Pa History Final

Front 1

NCCPA

Back 1

National Commission on Certification of Physician Assistants

Front 2

PANCE

Back 2

Physician Assistant National Certifying Exam

Front 3

ARC-PA

Back 3

Accreditation Review Commission on Education for the Physician Assistant

Front 4

What are the 7 categories of skill areas on the PANCE?

Back 4

1)Pharmaceutical Therapeutics
2)Formulation Diagnosis
3)History Taking & PE
4)Lab & Diagnostic Studies
5)Clinical Intervention
6)Health Maintenance
7)Applying basic science concepts

Front 5

Which 4 disorders/diseases categories comprise the greatest percent of PANCE questions?

Back 5

Cardiology 16%
Pulmonary 12%
GI/Nutrition 10%
Musculoskeletal 10%

Front 6

How long is the PANCE and what is the time frame for exams and breaks?

Back 6

6 hrs
6 exams 60 questions 60 min each
total of 45 min breaks

Front 7

What do you bring to the PANCE?

Back 7

Drivers license and scheduling permit. No personal Belongings

Front 8

If you encounter problems during the PANCE what steps do you take?

Back 8

document the situation in writing and contact NCCPA within 3 days

Front 9

How many times can you take the PANCE?

Back 9

6 times in 6 years
1 exam/90days or 3 exams/year

Front 10

What are the requirements for maintaining your certification?

Back 10

1)Log 100 hrs CME every 2 years
-at least 50 category 1
2)Pass PANRE in year 5 or 6 of your 6 year cycle

Front 11

Category 1 CME

Back 11

Preapproved by AAPA, ACCME,
AAFP, AMA, or AOACCME

Front 12

Catergory 2 CME

Back 12

Any practice related educational activity pursued outside of your employment. Log hour-per-hour

Front 13

Examples of Category 2 CME

Back 13

reading medical journals
postgraduate coursework
precepting
time spent studying for PANRE

Front 14

What are the deadlines for first time CME loggers?

Back 14

-June 30th the year certification expires
-If certification was issued after June 30th you are allowed a 1 time extension until certificate expires (Dec 31)

Front 15

When can you begin logging CME hours?

Back 15

-New loggers begin the day certificate is issued
-Returning loggers begin May 1 of the beginning cycle year

Front 16

What is the final deadline for returning CME loggers?

Back 16

Dec 31st - when certification expires

Front 17

How many times are you allowed to take the PANRE ?

Back 17

4

Front 18

Certification may be denied/revoked in the following circumstances __________, __________, ________

Back 18

1)Documentation of gross incompetence or unethical conduct
2)Felony conviction
3)Court decision finding the PA mentally incompetent

Front 19

A system of medical practice that aims to combat disease by use of remedies producing effects different from or incompatible with those produced by the disease treated.

Back 19

Allopathy

Front 20

A system of medical practice that uses the recuperative powers of the body and the relationship between the musculoskeletal structures and the functions of the body (particularly of the spinal column and the nervous system) in the restoration and maintenance of health.

Back 20

Chiropratic

Front 21

A system of medical practice based on the theory that the normal body is capable of making its own remedies against infection/disease and that disturbances in the musculoskeletal system affect other bodily parts causing many disorders that can be corrected by various manipulative techniques in conjunction with conventional medical, surgical, and pharmacological therapeutic procedures

Back 21

Osteopathy

Front 22

A system of medical practice based on the use of small doses of a drug that in large doses is capable of producing symptoms in healthy individuals which are similar to those of the disease being treated.

Back 22

Homeopathy

Front 23

A system of treatment of disease that avoids drugs and surgery and emphasizes the use of natural agents (air, sunshine, food and water) and physical means (manipulation, exercise and electrical treatment).

Back 23

Naturopathy

Front 24

Form of malpractice insurance that covers incidents happening during the policy period without regard to when the claim is reported

Back 24

Occurrance Form

Front 25

Form of malpractice insurance that covers a medical incident only when it happened and when the claim is reported while the policy is in effect

Back 25

Claims-made Form

Front 26

Additional malpractice insurance that can be purchased allowing the insured to report claims made after the claims-made policy has ended.

Back 26

Tail coverage / Extended Reporting Endorsement

Front 27

Retroactive insurance that protects against those events that have already occurred during the claims-made policy period but have not been reported before the policy expiration date.

Back 27

Prior Acts coverage

Front 28

What are the important elements to consider when evaluating malpractice coverage offered by an employer?

Back 28

1)Written Verification of Coverage
2)Applied to you by name
3)Separate limits of liability
4)Provides legal counsel
5)Tail coverage for when you leave
6)Notification of settlement offers before they are made
7)Notice of disposition of any claims against you
8)Reimbursement for lost wages

Front 29

Who funds Medicaid?

Back 29

Federal Government &
State

Front 30

How are Medicaid funds distributed?

Back 30

According to the percentage of the state's population below the poverty line

Front 31

What is the Medicaid reimbursement for PA's?

Back 31

100% of the fee paid to physicians

Front 32

A government-administered social insurance program designed to provide hospital and medical care for the elderly

Back 32

Medicare

Front 33

When was Medicare established?

Back 33

1965

Front 34

Aside from the elderly, which patients are covered by Medicare?

Back 34

-disabled persons
- persons with end-stage renal disease who require dialysis or kidney transplant

Front 35

Covers inpatient hospitalization and nursing facility care, home health care and hospice

Back 35

Medicare Part A

Front 36

Who handles reimbursement payments for Medicare Part-A

Back 36

Fiscal Intermediaries

Front 37

Covers professional services provided by physicians, PAs, and certain other authorized practitioners in the office, clinic, hospital (including emergency room) and nursing facility. Also covers DME

Back 37

Medicare Part-B

Front 38

Who processes reimbursement payments for Medicare Part-B

Back 38

Private Insurance companies in each state

Front 39

Who funds Medicaid?

Back 39

Federal Government &
State

Front 40

How are Medicaid funds distributed?

Back 40

According to the percentage of the state's population below the poverty line

Front 41

What is the Medicaid reimbursement for PA's?

Back 41

100% of the fee paid to physicians

Front 42

A government-administered social insurance program designed to provide hospital and medical care for the elderly

Back 42

Medicare

Front 43

When was Medicare established?

Back 43

1965

Front 44

Aside from the elderly, which patients are covered by Medicare?

Back 44

-disabled persons
- persons with end-stage renal disease who require dialysis or kidney transplant

Front 45

Covers inpatient hospitalization and nursing facility care, home health care and hospice

Back 45

Medicare Part A

Front 46

Who handles reimbursement payments for Medicare Part-A

Back 46

Fiscal Intermediaries

Front 47

Covers professional services provided by physicians, PAs, and certain other authorized practitioners in the office, clinic, hospital (including emergency room) and nursing facility. Also covers DME

Back 47

Medicare Part-B

Front 48

Who processes reimbursement payments for Medicare Part-B

Back 48

Private Insurance companies in each state

Front 49

Who funds Medicaid?

Back 49

Federal Government &
State

Front 50

How are Medicaid funds distributed?

Back 50

According to the percentage of the state's population below the poverty line

Front 51

What is the Medicaid reimbursement for PA's?

Back 51

100% of the fee paid to physicians

Front 52

A government-administered social insurance program designed to provide hospital and medical care for the elderly

Back 52

Medicare

Front 53

When was Medicare established?

Back 53

1965

Front 54

Aside from the elderly, which patients are covered by Medicare?

Back 54

-disabled persons
- persons with end-stage renal disease who require dialysis or kidney transplant

Front 55

Covers inpatient hospitalization and nursing facility care, home health care and hospice

Back 55

Medicare Part A

Front 56

Who handles reimbursement payments for Medicare Part-A

Back 56

Fiscal Intermediaries

Front 57

Covers professional services provided by physicians, PAs, and certain other authorized practitioners in the office, clinic, hospital (including emergency room) and nursing facility. Also covers DME

Back 57

Medicare Part-B

Front 58

Who processes reimbursement payments for Medicare Part-B

Back 58

Private Insurance companies in each state

Front 59

Medicare option through which beneficiaries elect to receive their health care from HMOs or other managed care entities
Often include enhanced benefit packages, pharmaceuticals, eye glasses, and routine physicals

Back 59

Medicare Part-C / Medicare+choice

Front 60

After the patient has $250 in Rx costs, what does Medicare pay?

Back 60

75% until a Max of $2500

Front 61

What is "the Gap" in Medicare part D

Back 61

When Rx costs reach $2500 the patient must pay 100% of costs until they reach an out-of -pocket max of $3600

Front 62

Which Act provided coverage for services provided by PAs when delivered to Medicare and Medicaid patients in federally certified rural health clinics

Back 62

Rural Health Clinic Services Act 1977

Front 63

Which Act provided coverage of services provided by PAs delivered to Medicare patients in HMOs and Competitive Medical Plans which had contractual agreements with Medicare

Back 63

1982-Tax Equity and Fiscal Responsibility Act

Front 64

How does Medicare reimburse PAs for their services?

Back 64

85% of the physician fee schedule; paid to the employer

Front 65

If a PA treats a Medicare patient, how should the visit be billed?

Back 65

Billed at the physician's rate and under the physician's number

Front 66

Which services are typically reimbursed by Medicare? (8)

Back 66

1)All levels of evaluation and management services (E/M)
2)Consultations
3)Initial hospital H&Ps
4)Mental health services
5)All diagnostic tests
6)First assisting at surgery
7)Ordering pt/plan of care
8)Signing the certificate of medical necessity for durable medical equipment (DME)

Front 67

What is required of the physician if they bill Medicare as "incident to" a visit/procedure?

Back 67

Physician must be present in suite of offices during the visit; physician has to have made the initial diagnosis;

Front 68

Which services provided by a PA must be co-signed according to Medicare guidelines?

Back 68

Medicare hospital admission H&Ps and preop H&Ps

Front 69

NPI

Back 69

National Provider Number
10 digit number used to identify health care professionals and health care organizations in order to electronically transmit or receive health information and submit claims
Follow health care professionals throughout their careers
Full implementation by March 1, 2008

Front 70

Under what circumstance will Medicare reimburse 100% of the physicians rate for PA office visits?

Back 70

"incident to" visits

Front 71

In a hospital setting PAs may be reimbursed at 100% due to ____________

Back 71

Shared billing provision -
PA and MD who work for the same employer may share visits made to the same patient on the same day by combining work
-E/M services only

Front 72

ICD-9 codes are _____codes

Back 72

diagnosis

Front 73

The ICD-9 codes are assigned and published by _______

Back 73

WHO
World Health Organization

Front 74

What is a CPT code?

Back 74

Current Procedural Terminology
-standard codes for medical procedures and services

Front 75

Who publishes CPT codes?

Back 75

AMA

Front 76

Levels of service for CPT coding are based on __________ (4)

Back 76

1)History
2)Exam
3)Medical Decision Making
4)Time Spent Counseling/Coordinating Care

Front 77

Components of the history

Back 77

CC - Chief Complaint
HPI - History of Present Illness
ROS - Review of Systems
PFSH - Past History &/or Social History

Front 78

Level of history described by HPI = brief
ROS = none
PFSH = none

Back 78

Type - PF

Front 79

Level of history described by
HPI = brief
ROS = problem-pertinent
PFSG = none

Back 79

EPF

Front 80

Level of history described by
HPI = extended
ROS = extended
PFSH = pertinent

Back 80

Detailed

Front 81

Level of history described by
HPI = extended
ROS = complete
PFSH = complete

Back 81

Comprehensive

Front 82

8 elements of HPI

Back 82

1)Location
2)Timing
3)Quality 4)Context
5)Severity 6)Modifying factors
7)Duration 8)Associated signs and
symptoms

Front 83

A brief documentation of HPI has ____ elements

Back 83

1-3 elements

Front 84

An extended documentation of HPI has _______ elements

Back 84

4+ elements
comments on 3 or more chronic or inactive conditions

Front 85

An exam with 1-5 elements is _______

Back 85

Problem Focused (PF)

Front 86

An exam with 6-11 elements is ________

Back 86

Extended Problem Focused (EPF)

Front 87

An exam with 12 or more elements is __________

Back 87

Detailed

Front 88

An exam that includes 2 elements from at least 9 systems/areas is __________

Back 88

Comprehensive Multi-system

Front 89

The level of medical decision making is determined by ______(3)

Back 89

1)Number of diagnoses or management options
2)Amount and/or complexity of data
3)Risk to patient

Front 90

What are the 4 types of medical decision making?

Back 90

1)straightforward
2)low complexity
3)moderate complexity
4)high complexity

Front 91

Minor surgical procedures include ________(3)

Back 91

1)Preoperative visits
2)Intraoperative procedures
3)Postoperative care/visits (same day or within 10 days)

Front 92

Major surgical procedures include ________(3)

Back 92

1)Preoperative visits (beginning one day prior)
2)Intraoperative procedures (All usual)
3)Postoperative care/visits (same day or within 90 days and Complications outside OR)

Front 93

Louisiana Worker Compensation Program reimburses ______of physicians fee and the physician must __________

Back 93

1)100% of physician fee
2)physician must sign all paperwork

Front 94

Will Louisiana Medicaid pay for PAs assisting in surgery?

Back 94

No