This is a professional nursing case study, please read and follow the rubric when responding to the questions. Don’t have restriction on number of words or required page #, just a case study not term paper. Thanks for helping.

Each reply must incorporate at least 3 scholarly citation(s) in APA format. Any sources cited must have been published within the last five years. 

400 words 

1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and women’s health).

2. Provide a brief description about the NPI numbers for nurse practitioners.

Read the following article:

https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx

answer:

During my previous clinicals, I have noticed providers complaining about different coding and billing issues. The most common complaint was not having enough data. If the provider fails to provide enough information, like not linking the diagnosis to the right CPT code then the payer may deny the transaction or create a delay. Another common issue includes having to uncode if the patient is billed for the wrong services. Many other errors like telemedicine coding errors, missing or incorrect information and incorrect procedure codes. Although there are many possible errors, there is also multiple ways to avoid them. It is the providers job to prevent those errors (Grant-Kels, Kim, & Graff, 2016). 

A National Provider Identifier is a unique 10-digit number given to healthcare providers by Medicare and Medicaid services. This NPI number was brough around 1996 under HIPAA. It was then in 2006 when it became mostly used. This allows the provider to identify themselves in transactions or medical correspondence. The provider will carry this unique code throughout their career to any practice that they join (Adams, Norman, & Burroughs, 2020). This is not a confidential number since anyone can look up an NPI number in the registry. Finally, in order to obtain one, the provider must apply under the NPPES website. 

References

Adams, D. L., Norman, H., & Burroughs, V. J. (2020). Addressing medical coding and billing part II: a strategy for achieving compliance. A risk management approach for reducing coding and billing errors. Journal of the National Medical Association, 94(6), 430–447.

Grant-Kels, J. M., Kim, A., & Graff, J. (2016). Billing and up coding: What’s a doctor-patient to do?. International journal of women’s dermatology, 2(4), 149–150. https://doi.org/10.1016/j.ijwd.2016.08.003

As a practice scholar, you are called to respond to a recurring medication administration error at your workplace setting and identify strategies to prevent future recurrence through interprofessional collaborative practice. Your first step is to assemble the interprofessional team. Consider the following.

• Who is on your team? What are the roles, responsibilities, and abilities of the team members?
• How will you work together? How will you determine accountability and task distribution? Identify ways to distribute and follow up on tasks among interprofessional team members.
• What strategies will you use to facilitate effective communication and collaboration? 

READ all the attached documents for the the instructions and directions. This is part of a final project and must be done correctly and as directed by the attachment. Thank you! 

Portfolio Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

• Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
• Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

• Planning and requirements definition
• Analysis
• Design of the new system
• Implementation
• Post-implementation support

By Day 7 of Week 10

Submit your completed Role Description.

 Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

· Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

· Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (10 slide PowerPoint presentation)

Develop a  10-slide PowerPoint Presentation that addresses the following:

· Describe the differences between a board of nursing and a professional nurse association.

· Describe the board for your specific region/area.

o Who is on the board?

o How does one become a member of the board?

· Describe at least one state regulation related to general nurse scope of practice.

o How does this regulation influence the nurse’s role?

o How does this regulation influence delivery, cost, and access to healthcare?

· Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).

o How does this regulation influence the nurse’s role?

o How does this regulation influence delivery, cost, and access to healthcare?

· Include Speaker Notes on Each Slide (except on the title page and reference page)

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter 4, “Government Response: Regulation” (pp.      57–84)

American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

Note: You will access this article from the Walden Library databases.

Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Note: You will access this article from the Walden Library databases.

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349

Note: You will access this article from the Walden Library databases.

Required Media

Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author.

The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020.  According to HealthyPeople.gov, the United States is currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal and suggest ways in which identified barriers may be addressed.

Discussion: The Globalization of Health

Cell phones, video cameras, and other technologies are changing the way we live today. It is difficult to avoid the stories and images of poverty, human rights abuses, disasters, diseases, and other tragedies that plague people in rich and poor countries alike.

It is not just communications technology that is making the world a “smaller” place. Globalization is also exerting a powerful effect on the conditions in which people live and work, (i.e., the social determinants of health) and, thus, on health itself.

To prepare for this Discussion, review your Learning Resources. Search online for current stories/events related to population health.

Post a brief summary on the effects of globalization on health in Russia. Discuss one change in quality of life in post-transition Russia. Also, explain one change in mortality in post-transition Russia. Provide examples for both. Expand on your insights utilizing the Learning Resources.

Use APA formatting for your Discussion and to cite your resources.

Translation of a research-based intervention to practice involves a critical review of numerous published research studies to discern if individuals – research subjects – were treated according to the ethical values and principles as defined by the Code of Federal Regulations (CFR). Reflect upon your selected practice problem and the eventual research-based intervention you select for your practice change project and address the following.

• What are the potential benefits and harms related to your selected practice problem when considering a research-based intervention for your practice change project?
• Are there competing personal or professional values related to this research-based intervention that might impact the implementation of this intervention in your practice setting?
• What types of objections might be raised? How will you explain your decision to key stakeholders to address these objections?