale 3: An individual audit focuses on the performance of an individual nurse.
Rationale 4: Concurrent audits are reviews of a client's health care and occur while the client is still receiving the care.