Question

• How do federal regulations influence the reimbursement of advance practice nurses?
• How do state regulations in your own state influence the reimbursement of advance practice nurses?
• Compare the state regulations in your state with another state.
• What are some strategies advance practice nurses can employ to influence regulatory changes for effective patient care delivery?

Answer 1

1, Reimbursement is a process it includes state and federal level. federal billing guidelines in each state licensing authority for advanced practice nurses are different. Advanced practice nurses are different. Advanced practice nurse needs to service in their state licensing regulations for billing regulations. federal agencies change for coding, assessment in federal health care program for performance, payment, accreditation this includes the medical expenditure panel survey, quality indicators data sets and benchmark tools for federally sponsored and project. federal funding for APRN education should be expanded.
2, APRN practice and impact on access to deliver high-quality health care. state authority home health agencies accept orders from APRN's when patient use private payment under state law. nurse practitioner in new york state gets reimbursed the same as a physician and they have the full scope of practice in state regulations they get reimbursed across state for their scope of practice.
3, nurse practitioner should be licensed and registered as a registered professional nurse in new york state and certified as a nurse practitioner by the department of education to participate in the NYS Medicaid program.
In texas to be licensed to practice as an APRN must be licensed as an RN in Texas. if nurses recognized by the board as advanced practice RN they qualified for the assistant educated program by texas board. they allow APRNs to have direct contact with health plans and Medicaid and insurance plans and access to primary care where the number of the provider is less.
4, Nurses have the opportunity to play a central role in transforming the health care system to provide high quality and value-based treatment for patients. using evidence-based clinical guidelines for the promotion of the changes. transforming nursing education system respond to changes in contextual factors by applying new skills and support fulfill the scope of the practice for effective patient care delivery. scope of practice for APRN impact on care process. state and nursing scope of practice for patient care APRN create the structured opportunity for nursing students and engage in service, collaboration with other common agencies for nursing education increase diversity in nursing practice.