Adult-Gerontology Primary Care Nurse Practitioner Exam Technology & Digital Applications 3

Question 1

Under the 21st Century Cures Act information blocking rule, which action by a healthcare provider would constitute information blocking?

Accepted Answer

Delaying patient access to test results for 90 days without a permitted exception

Answer

Delaying or restricting patient access to health data without a recognized exception constitutes information blocking under the Cures Act.

Question 2

An AGPCNP is evaluating a remote patient monitoring (RPM) program for hypertensive older adults. Which CMS billing code set is MOST relevant for reimbursing RPM services?

Accepted Answer

CPT 99453, 99454, 99457, 99458 (RPM setup and management)

Answer

CPT codes 99453, 99454, 99457, and 99458 specifically cover device setup, supply, and clinical management time for Medicare RPM programs.

Question 3

A 70-year-old patient with COPD is enrolled in a telemonitoring program. Which physiologic parameter, when trended remotely, is MOST predictive of a COPD exacerbation requiring intervention?

Accepted Answer

Oxygen saturation (SpO2) decline combined with increased respiratory rate

Answer

Declining SpO2 combined with elevated respiratory rate are early physiologic signals of impending COPD exacerbation captured by home telemonitoring.

Question 4

When documenting a telehealth encounter in the EHR, the AGPCNP must include which element to satisfy Medicare billing requirements?

Accepted Answer

Notation of the communication technology used and the patient's location at the time of service

Answer

Medicare requires documentation of the telehealth modality and the patient's originating site to support billing and eligibility requirements.

Question 5

A practice implements a chatbot to conduct pre-visit symptom screening. The AGPCNP should ensure the chatbot:

Accepted Answer

Is validated for accuracy, has clear escalation pathways, and discloses it is not a human clinician

Answer

Validated symptom-screening chatbots must be transparent about their nature, accurate, and integrated with human clinical oversight for safety.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Technology & Digital Applications 3