October 15, 2021 Comment off
which covers skilled nursing facilities, hospitalization, and some other home services and Part B, which covers mostly physician services.
The aim of acute care nurse practitioner (ACNP), as Richmond, Thompson and Sullian-Marx (2000) put it, is to provide multidimensional nursing care to people with chronic and critical health conditions. Some educational programs might prepare ACNP to offer services to certain specific patient population such asMUST BE PLAGIRISUM FREE!!!
1. Discuss the MSN specialty track FNP that you have selected.
2. Demonstrate how the skills outlined in the nine (9) AACN Essentials are applicable to your selected masters-prepared specialization.
3. Identify three ways that a masters-prepared nurse in your specialty would use the AACN Essentials skills in nursing practice.
4. Provide empirical evidence to support the three (3) ways a masters-prepared nurse would use the AACN Essentials in practice. A minimum of two (2) current scholarly articles are required in this section of the presentation. Articles must be withing the past 5 years.
5. Concluding statements summarize content.
6. 15-slide presentation with speaker notes in APA format, not counting title and reference slides.
the sick children and adults. However, this paper will discuss legal theories as they relate to the Acute Care Nurse practitioner. The paper will also expound on some other concept like professional or medical negligence, medical reimbursement and a list of other ethical considerations (duty, causation, harm, and lack of informed consent, etc.) as well as legal considerations for malpractice.
The Balanced Budget Act of 1997, as Richmond, Thompson and Sullivan-Marx (2000) put it, allowed ACNP to be directly rewarded for care provided. In fact, the opportunities for the reimbursement for services offered by ACNP are more wide-ranging than ever before. There are various reimbursement methods and this paper describes how they are applied to ACNP. The major reimbursement methods are:
Current procedural terminology (CPT)
CPT operate in form of medical codes that are used to report medical service (surgical, diagnostic or medical procedures) to entities like the health insurance firms, physicians, and accreditation organizations. This reimbursement method offers a unique language for labelling the medical services for the purpose of billing and documentation. For the service provider to enjoy appropriate insurance reimbursement, there must be accurate medical procedure coding. Otherwise, coding errors may cause the payments of submitted claims to be delayed or rejected.
Medicare has been used as a compensation for the medical services of acute care nurse practitioners (ACNPs) and midlevel practitioners, such as clinical nurse specialists and physician assistants, in both none-skilled and skilled nursing facilities for quite some time. Medicare coverage operates two programs: Part A, which covers skilled nursing facilities, hospitalization, and some other home services and Part B, which covers mostly physician services. Normally, Medicare demands that services are all billed to the provider coded number. That is, the individual giving the service (Lusis, n.d.). According to Buppert (2002), assessment and management of chronic and acute illnesses fall under the scope of practice of nursing practitioners (NP’s) under state law.
Medicaid guidelines is not a copycat Medicare guidelines. The Medicaid reimbursement program is overseen by the states. However, the state regulations differ depending on the billing of acute care nurse practitioners services. This reimbursement program is even complicated more by the reality that most Medicaid beneficiaries are enrolled as members of managed care plans. Richmond et al. (2000) claims that the policies of managed care plans on reimbursement vary from the federal and state rules regulating reimbursement if the beneficiary is not registered under managed care plans.
Fee for service indemnity plans
An acute care nursing practitioner who already has the Medicaid service provider number can bill Medicaid based on a fee-for-service policy for general practitioner services offered to the patient enrolled under the Medicaid. However, the fee-for-service policy only works when the patient is not registered under the managed care plan. In fact, in several states, Medicaid compensates acute care nurse practitioners 100 percent of the fees for the physician. However, if few states, Medicaid reimburses acute care nurse practitioners at a reduced percentage. Moreover, indemnity insurers compensate healthcare workers based on the fee-for-service policy although each firm has its individual policy concerning compensation of provided services by the ACNP.