Discussion: Reimbursement Issues for Nurse Practitioners

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Understanding the complex process of accurate coding and billing is essential to a sustainable practice. As NPs, we are ultimately responsible for ensuring all coding and billing is accurate for each patient seen. For this Discussion, you will search the health care literature and summarize a peer-reviewed journal article published within the last five years.
To prepare for this Discussion:
Select one of the following topics:
Applying for Medicare and Medicaid Provider Numbers
Application process for National Provider Identifier Number
Incident to billing
Coding-Evaluation & Management
Fraudulent billing
Billing Self-Pay patients
Managed Care Organizations
Conduct a search and select a peer-reviewed journal article published within the last five years related to the topic you selected.
NOTE: For this Discussion, all students are to avoid all written work, which reviews or outlines coding and billing at previous or current worksites as well as previous or current practicum sites.
Post on or before Day 3 a brief summary of the article you selected. Include the key reimbursement issue addressed and how they would impact the NP in a collaborative practice versus and independent practice. Discuss an ethical or legal implication(s) associated with your article.
Readings
Buppert, C. (2015). Reimbursement for nurse practitioner services. In Nurse practitioner’s business practice and legal guide (5th ed.). (303-319). Burlington, MA: Jones & Bartlett.
Media
There is no media in this week.
Optional Resources
Schiff, M. (2012). The role of nurse practitioners in meeting increasing demand for primary care.
Retrieved from https://www.aacn.nche.edu/government-affairs/NGA-Nurse-Practitioner-Paper.pdf

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