Discuss aprns reimbursement from medicare

Reference no: EM133421984

Assignment:

QUESTIONS ABOUT Reimbursements

Reimbursement as an NP by reading your text and visiting any extraneous websites (CMS, etc) . Please cover the following through discussion as each question relates to reimbursement and practice for NPs vs MDs when appropriate.

1. Define primary care and managed care.

2. Discuss the following: HMO, PPO, and POS--define them, what they cover (do not cover) etc along with how they effect APRN practice and reimbursement.

3. Discuss APRNs reimbursement from Medicare, Medicaid, and private health insurance (Fee-for-Service Plans).

4. Discuss the effect of billing and coding on APRN practice--under billing and ramifications of, overbilling, etc.

5. Analyze insurance payer barriers to reimbursement for APRNs.

6. Discuss the APRN role in leadership within clinical practice, professional organizations, and healthcare system.

7. What is an NPI? How does the APRN obtain one? Is it different from a DEA number? If so, how? What are the requirements to obtain a DEA license?

8. Discuss differences between consultation, referral, and collaboration. Why are these distinctions important?

9. Discuss the role of the APRN in telemedicine and reimbursement for these services along with barriers for APRNs in providing telemedicine.

10. Describe Incident-to and how it effects reimbursement as well as care provided by the APRN.

11. What is the ideal volume of patient encounters in an 8 hour day for the novice, beginner, intermediate, and advanced (experienced) NP for your practice state?

*hint, you should be trying to find what the literature states (research this please--come up with a review of what you've found to support your answer please)

12. What is concierge medicine? Discuss pros and cons and any ethical dilemmas related to this type of approach to patient care.

Reference no: EM133421984

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