Assignment: Medicolegal Considerations
Assignment: Medicolegal Considerations essay assignment
Assignment: Medicolegal Considerations essay assignment
Discussion Part I: Medicolegal Considerations Note: In this course, all Discussions will have two parts: Part I will consist of a specific topic related to the Week’s content. Part II will consist of a pharmacology review of approximately 250 words. Please submit each posting separately but within the same Discussion thread. You will be assessed on your posting and responses to both parts. As an advanced practice nurse (APN), it is essential to understand your medicolegal responsibilities as they relate to coding the services you provide to patients. Improper coding, undercoding, or overcoding can have serious implications for patients, providers, and the provider’s care setting. For this Discussion, you examine potential coding issues in case studies and consider the medicolegal responsibilities of the advanced practice nurse.
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Case Study 1:
Sally Jones, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. Sally had five history and physicals to complete on admissions that came in overnight. At the beginning of her shift, she had to complete two emergency admissions and was then called to intensive care, where she spent most of the afternoon. She had to leave work early because of her husband’s retirement party. Because she knew most of the patients on her rounding list, she decided to visit each patient’s room quickly for about 10 minutes. She coded all of the visits the same way she had done the day before, with codes 99231 and 99232.
Case Study 2:
Lisa Smith, an acute care advanced practice nurse, is making hospital rounds on the same patients her colleague nurse practitioner saw yesterday. It took her 50 minutes to see 10 of her patients and 30 minutes to see each of the remaining patients on her list. She used the same code for all visits—99233.
To prepare:
Select one of the provided case studies. Review the patient documentation given for the case. Think about medicolegal considerations and the responsibilities of the advanced practice nurse. Consider the medical codes selected by the advanced practice nurse. Reflect on how the selections might impact clinical practice and billing. Think about how the impact might differ from primary to acute care settings.
Post on or before Day 3 a brief description of the patient documentation given for the case study you selected. Explain any medicolegal considerations, including the role and responsibilities of the advanced practice nurse. Then, explain how medical coding might impact clinical practice and billing, as well as how implications might differ from primary to acute care settings. Read a selection of your colleagues’ responses.
Respond on or before Day 6 to at least two of your colleagues on two different days who selected a different case study than you. Share additional insights or alternative perspectives. Discussion Part II: Pharmacology Read the following articles to enhance your knowledge on commonly prescribed medications: River-Bou, W. & Brown, D. (2014). Thrombolytic Therapy. Retrieved from http://emedicine.medscape.com/article/811234-overview
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