Understanding the complex process of accurate coding and billing is essential to a sustainable practice. As NPs, we are ultimately responsible for ensuring all coding and billing is accurate for each patient seen. For this Discussion, you will search the health care literature and summarize a peer-reviewed journal article published within the last five years.
To prepare:
- Select one of the following topics:
- Applying for Medicare and Medicaid Provider Numbers
- Application process for National Provider Identifier Number
- Incident to billing
- Coding-Evaluation & Management
- Fraudulent billing
- Billing Self-Pay patients
- Managed Care Organizations
- Conduct a search and select a peer-reviewed journal article published within the last five years related to the topic you selected.
To complete
Post a brief summary of the article you selected. Include the key reimbursement issue addressed and how they would impact the NP in a collaborative practice versus and independent practice. Discuss an ethical or legal implication(s) associated with your article.
Message to the writer
My instructor will be going through and making sure everything listed under the “To complete” section is addressed, so please address everything that is listed above in red. I have attached a sample paper that you may use as a guide.
Reference criteria
It is important that you remember to use a minimum of 3 references within the past 5 years. I have attached one of the mandatory references below, so please use it as one of the three references. So basically, I will need you to find 2 more references within the past 5 years to add on. Make sure you are using Peer-reviewed Journal articles, Textbooks, and evidence-based practice resources. DO NOT USE Patient Education sites. Your patients also have access to these sites, and you must know more than your patient that Googled their symptoms prior to coming to see you. It is good to know what they are reading, but you are not to use this as a professional reference.
Reference information for the pdf file that I attached
Buppert, C. (2018). Nurse practitioner’s business practice and legal guide (6th ed.). Sudbury, MA: Bartlett & Jones Learning.