A nurse has taken a position with an insurance company to review clients' records and the care they received while they were inpatient status

Question

Part of the job description requires the nurse to make sure the client (and insurance company) were billed for services and treatment/therapies rendered and that there were no errors in billing. This type of audit is which of the following?
1. Concurrent
2. Peer review
3. Nursing audit
4. Retrospective

Answer 1

Correct Answer: 4
Rationale 1: Concurrent audit is the evaluation of a client's health care while the client is still receiving the care from an agency.
Rationale 2: A nursing audit is a type of peer review, in which the audit focuses on evaluating a specific nurse's nursing care through the review of records.
Rationale 3: A nursing audit is a type of peer review, in which the audit focuses on evaluating a specific nurse's nursing care through the review of records.
Rationale 4: A retrospective audit is the evaluation of a client's record after discharge from an agency. The word retrospective means "relating to the past." If the nurse is reviewing records after the client has been discharged, the information being examined is in the past.