Get NURS 6550 Week 1: Role of the Advanced Practice Nurse essay assignment help
Consider this description of acute care: “Acute care encompasses a range of clinical health-care functions, including emergency medicine, trauma care, pre-hospital emergency care, acute care surgery, critical care, urgent care, and short-term inpatient stabilization” (Hirshon et al., 2013).
As the description suggests, the acute care setting is the highest level of acuity for advanced practice nurses. In this setting, advanced practice nurses take on multiple roles and responsibilities as they perform comprehensive health assessments, communicate with multidisciplinary care teams, develop treatment plans that meet the individual needs of patients, and document the care they provide.
NURS 6550 Week 1: Role of the Advanced Practice Nurse essay assignment
This week, as you begin to explore the role of the advanced practice nurse in the acute care setting, you will examine medicolegal responsibilities of advanced practice nurses in relation to documenting and coding the services they provide to patients. You also will explore laws and regulations that determine the roles and scope of practice for advanced practice nurses.
As an advanced practice nurse (APN), you will be responsible for identifying the ICD-10 diagnosis code, CPT code for procedures, and the E&M code for billing of services. Most nurses have not been involved in the coding of diagnoses or procedures, so these systems are probably unfamiliar to you. In this discussion, we will explore all three coding systems.
International Classification of Disease, 10th Edition, (ICD-10) is the system used to identify the diagnosis for the patient. The system is very specific and selecting the correct code can facilitate the approval of procedures as well as correct billing of services.
Current Procedural Terminology (CPT) are codes that identify procedures that have been completed or tests that are requested. Most CPT codes are related to what is considered appropriate ICD-10 codes. For instance, you would not code a bronchoscopy 0BJ08ZZ and relate it to a diagnosis code of low back pain M54.5. The reimbursement would probably be denied because the diagnosis and procedure do not correlate.
Evaluation and management (E&M) codes are used to determine the complexity of services provided to the patient. Specific documentation must be included in the patient visit note to support the E&M code billed. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you will examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
The APN working in urgent care sees a patient with a right ankle sprain. What ICD-10 code would be appropriate for this patient encounter? What additional information and documentation is needed for a correct ICD-10 to be identified?
The APN inserts a radial arterial line in an ICU patient with a hypertensive crisis. What ICD-10 and CPT code would be appropriate for this procedure? Identify any additional information and documentation that is needed for correct coding.
Samantha Smith is an APRN that wrote this note on a patient in the hospital.
Name: Mr. Xxxxx
Patient and wife in to review the evaluation for SIADH (secretion of inappropriate diuretic hormone). His sodium is now corrected to 136 with water restriction.
CT shows old right frontal infarction which he denies having any symptoms of. There is mild cerebral atrophy consistent with age.
CT of chest shows 2 mm nodule in right apex, possible granuloma.
CT abdomen unremarkable.
Samantha, the APN, billed Medicare a 99233 and provided this note as documentation of the service.
Lisa Smith, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. It took her 50 minutes to see 10 of her patients and 30 minutes to see each of the remaining patients on her list. She used the same code for all visits—99233.
Post on or before Day 3 a summary of your answers related to the case study selected. Discuss the medicolegal implications for coding and how it would impact the role and responsibilities of the advanced practice nurse.
Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your colleagues on two different days who selected a different case study than you. Share additional insights or alternative perspectives.
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