APRN roles Flashcards
Significance of OBRA
Omnibus Budget reconciliation Act
madates APRN get reimbursed for services
What is a preferred provider organization (PP0)
List of preferred providers and hospitals with negotiated discounted rates
not always need a PCP
Out of network cost higher out of pocket
What is Health maintenance Organization (HMO)
List of preferred providers and hospitals with negotiated discounted rates
* PCP required
PCP referral needed for specialist visits
Out of network not allowed
What is significance of Point of Service (POS0
combination of HMO and PPO
PCP needed
can go anywhere but costs maybe higher
What is exclusive provider organization
similar to HMO
lower rates
high cost for unplanned events
How many elements for brief HPI
3
How many elements for extended HPI
4 or more elements of present HPI and or associated comorbidities (status of 3 chronic or inactive problems
Review of System extended vs complete
extended is the system directly related and 2-9 additional systems
Complete is system directly related and minimum of 10 organ systems
Part of medical history that can be obtained by form or staff
Review of systems
past medical
social
family history
History type: Problem focused contains
chief complaint Brief HPI (1-3 Components)
History Type: Expanded Problem focused
Establish chief complaint
Brief History of present illness (1-3 components)
Problem pertinent to review of system (1 system)
History Type: Detailed
Chief compliant
Extended History of present illness 4 components
Extended Review of systems 2-9
Directly related history (family or social)
History type: Comprehensive
Chief complaint
Extended history of present illness
Complete review of systems 10
Complete history (family or Social)
Exam Type: Problem focused
Limiited to affected body area or organ system
Exam Type: Expaned problem focused
affected body area or organ system
other symptomatic or organ systems
