NCCT PRACTICE EXAM WITH RATIONALES – 3 hour PRACTICE EXAM!

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1. Forced Vital Capacity is measured by instructing the patient to A. forcefully breathe air out and continue to exhale for at least 6 seconds. B. complete a minimum of eight acceptable efforts to v... alidate the test. C. move the one way valve to a minimum of 4000 ml capacity. D. blow out as fast and hard as possible and document the highest reading. Correct response: forcefully breath air out and continue to exhale for at least 6 seconds. Rationale: Respiratory tests are performed to assess and/or monitor lung function. A spirometer measures how fast and how much air is pushed/forced out of the lungs. Forced Vital Capacity (FVC) is measured by instructing the patient to forcefully breath air out and continue to exhale for at least 6 seconds. When doing spirometry testing, the total attempts should be limited to 8, not a minimum of 8. The one way valve should not be moved to 4000 mL capacity. A patient should blow out as hard and fast for as long as possible, and 3 acceptable attempts are documented to ensure test validity (not just the highest reading). 2. Healthcare services for the evaluation and management of a disease consistent with the standard of care are considered to be A. V codes. B. a medical necessity. C. upcoding. D. part of the audit process. Correct response: a medical necessity. Rationale: A medically necessary healthcare service is generally the least invasive, most effective treatment that is “reasonable and necessary” for the patient condition (i.e. standard of care). V codes are used for non-injury or non-disease encounters (i.e. suture removal, infectious disease exposure, etc.). Upcoding is the fraudulent act of submitting CPT codes for services that will reimburse at a higher rate than the actual services provided. Part of the audit process is to help reduce fraud or unnecessary treatment billed to insurance. [Show More]

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