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Question: There are several subtopics under the rubric of reimbursement to be covered this week:
Understanding Medicare reimbursement and "incident to" is paramount to an APRN's career (NOTE: Strictly speaking the term incident to is a Medicare expression. While some commercial insurance companies and some states' Medicaid plans might mimic this practice, they do not necessarily require all of the associated Medicare criteria.)
The first question you must address is: Should the organization use "incident to" billing? Why or why not? In other words, you first need to explain what Medicare requires for an organization to legitimately bill incident to. Next you need to explain whether incident to billing makes financial sense for your organization in light of Medicare criteria. Be sure to read the Buppert and Nagelkerk assignments carefully before you compose an answer. Finally, also based on those reading assignments, briefly share some thoughts about billing Medicaid and commercial insurance companies for APRN services.
The next topic concerns how your organization can avoid Medicare fraud and abuse when using APNs; specifically regarding the Stark Acts: What do you and the APNs in your organization have to know about this?
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Review the Tuskegee Syphilis Study assigned study and answer the following questions: There are many high quality resources on the web that address that topic.
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In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions: Tell us about a healthcare program, within your.
What are the three most important lessons that the international community should have learned about economic sanctions from the Kimberley Process experience?
Draw the confounding triangle - Smoking is not on the causal pathway between pesticide exposure and ARI development - what that would do to your
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