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Video instructions and help with filling out and completing medicare reimbursement form
Hi my name is Laurie Jeffers and I would like to talk to you today about Medicare reimbursement for advanced practice nurses I'm currently a student in the doctoral program at Duke University's School of Nursing I graduated from Duke in 1982 with a Bachelor of Science and nursing degree I've been a nurse for over 30 years in a variety of settings the last 15 of which have been spent as a board certified family nurse practitioner for the last 11 years I've had my own practice called well woman care where I focus on the preventive needs of women across a variety of ages and stages of life my youngest patient is 9 and my oldest patient is 92 I have about 700 patients that I take care of I became a Medicare provider under my own NPI or national provider identifier when I started my practice in 2002 under Medicare guidelines for different categories of APRN providers are recognized these include nurse practitioners certified registered nurse anesthetists certified nurse midwives and clinical nurse specialists our Duke DNP program consists of many of these professionals in fact I'm very proud to be in this program among the best of the best of these clinicians together we represent over two hundred and sixty-seven thousand nurses in advanced practice across the country and together we use our highly skilled expertise to take care of thousands of patients on a daily basis every day we put thousands of patients safely under anesthesia and every day we treat and manage thousands of patients with chronic illnesses such as hypertension diabetes asthma and a variety of other conditions through our practice in primary care settings every day hundreds of infants are safely delivered by certified nurse midwives while clinical nurse specialists play an important role in hospital settings through their focus on quality and safety initiatives which work on improving patient care however in spite of these facts and in spite of the level of expertise we represent Medicare reimburses us only 85 percent of the physician pain Schedule importantly numerous well-done studies starting in 2000 and continuing through 2011 reveal that patient outcomes and patient satisfaction are equivalent whether patients are taken care of by physicians or nurses and advanced practice these studies have looked at both inpatient and outpatient setting settings and have found very similar and favorable patient outcomes on the outpatient level comparison of glucose lipid and blood pressure levels we see equal outcomes between advanced practice nursing care and physician care on an inpatient level when we look at length of stay mortality hospitalization rates they're all similar across physician and APRN care however the 85% reimbursement that APNs currently received from Medicare implies that we somehow give 85% of the care as NPS we do not leave the room when we have completed 85 percent of an exam or written 85 percent of a prescription CRNA certainly don't stop administered administering anesthesia when a patient is