Health Policy: Reimbursement Of NPs
Reimbursement of NP’s
Nurse practitioners are responsible for providing comprehensive cost-effective and high-quality services to the clients. The concept of reimbursement states that nurses must receive reimbursement from all payers that will help in the provision of a full range of healthcare services. NP's are important for the maintenance of efficient healthcare systems. Their contribution leads to safe and quality care services. NP's ensure the provision of patient-centered care depicting the need for reimbursing them. The payment rates of NP's is quite low that discourage their dedication and commitment towards the nursing profession (Craig, 2014).
The state’s legislature addresses the issue of the maximum health facility to the citizens of the US. The healthcare legislation focuses on the practice regulations and scope of NP, institution's policy, practice environment, workforce, and patients outcomes. Healthcare administrators have a role in implementing policies in different departments. The scopes of regulation involve the provision of adequate education and training to nurses through credential institutes. They ensure the application of reimbursement in American hospitals focusing on the accurate diagnosis of patients. Reimbursement directs staff to administer high-quality care that results in patient’s safety CITATION Per111 \l 1033 (Morgan, Oliveira, & Short, 2011).
Reimbursing nurse practitioners can be an effective tool for improving the quality of healthcare institutes. This will require that the NP’s must know their contractual rights and responsibilities. This will enhance the performance and quality of care. Enhancement of documentation and plans for treatment will promote high morale that is curial for nursing practice. Reimbursement has a positive correlation between economics and quality. The evidence suggests that this is a practical way of improving nurses role and responsibility (Manion et al., 2014).
The administrators are well aware of the healthcare legislation for nurses in America including the limitation of nurse’s potential under the adoption of practice regulations. They explain rules to nurses such as they can claim worker compensations only in the states they work. The healthcare professionals identify many state regulations results in barriers for nurse practitioners. The regulations about the practice environment in a particular healthcare setting emphasize quality service that results in maximum health benefit for the patient. They implement policy and state legislation considering nurses accountable for their practice, experience, knowledge, and skills. The future scope of nurse practitioners depicts the demand will increase CITATION Lus16 \l 1033 (Poghosyan, Boyd, & Clarke, 2016).
The current statistics reveal that nurses are involved in the provision of 20% of primary healthcare facilities. However, they face restrictions due to limited independent practicing power. The number of licensed nurses in the US during 2016 was 222,000. The majority of the nurses hold licenses in a primary healthcare facility. The nurses identify the main reason for low health surety in secondary care in due to the limited role of NP’s CITATION Cat172 \l 1033 (Moore, 2017).
They explain the rules and regulations to the nurses as physicians and how nurses can get involved in political advocacy of their profession and demand legal recognition. They educate them about the jurisdiction and their limitations to independent work. The nurses need registered nurse license that allows her to practice independently. Licensing allows adequate practicing rights to nurses. They have a legal responsibility to eliminate health inequalities from hospitals and clinics. Safeguarding quality and adequate health treatment to all is their legal priority. Reporting the prevalence of the discriminatory practices in the healthcare institutes is also their responsibility. Eliminating biases from organizational and managerial practices remains their legal duty. Creating integration between different aspects of government policies and solving complex problems through multifaceted policies is also part of their legal job.
Craig, D. J. (2014). Maximizing reimbursement: What nurse practitioners need to know. The Nurse Practitioner, 39(8), 16-18.
Manion, A. B., & Odiaga, J. A. (2014). Health care economics and advanced practice registered nurse. Journal of Pediatric Health Care, 28(5), 466-469.
BIBLIOGRAPHY Moore, C. (2017). Policies that Restrict Full Utilization of Nurse Practitioners In Primary Care. NURSING ECONOMIC, Vol. 35/No. 2.
Morgan, P., Oliveira, J. S., & Short, N. M. (2011). Physician assistants and nurse practitioners: a missing component in state workforce assessments. Journal of Interprofessional Care, 25, 252–257.
Poghosyan, L., Boyd, D. R., & Clarke, S. P. (2016). Optimizing full scope of practice for nurse practitioners in primary care: A proposed conceptual model. Nurs Outlook, 64, 146 - 155.
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