Archives: Articles
Coding and Billing for Radiology Physician Extenders
Correct coding and billing for services provided by physician extenders can be challenging and complex and it is critical that organizations perform these functions correctly to ensure compliance. Incident-to is the only provision that allows physicians to charge and be paid for services that they did not directly perform. It is important that individuals responsible […]
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Role and Quality of Nurse Practitioner Practice: A Policy Issue
Nurse practitioners (NPs) are at a crucial period in the development of their profession. The increasing demand for primary care practitioners is changing the environment in which they practice. As they face both increased opportunity and continuing opposition to independent practice, NPs must define their role in healthcare delivery and establish their capabilities. The debate […]
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Twenty-First-Century Primary Care: New Partnerships between Nurses and Doctors
What role will advanced practice nurses (APNs) play in tomorrow’s health care system? The author shares her answer to this question by first looking at the history of APNs and nurse practitioners (APNs whose focus is primary care), explaining what they do, and tracing their increasing success in overcoming long-standing barriers to full acceptance as […]
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Primary Care Outcomes in Patients Treated by Nurse Practitioners or Physicians: A Randomized Trial
Studies have suggested that the quality of primary care delivered by nurse practitioners is equal to that of physicians. However, these studies did not measure nurse practitioner practices that had the same degree of independence as the comparison physician practices, nor did previous studies provide direct comparison of outcomes for patients with nurse practitioner or […]
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Maternal and Neonatal Health Outcomes Following the Implementation of an Innovative Model of Nurse Practitioner-Led Care for Diabetes in Pregnancy
Aim: To investigate maternal and neonatal outcomes following implementation of a nurse practitioner-led model of care for diabetes in pregnancy. Background: Diabetes in pregnancy increases the risk of adverse health outcomes in mothers and infants. The management of diabetes in pregnancy is crucial to reduce poor outcomes. Design: Uncontrolled before-after intervention study. Methods: International Classification […]
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Stakeholders’ Conceptualizations of the Nurse Practitioner Role in the Pediatric Emergency Department
In Quebec, as in the rest of Canada, the increasing service demands placed on emergency departments (EDs), and the dwindling resources of physicians, nurses and trainees, have obliged those managing EDs to question whether new roles need to be introduced. Increasing acuity and complexity of care, coupled with rising numbers of pediatric patients seeking care […]
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Nurse Practitioners and Physicians: A Collaborative Practice
The rapid evolution of health care delivery within the United States has created increased opportunities for nurse practitioners (NPs) to work in a variety of challenging advanced practice roles and to impact the quality of health care. The NP role was originally developed to meet a perceived shortage of primary care physicians, especially for underserved […]
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Anesthesia Provider Model, Hospital Resources, and Maternal Outcomes
Objective: Determine the ability of anesthesia provider model and hospital resources to explain maternal outcome variation. Data source/study setting: 1,141,641 obstetrical patients from 369 hospitals that reported at least one live birth in 2002 in six representative states. Study design: Logistic regression of death, anesthesia complication, nonanesthesia maternal complication, and obstetrical trauma for all patients […]
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Pregnancy Outcome for Adolescents Receiving Prenatal Care by Nurse Practitioners in Extended Roles
The outcome of teenage pregnancy when managed in a specialized antenatal program resembles the patterns associated with young adults rather than the outcomes of teenagers in a general clinic. Based on a recent University of California study, this seems to result from three major factors: early prenatal care, nursing management in primary care, and special […]
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