NR 511 Week 1: Quiz1
The phrase usual and customary refersto:
The success rate of a specified procedure.
How much an insurer will charge to provide coverage.
Correct Answer
How charges for a service compares with charges made to other personsreceiving similar services and
supplies.
How an insurer evaluatesthe need for an ordered diagnostic test.
The phrase usual and customary refers to the comparison of charges with other like chargesfor services and
supplies received in the immediate vicinity as well as in a broader geographic area.
What must you do as an advanced practice registered nurse (APRN) before billing for visits?
Obtain a provider number and familiarize yourself with the rules and policies of the third-party payer.
Provide evidence of continuing medical education
Obtain a Drug Enforcement Administration (DEA) number.
Establish a collaborative agreement with a physician.
To bill your clientsforservices, you must obtain a provider number and familiarize yourself with the rules and
policies of each payor.
Which one of the following is true regarding the importance of documentation?
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