Reimbursement Barriers and Issues That Hinder or Essay

Open, View, and/or
Download this Document

Total Length: 542 words ( 2 double-spaced pages)

Total Sources: 4

Page 1 of 2

Reimbursement barriers and issues that hinder or prevent Advanced Practice Nurses (APNs): What are steps APNs must take to increase the likelihood for reimbursement?

'An ounce of prevention is worth a pound of cure.' In addition to the stresses and the difficulties experienced by nurses in treating patients, getting reimbursed as a nurse practitioner can be an additional challenge. Taking defensive mechanisms to ensure payment is essential for APNs when navigating the thorny path of the medical insurance bureaucracy.

Government insurance programs like Medicare and Medicaid usually have fairly standardized policies for reimbursement for physician services performed by nurse practitioners. However, different private health plans often vary considerably, and it is essential that the APN understands what type of plan she is dealing with before embarking upon treatment. Even when dealing with Medicare, the nurse must remember that Medicare reimbursement only occurs when there is a collaborative agreement with a physician and thus it is often better to get such an agreement in writing if at all possible (Buppert, 2006, How to avoid).

Stuck Writing Your "Reimbursement Barriers and Issues That Hinder Or" Essay?

View All Our Example Reimbursement Barriers and Issues That Hinder or Essay

Have A Custom Example Essay Written

Nurses cannot merely assume that because they are ordered to perform a procedure by a physician on staff it will automatically be reimbursed, nor can they even be certain that physicians on staff are compliant with all currently-existing laws.

Nurses must take steps to be proactive regarding the process of reimbursement. Susan Cooper calls this taking responsibility and ownership of the process rather than merely being passive (Cooper 2000). Nurses must be involved reading contracts, reviewing claim submissions requirements, appeals, covered services; and understanding reimbursement terminology such as capitation vs. fee for service considerations (Cooper 2000).….....

Show More ⇣

     Open the full completed essay and source list


OR

     Order a one-of-a-kind custom essay on this topic


sample essay writing service

Cite This Resource:

Latest APA Format (6th edition)

Copy Reference
"Reimbursement Barriers And Issues That Hinder Or" (2011, June 11) Retrieved June 3, 2026, from
https://www.aceyourpaper.com/essays/reimbursement-barriers-issues-hinder-85450

Latest MLA Format (8th edition)

Copy Reference
"Reimbursement Barriers And Issues That Hinder Or" 11 June 2011. Web.3 June. 2026. <
https://www.aceyourpaper.com/essays/reimbursement-barriers-issues-hinder-85450>

Latest Chicago Format (16th edition)

Copy Reference
"Reimbursement Barriers And Issues That Hinder Or", 11 June 2011, Accessed.3 June. 2026,
https://www.aceyourpaper.com/essays/reimbursement-barriers-issues-hinder-85450
   

Open, View, and/or
Download this Document
order custom essay example