When can Medicare "incident to" billing be applied at 100% for PAs providing care?

After the MD has examined the pt the 1st visit in PCP office

Which of the following pertains to Merit-Based Incentive Payment Systems (MIPS)

Covers PQRS, Resource use, Meaningful use & Clinic improvmnt

How many attempts are allowed for taking the PANCE?

6 attempts (no more than one attempt every 3 months)

How often was re-certification originally setup vs. now?

Was originally every 6 years, now is every 10

Which of the following does NOT describe Medicaid?

Young families with no dependent children and stable income

What are health informatics?

Merges information science, computer science & healthcare

What are the active parts of the EMR?

Writing progress notes and CPOE

When can a Physician bill at 100% for shared services?

Both PA & MD provide evaluation & management srvc

Which of the following is NOT a part of the ARC-PA standards for Evaluation?

Provide periodic performance evaluations of each instructor

Which of the following does NOT align with the ARC-PA's standards for Curriculum & Instruction?

Review the teaching style of professors

Which of the following describes an Exclusive Provider Org (EPO) insurance plan?

No coverage for out of network provider

What is a Personal Health Record (PHR)?

Can also be called a virtual chart, May stand alone or be interconnected with an EHR, Pt can get refills, sched. appts, view ins. info, & pt edu

Which of the following is NOT a goal of ARC-PA?

Ensure every PA student is able to successfully graduate

Which of the following is true of Physician Quality Reporting System (PQRS)?

Negative payment adjustments (2%) for reporting incorrectly

Which of the following is related to Pay 4 Performance (P4P) & Pay 4 Reporting initiatives?

Provide financial incentive for effective pt care

Which of the following describes a Preferred Provider Org (PPO) insurance plan?

Moderate freedom to choose PCP, higher $$, may have deductbl

What are the types of Rural Health clinics under the RHCS act?

Independent or provider based clinic in rural area

Which of the following describes a Health Maintenance Org (HMO) insurance plan?

Must choose MD in network & be rfrrd by PCP 2 specialists

What is an Electronic Health Record (EHR)?

Shares health information among physicians and laboratories

How do credentialing standards protect PA students and Programs?

Give framewrk 4 prgrms 2 achieve learning & still b creative

Which of the following is NOT a role of ARC-PA?

Approve all appeals of accreditation decision

Which of the following relates to the RHCS act regarding rural health clinics?

An effort to ↑ availability of 1° HC srvcs to rural areas

Which of the following is NOT a mandatory element of an EHR?

Patient education level (high school, college, etc.)

Which of the following is a goal of ARC-PA?

Foster excellence w/ uniform, national standards

What is an Electronic Medical Record (EMR)?

An electronic version of a paper chart

Which of the following pertains to Alternative Payment Models (APM)?

Care based on quality, efficient resource use & outcomes

Which of the following does NOT encompass accreditation for PA programs?

Provides backgrnd checks 4 professors in prgrms

What groups were instrumental in implementing EHRs?

Leapfrog Group, The Joint Commission & FDA

studbud

PA Professions Test 2

52 termsStudBud Administration126 plays

Chapters 6, 8 and 22 from PA Professions

Flashcards52 cardsFPractice quizPHost liveL

Questions 52

Answers

1
When can Medicare "incident to" billing be applied at 100% for PAs providing care?
In hospital settings
After the MD has examined the pt the 1st visit in PCP office
Anytime, anywhere
Structured Nursing Facility
2
What do health informatics deal with?
Resources req'd to acquire/retrieve/use health information
Methods required to acquire/retrieve/use health information
All of the above
Devices required to acquire/retrieve/use health information
3
Which of the following pertains to Merit-Based Incentive Payment Systems (MIPS)
Uses a scoring system from 0-1000
Covers PQRS, Resource use, Meaningful use & Clinic improvmnt
Measures Medicare Part A in four categories
Providers who meet/exceed threshold do not receive extra $$
4
How many attempts are allowed for taking the PANCE?
3 attempts (no more than once every other year)
6 attempts (no more than one attempt every 3 months)
6 attempts (no more than one attempt per year)
One attempt (then it's game over folks)
5
Which organization maintains a database of each PA program & administers the CASPA system?
NCCPA
PAEA
ARC-PA
AAPA
6
How often was re-certification originally setup vs. now?
Was originally every year, now is bi-annual
Was originally every 6 years, now is every 10
Was originally every 3 years, now is every 6
Was originally every 10 years, now is every 6
7
What are the passive parts of the EMR?
Laboratory data and reports
Physical exam and patient education
Writing progress notes and CPOE
SOAP notes and physical exam
8
Professional services by PAs, MDs & other med professionals (e.g. hosp, care facility, at home)
Medicare Part D
Medicare Part C
Medicare Part A
Medicare Part B
9
Expenses at hospitals (room & board, meals & care provided by LPNs & RNs)
Medicare Part C
Medicare Part B
Medicare Part D
Medicare Part A
10
Which of the following does NOT describe Medicaid?
Funded jointly by federal & state governments
Young families with no dependent children and stable income
Administered by individual states
For people with low incomes
11
What are health informatics?
Excel Spreadsheets and data regarding patient care
Merges technology and Biology to enhance the human form
Informs the patient about their health
Merges information science, computer science & healthcare
12
Which of the following is NOT a mandatory element of an EHR?
Allergies
Smoking Records
Zodiac sign
Drug-to-Drug checks
13
What are the active parts of the EMR?
Writing progress notes and CPOE
Physical exam and patient education
SOAP notes and physical exam
Laboratory data and reports
14
How long after graduating can a PA student take the PANCE?
6 years
3 years
1 year
10 years
15
There has been a shift from "fee for value" to "fee for service" in healthcare
False
True
16
When can a Physician bill at 100% for shared services?
Both PA & MD provide evaluation & management srvc
PA & MD can work for different entities
MD has no face to face interaction w/ Pt
Shared service can occur within 24-hour period
17
Which of the following is NOT a part of the ARC-PA standards for Evaluation?
Provide periodic performance evaluations of each instructor
Assess how the program performs quality improvement
Ensure the program continues self-assessment practices
Assess the self-ID'd weaknesses and strengths of the program
18
Which of the following does NOT align with the ARC-PA's standards for Curriculum & Instruction?
Educate using clinical problem solving skills
Standards for clinical education requirements & goals
Review the teaching style of professors
Provide applied course content for core biomedical knowledge
19
Which of the following describes an Exclusive Provider Org (EPO) insurance plan?
Does not need referral by PCP to specialists
No paperwork at all
Moderate freedom to choose PCP, no monthly premiums
No coverage for out of network provider
20
Prescription drug plan created in 2003 that covers certain cost for Rxs (generic & brand-name)
Medicare Part D
Medicare Part B
Medicare Part A
Medicare Part C
21
Which of the following is NOT associated with ARC-PA accreditation reviews?
American Medical Association
Food & Drug Administration
Physician Assistant Education Association (PAEA)
American Academy of Family Physicians (AAFP)
22
What does Health informatics include?
Computers and clinical guidelines
Information and communication systems
All of the Above
Medical Terminologies
23
What is a Personal Health Record (PHR)?
Can also be called a virtual chart
May stand alone or be interconnected with an EHR
None of these
Pt can get refills, sched. appts, view ins. info, & pt edu
24
Which of the following is NOT a goal of ARC-PA?
Develop uniform, national standards for educational efficacy
Provide info & guidance regarding program accreditation
Ensure every PA student is able to successfully graduate
Require programs to perform self-reviews and make improvmnts
25
You can take the PANCE if you have NOT graduated from an ARC-PA accredited program
True
False
26
Which of the following is a BARRIER to the implementation of EMRs?
Increased efficiency
Improved legibility
Decreased implementation
Engagement of patients and health care information
27
Which of the following organizations provides certification programs & CME for practicing PAs?
AAFP
AMA
AAPA
NCCPA
28
Which of the following is true of Physician Quality Reporting System (PQRS)?
Non-mandatory for Medicare enrolled providers
Negative payment adjustments (2%) for reporting incorrectly
Bonus incentives for correct reporting
Provider not enrolled in Medicare
29
Which of the following are eligible for Medicare?
Qualified disability for 2 years
All of the above
>65 years old
End-stage renal disease
30
Which of the following is related to Pay 4 Performance (P4P) & Pay 4 Reporting initiatives?
Medicaid initiative
Dialysis clinics and nursing homes are ineligible
Provide financial incentive for effective pt care
Non-medicare certified providers are eligible
31
Which of the following describes a Preferred Provider Org (PPO) insurance plan?
No coverage for out of network provider
Most amount of paperwork
Moderate freedom to choose PCP, higher $$, may have deductbl
Must choose MD in network & be rfrrd by PCP 2 specialists
32
What are the types of Rural Health clinics under the RHCS act?
Non-medicare certified provider
Independent or provider based clinic in rural area
Clinic in urban area with physician shortage
Clinic in rural area with no physician shortage
33
Which of the following describes a Health Maintenance Org (HMO) insurance plan?
Most amount of paperwork
Must choose MD in network & be rfrrd by PCP 2 specialists
Moderate freedom to choose PCP, higher $$, may have deductbl
Minimal coverage for out of network provider
34
What is an Electronic Health Record (EHR)?
All of the Above
Shares health information among physicians and laboratories
An electronic version of a paper chart
Can stand alone or be connected w/ the EHR 4 refills, appts
35
Which of the following are in line with the ARC-PA standards of Administration?
All of the above
Faculty & operational aspects
Resources & support
Institutional responsibilities
36
How do credentialing standards protect PA students and Programs?
Ensures that requirements 4 applicants include minorities
Make programs as rigorous as possible so many students fail
Ensure that at least half the class graduates for each prgrm
Give framewrk 4 prgrms 2 achieve learning & still b creative
37
Which of the following is NOT a role of ARC-PA?
Establish educational standards
Approve all appeals of accreditation decision
Determine if PA programs are in compliance with standards
Define and administer a comprehensive review of programs
38
Which of the following is NOT a mandatory element of an EHR?
Vital Signs
Genetic history
Computerized Portal Of Entry (CPOE) for medications
Patient list of conditions
39
Which of the following relates to the RHCS act regarding rural health clinics?
No bonus 2 MDs that provide care 2 crtfd underserved clinic
An effort to ↑ availability of 1° HC srvcs to rural areas
Eligible clinics in urban area
Eligible clinic has PA, NP or Cert. RN midwife 50% of time
40
The IOM report estimated that nearly half of medical deaths were due to what?
Lack of patient education
Stupidity
Poorly trained mid-level practitioners
Errors
41
Which of the following is NOT a mandatory element of an EHR?
Laboratory test results
Security
Ability to electronically transfer key clinical information
Patient education level (high school, college, etc.)
42
Which of the following is a goal of ARC-PA?
Provide and maintain testing standards for PANCE exam
Provide high qlty, nutritionally-dense meals 4 PA students
Manage the expectations of pre-PA students
Foster excellence w/ uniform, national standards
43
What is an Electronic Medical Record (EMR)?
All of the above
Shares health information among physicians and laboratories
Can stand alone or be connected w/ the EHR 4 refills, appts
An electronic version of a paper chart
44
Which of the following is NOT a standard of ARC-PA?
Administration
Experimentation
Curriculum & instruction
Evaluation
45
Option for Medicare-eligible pts to allow Ins. Co's to provide HMOs, PPTs & eyeglasses coverage
Medicare Part D
Medicare Part C
Medicare Part A
Medicare Part B
46
Which of the following pertains to Alternative Payment Models (APM)?
Change from value-based to volume-based payment systems
Care based on quality, efficient resource use & outcomes
It allows providers to be paid in food goods rather than $$
Geared to increase payment to PCP that falls below standards
47
What should be done to ensure the security of EMRs?
Pt must be alrtd of breaches & what/how/future chngs 2 prvnt
EMRs should automatically log providers out after inactivity
Ensure security & confidentiality requirements of HIPAA
All of the above
48
Which of the following is a BENEFIT of the implementation of EMRs?
Decreased implementation
Increased cost
Ongoing maintenance
Improved Timing
49
Which of the following does NOT encompass accreditation for PA programs?
Provides backgrnd checks 4 professors in prgrms
Official approval that prgrm prepares grads 4 prof practice
Formal, external peer rvw of prgrm to see if meets standards
A voluntary, formal process to evaluate the program
50
What groups were instrumental in implementing EHRs?
NCCPA, ARC-PA & AAPA
HITECH & US Senate
AMA & FDA
Leapfrog Group, The Joint Commission & FDA
51
Which of the following allows for "incident to" billing? (e.g. nurses, MAs etc.)
Medicare Part B
Medicare Part D
Medicare Part C
Medicare Part A
52
What did the HITECH Act do for Health Information Technology?
Gave guidelines for EMRs and what info was required
Gave grants, loans & fin. asst. 4 PCPs & rural hosps 4 EMRs
Gave tech advice to clinics to create compliant EMRs
All of the Above

PA Professions Test 2 Flashcards | StudBud