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Question
An APN's care and practice costs are the same as those of a physician. An APN, on the other hand, is reimbursed at 85% of the physician fee. According to Tracy and O'Grady (2019), two models have been developed to bridge the 15% gap. The "incidental to services" and "shared visits" models. Both models require that the APN's care provided during the patient encounter be submitted for reimbursement under the physician's billing number and that the APN's work be unaccounted for. As a result, the APN and their care are rendered invisible. The value of the APN in the healthcare system is not accurately calculated because the APN's work is not recognized and credit is given to the physician.Allowing an APN to bill under their individual number and reflect the services provided can help to avoid billing inaccuracies. How can I respond without being bias?
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