Hpa Case Study

Insurers are less likely to reimburse APRN’s in states that mandate physician supervision. Nurses need to push for reform of the regulations governing APRN;s.

will have a higher premium. These patients must pay the adjustment plus the standard premium

One of the most intractable discouragement and inhibition of an exercise which is natural and legitimate in nature by the means of legal sanctions in the United States is lack of coordination and fragmentation. The panacea to this is the use of technology. With the use of patient safety technologies, electronic transactions will reduce the complexity in the healthcare administration, insurance and clinical data has a likelihood of becoming interoperable due to the use of electronic medical records and medical errors problems will be solved in the end. In addition, there are various regulations which have been formed by the state in response to health issues.

Bill HB 1225 was filled 01/23/2017, made it out of the House Committee on 05/08/2017, with Committee report sent to Calendars on 05/09/2017. Bill SB 654 was filed on 01/30/2017, made its way through the various bill stages, and was passed into law on 05/29/2017 to be effective on 09/01/2017. The passing of Bill SB 654 will especially escalate insurance network capabilities in regions of the State of Texas with healthcare provider shortages. There have been comparable bills in the past that have failed being passed into law. The discussed legislation embraces the APRN consensus model with regards to the need to increase access to APRNs (Walker,

I believe national certification is important with respect to billing and reimbursement. National certification is often required in order to acquire proper credentials. For example, certification is now required to acquire a credential from Medicare, Medicaid, and the Department of Veteran Affairs. Health insurance companies also require certification for credentialing. APNs

HB 21 requires practitioners to complete a specified board-approved continuing education course to prescribe controlled substances and limits prescription of opioids for acute pain to a 3 to 7 days period. HB 973 authorizes Physician Assistants and ARNPs to sign, certify, stamp, verify, or endorse document that requires the presence of Physicians. HB 573 authorizes Physician Assistants and ARNPs to Baker Act patients that meet criteria for involuntary examination. All bills were favorable and continue in the policy development

Statistically, Arkansas has been ranked first in non-medical use of prescription pain relievers. Daily, 2,500 children (ages 12-17) experiment with prescription pain medications, and Arkansas averages a death per day from prescription drug abuse. These statistics are embarrassing to our state and need to be trimmed down to help protect our youth. In an effort to help curtail this problem, the Arkansas Prescription Monitoring Program (PMP) was implemented in 2013 by the Arkansas Department of Health pursuant to the enactment of An Act to Establish a Prescription Drug Monitoring Program (Act 304) by the Arkansas State Legislature. The program is currently funded through federal grants. The initial goals of the PMP are:

In 2009 a local Maryland nurse practitioner (NP) faced an obstacle she had yet to encounter. The Maryland state law began to require all advanced practice nurses’ (APN) to have a physician sign off on all of their daily documents. On the surface, these miniscule rules changes didn’t seem to be a complication or setback. That was until Delean Botkin: MSN, CRNP, and past president of the Nurse Practitioner Association of Maryland, wasn’t allowed to sign off on her own patients death certificate. The physician that Botkin was required to have sign off on her paperwork, according to the newly constructed Maryland laws, had decided to take a mid-day vacation and go on a fishing trip. In order to meet the deadline for the certificate, Botkin availed her family boat and searched the Choptank River until she eventually encountered the fishing physician where he was able to sign the certificate. (should I cite this??)

One state, Massachusetts, enacted the legislation guaranteeing universal health coverage, this overwhelmed the state’s primary care physicians by a wave of newly insured patients. This resulted in advanced practice nurses because they

Senate Bill 1216, 83rd Legislature, Regular Session (2013) amended Texas Insurance Code Title 8, Subtitle A, and added Chapter 1217 which requires the commissioner of insurance in Texas to prescribe by rule a single, standard form for requesting prior authorization of health care services (Texas Department of Insurance, 2014). Senate Bill 1216 also requires any health insurance issuers to accept and use the standardized form for all prior authorizations of health care services (Texas Department of Insurance, 2014). This plan also requires all parties to make the form available in paper and electronic form on their websites.

Representative Dorothy Pelanda, who introduced Ohio HB 216, stated “our current laws restrict APNs from helping patients to the full extent of their education, training and certification" (The Ohio House of Representatives, 2015). When OH HB 216 was brought to the forefront more then 40 percent of states had less restrictive laws. According to the Ohio Association of Advanced Practice Nurses (OAAPN), Ohio is the only state with a complex drug formulary. Forty-five states have no similar formulary rules like Ohio’s.

* Medicare/Medicaid, to be sure the doctor is not banned from caring for Medicare/Medicaid patients

The bill is seeking title protection2, which would make it unlawful for an individual to use the title "certified surgical technologist" unless the person meets a certain educational requirement and maintain certification.

As you know, Congressman Sam Graves (R-MO) introduced H.R 1062, the Pilot’s Bill of Rights 2 Act in February of 2015. The bill aims to minimize the requirement of a medical certificate for private pilots flying in a recreational purpose. It will also broaden the protection for pilots by developing an appeals process through a federal court system on FAA enforcements cases involving a suspension or cancellation of a pilot’s license

The Legislature and governor finalized agreements based on the following: the Healthy Kids Dental program, mental health and substance abuse service improvements for veterans, better coordinated care for those with chronic mental health conditions, mental health innovation grants for high risk children and youths, infant mortality reduction proposals, and Health and Wellness advantages (Hudson, 2013). In comparison, the fiscal year 2015 proposed budget investments included health and human services within the realms of Medicaid expansion, pediatric commitment, and mental health support. Within the Department of Community Health budget, Medicaid makes up 90% of the entire budget (Snyder, 2014). This funding support for the expansion of Medicaid coverage allows for health advances within the Michigan population below the federal poverty