Laws

Question 1

Genetic Information Non-discrimination Act (GINA)

Answer 1

GINA, health insurers cannot use an individual’s genetic information to set eligibility requirements, establish insurance premiums, or request certain genetic tests. In addition, employers cannot request, require, or purchase genetic information about an employee or family member, and they cannot use an individual’s genetic information in decisions about job hiring, firing, assignments, or promotions.

Question 2

SNOMED-CT codes

Answer 2

The Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) was created by the College of American Pathologists (CAP) to represent medical terminology in EHRs.

Question 3

NANDA Taxonomy terms

Answer 3

Labels for many health problems in the functional health domain are found in the NANDA taxonomy terms (International Taxonomy of Nursing Diagnoses), which is expanded and updated every 2 years.

Question 4

UCD-10 CM codes

Answer 4

Diagnoses, in addition to interventions, must be recorded. ICD-10-CM codes provide the lists of reimbursable diagnoses.

Question 5

Current Procedural Terminology (CPT) codes

Answer 5

Interventions must be based on or derived from diagnoses. A situation should never arise in which the provider intervenes without explicit reasons for doing so. CPT codes provide the therapeutic intervention codes that must be recorded in each patient’s electronic health record (EHR).

Question 6

research process

Answer 6

Assessing, planning, implementing, and evaluating:
also the order of decision-making for the pediatric nurse practitioner in performing a health history, and then outlining a plan and providing care.

Question 7

Quality improvement

Answer 7

Quality improvement programs use patient outcome measures as indicators of the quality and health of the program. Goals include improvement in quality of care, decreased complications and hospitalizations, and improved patient satisfaction and outcomes

Question 8

V-code

Answer 8

V-codes are modifiers that indicate the reason for a health care visit, but cannot be used for procedures.

Question 9

DRG

Answer 9

DRG, or Diagnosis Related Group, is a statistical system of classifying inpatient stays into groups for the purpose of payment.

Question 10

Patient protection and affordable care act (ACA)

Answer 10

The ACA prevents private insurance companies from denying claims based on preexisting conditions. If an individual has a preexisting condition, there must be 6 months (not 12) of no insurance before becoming eligible for health insurance. In addition, patients who have life-threatening conditions and have a life expectancy of fewer than 6 months (not 12) are eligible for hospice care without having to forgo potentially curative care.