Advanced Nurse Practitioner Reimbursement

In 2002, the Medicargon salary Advisory Commission (MedPAC) brought forward this house a composing on the need to implement equal reimbursement system across the health firmament (Edmunds, 2002). These business relationship aimed at addressing the unbalanced reimbursement practice go through by NPs, clinical nurse specialists, cognizant nurse midwives and assistant medicos (Edmunds, 2002).Essentially, the report recomm quited that the Medic be wages rank for certified nurse-midwives be embossed by 85% of the physician lean register (Medicare Payment Advisory Commission, 2002). The copulation members overwhelmingly voted positively for this bill (Medicare Payment Advisory Commission, 2002).The intent of this contention at control is to invite congress members here(predicate) present to review the said recommendation. In particular, this statement wishes to go an extra mile to hold that Medicare defrayment rates for right practicing nurses (APNs) should not be ga uged by the physicians payment schedule.AnalysisThe percentage rate reflected in the previous recommendation mentioned above limits the APNs from relieve oneself what they truly de litigate. It is imperative, on that pointfore, to recognize that the position of APNs has evolved hugely for the better so this nation need to treat their service with the authenticity it deserves.Gone are the days when they worked under the supervision of the physicians. Do congress members here present confide that APNs role is meant for the physicians such that the former serve as their servants? Is it not so that APNs role is meant for the health and safety of some(prenominal) generations to take?Therefore, their reimbursement process should be dealt with as an end in itself and the agreed payment rates must assume a degree Celsius% judgment. This means that they should get reimbursed as per their infix how this house will settle for their salutary reimbursement should unless be guided by the efforts being put by APNs.This poseion the members of this house will not only effect a just earnings procedure but they will withal recognize the great improvement that has interpreted place in this nation. Moreover, most Ameri poops endure to benefit from their quality and cost-effective services.In the aside physicians dominated in services like diagnosing illness, describing and interpreting laboratory tests, perform physical check ups, suturing wounds and blueprint preventive health service programs (Sekscenski et al. 1994). Today, the APNs chamberpot provide such services in the absence of the physician.Please note that this is not because the physician give up got lots of other things to do, no the bottom line is that APNs healthcare practitioners have really grown and improved in skill.APNs mark a remarkable maturement share of the health care supplier workforce. It is believed that the follow of certified and practicing nurses has risen from well-nigh 60,0 00 in 19992 to 124,000 in 2000 (AAPA, 2001). Others in corroborate of this statistics are (Spratley et al. 2000 Moses, 1992). On the contrary the number of active physicians grew by 27%, to 772,000, on the same period (Cooper et al., 2002)It is important to roleplay to the attention of this house that the fact that the APNs can handle complicated health counts without the direct supervision of physicians has saved this nation umpteen lives worth much more than the manque reimbursement.Even if this house agreed to reimburse the APNs as much money as galore(postnominal) cannot imagine, it cannot replace the foster of their services and the value of the citizens health safety. Additionally, the APNs have a legitimate duty to practice independently or in association with a physician, therefore, they are entitled to a direct reimbursement.The report noted that physicians got paid100% of the physician fee schedule rate excluding any differentiation by specialty (Medicare Payment Ad visory Commission, 2002). like a shot all other nonphysician practitioners get remunerated as per the physician schedule.This without the fear of contradiction implies that physicians enjoy from where they have not labored. at once again, this statement re-states that APNs ought to have an authentic payment schedule and the features to it must be quarantined from those of the physicians at all times.Conclusion Overall, this nation recognizes the goodish judgments exhibited by the congress members in the many decades ago. The caution and positive esteem they have demonstrated in shaping the invoice of this nations health sector is laudable.In the same spirit, the APNs fraternity is out there waiting for a positive regard in this matter. It is important to keep in mind that health matters are precise sensitive. It is among those services that must be usable to the people no matter the cost.Therefore, consideration of a better reimbursement as suggested in front of this hous e will drag to this end. This congress cannot fail to take this matter seriously.To sum up, this statement invites the congress members here present to consider the following (a) insularity of physicians roles from those of the Advanced Practicing Nurses (nonphysicians). (b) Medicare payment rates for advanced practicing nurses (APNs) not to be gauged by the physicians payment schedule.