Author Question: An NP is investigating regulations for third-party reimbursement. Which information will the NP most ... (Read 32 times)

charchew · **on:** Jul 8, 2018

An NP is investigating regulations for third-party reimbursement. Which information will the NP most likely discover?

a. NPs are reimbursed when directly super-vised by a physician.
b. NPs only receive reimbursement when working in rural areas.
c. NPs are reimbursed at 85 of the physi-cian rate.
d. NPs are unable to be reimbursed by Med-icare and Medicaid.

Question 2

An NP recently began employment in an emergency department. What would the primary role of the NP be in this setting?

a. Triage clients
b. Manage nonemergent client problems
c. Assess medically uninsured clients
d. Provide health education about preventive health care

gabrielle_lawrence · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
In 1997, with the passage of the national reconciliation spending bill, NPs can be directly reim-bursed, regardless of geographic setting, at 85 of what a physician would have been paid (if the service is covered under Medicare Part B). NPs are able to have an independent practice and do not need direct supervision by a physician. NPs can receive reimbursement regardless of practice setting. NPs are able to be reimbursed by a variety of payer sources.

Answer to Question 2

ANS: B
The primary role of the NP in emergency departments is usually to manage nonemergent unin-sured clients. Provision of health education about preventive care most likely would occur in an outpatient clinic, not in an emergency department. NPs are able to treat patients in this setting. Both medically insured and uninsured individuals will be seen in this practice setting.