The Ineffective Approach in Medicare Reimbursement

The Ineffective Approach in Medicare Reimbursement Essay example
High school
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Nursing
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The ineffective approach in Medicare Reimbursement Issue Analysis Paper Name Institution Abstract The issue of reimbursement is crucial for nurses preparing for advanced roles such as those of management. Of most important is the approach used in arriving at the reimbursement amount in each hospital that APN in managerial roles need to understand while playing their roles…

Introduction

On the other hand, the support on setting the Medicare reimbursement is that, there is no one general approach in which the most effective amount will be arrived at. In addition, the set guidelines and rules for Medicare reimbursement lack a proper structure making the approach more challenging to the practitioners. Nevertheless, the failure to involve the health practitioners, especially advanced nursing practitioners in management, effectively makes the approach ineffective. Therefore, their involvement is crucial to ensure an approach that suits the needs of all the stakeholders and making it responsive to the needs of both the patients and the healthcare providers. In addition, government intervention by creating proper legal guidelines is crucial to ensure that the approach meets the required needs. Keywords: reimbursement, Medicare, Medicaid The ineffective approach in Medicare Reimbursement Introduction Wong (1999) noted that, the Balanced Budget Act of 1997 provided the reimbursement of APNs for the services they provided in any given setting at a fraction of the physicians fee. Nevertheless, a long process requiring meeting specific guidelines and documentation makes the process of reimbursing APNs hectic and confusing. ...
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