Assignment: NP Empanelment
Assignment: NP Empanelment

. The NP is then left to find another physician on the panel to engage in the collaborative relationship. This can be a complicated and cumbersome process for the NP Another example is when the physician is investigated by the insurance company or has practice privileges suspended by the Office of Professional Practice. The APRN is then dually unable to practice or bill the insurance company due to the requirement that the collaborating physician must remain on the panel. These barriers have a serious impact; they can disrupt the continuity of care and put patients at risk, especially those patients that are considered part of vulnerable populations, such as the mentally ill (NPANYS, 2010).

Clinical vignette (2010) fln 7\PRN-PMH in private practice is notified that her collaborating

psychiatrist is involved in a complicated and potentially careerparatyzing

incident. The psychiatric NP consulted her own legal counsel due to the established statutory collaboration mandates with this psychiatrist, fl recommendation was made to break ties with the psychiatrist and find a replacement. Unfortunately, a replacement was not accessible and led to an immediate need to close the NP’s private practice due to loss of the statutory collaborative agreement. This led to a rapid transition and termination for 70 patients. The incident resulted in a major disruption of care and a difficult transition for all patients involved. Most insurance companies only allow the NP empanelment if they are in a collaborative agreement with a paneled physician. If the paneled physician terminates with the insurance company, due to reduced reimbursement rates or changes to the insurance company policies, the NP must also terminate.

The hope is that this bill will promote practice opportunities for NPs.

Opposition Major opposition to the NP Modernization Act comes from the

insurance companies who set up barriers for empanelment based on the statutory collaborative agreements (Elwell, 2007).

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

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