Catalogue


Nurse practitioner's business practice and legal guide /
Carolyn Buppert.
imprint
Gaithersburg, Md. : Aspen Publishers, 1999.
description
xi, 492 p. ; 26 cm.
ISBN
0834211858, 9780834211858
format(s)
Book
Holdings
More Details
imprint
Gaithersburg, Md. : Aspen Publishers, 1999.
isbn
0834211858
9780834211858
catalogue key
6969920
 
Includes bibliographical references and index.
A Look Inside
Reviews
This item was reviewed in:
Doody's Reviews, January 1999
To find out how to look for other reviews, please see our guides to finding book reviews in the Sciences or Social Sciences and Humanities.
Summaries
Unpaid Annotation
Revolution in the health care delivery system and recent legislative and regulatory changes have created opportunities for the nurse practitioner that didn't exist five years ago. Nps are starting their own practices, hiring employees, getting hospital admitting privileges, carrying their own panels of patients within group practices, and being employed by a variety of health care providers. Physicians may or may not be in close proximity. This new latitude opens up uncharted territory for Nps, with regard to both legal and business-related matters. Complex and varied regulations regarding reimbursement and prescribing privileges, employment law, general and professional liability, employment contracts, and other issues necessitate an authoritative, timely resource to supply this fast-growing provider segment with the information it needs to survive and prosper.Make no mistake about it. You need legal guidance and business solutions specifically for NPs -not RNs, PAs, or physicians. Nurse Practitioner's Business Practice and Legal Guide focuses -- specifically and in-depth -- on the legal and business issues that NPs face. Written by a nurse practitioner who is also a practicing attorney, this book provides the unique point of view of an author who knows what legal and business problems arise on a daily basis. Buppert draws her knowledge from the law, actual legal cases, and her own personal experience in starting and operating her business, and assisting NPs in setting up their own practices.
Unpaid Annotation
Revolution in the health care delivery system & recent legislative & regulatory changes have created opportunities for the nurse practitioner that didn't exist five years ago. NPs are starting their own practices, hiring employees, getting hospital admitting privileges, carrying their own panels of patients within group practices, & being employed by a variety of health care providers. Physicians may or may not be in close proximity. This new latitude opens up uncharted territory for NPs, with regard to both legal & business-related matters. Complex & varied regulations regarding reimbursement & prescribing privileges, employment law, general & professional liability, employment contracts, & so on necessitate an authoritative, timely resource to supply this fast-growing provider segment with the information it needs to survive & prosper. Make no mistake about it. You need legal guidance & business solutions specifically for NPs not RNs, PAs, or physicians. Nurse Practitioner's Business Practice & Legal Guide focuses - specifically & in-depth - on the legal & business issues that NPs face.Written by a nurse practitioner who is also a practicing attorney, this book provides the unique point of view of an author who knows what legal & business problems arise on a daily basis. Buppert draws her knowledge from the law, actual legal cases, & her own personal experience in starting & operating her business, & assisting NPs in setting up their own practices.
Table of Contents
Prefacep. ix
What is a Nurse Practitioner?p. 1
Definition of Nurse Practitionerp. 1
A Nurse Practitioner, By Any Other Namep. 2
Services Provided by NPsp. 3
Preparation and License Requirementsp. 5
Initialsp. 6
Areas of Practicep. 6
Legal History of NPsp. 6
Demographicsp. 7
NPs in Primary Carep. 7
NPs' Legal Authority to be Primary Care Providersp. 9
NP Versus PA: What's the Difference?p. 10
NP Versus Physician: What's the Difference?p. 12
NP Versus RN: What's the Difference?p. 14
NP Versus CNS: What's the Difference?p. 15
Where Do Nurse Practitioners Practice?p. 17
State-by-State What is a Nurse Practitioner?p. 18
State-by-State Titles for Nurse Practitionersp. 33
Legal Scope of Nurse Practitioner Practicep. 37
Professional Association Definition of Scope of Practicep. 37
Statutory Versus Regulatory Scope of NP Practicep. 38
Physician Challenges to NPs' Scope of Practicep. 39
Need for Clarity of Scope of Practicep. 39
NP Scope of Practice Compared with RN Scope of Practicep. 40
NP and MD Scope of Practice Comparedp. 43
Mandated Physician Involvement with NP Practicep. 44
State-by-State Law Nurse Practitioner Scope of Practicep. 47
State-by-State Requirement, if any, of Physician Collaborationp. 75
State Regulation of Nurse Practitioner Practicep. 111
How Laws About NP Practice Evolvep. 111
What is Regulated?p. 112
Agency That Regulates Nurse Practitioners, State-by-Statep. 114
State-by-State Nurse Practitioner Qualifications Required by Lawp. 117
Federal Regulation of the Nurse Practitioner Professionp. 135
Medicarep. 135
Medicaidp. 139
Nursing Homesp. 139
In-Office and Hospital Laboratories Under CLIAp. 140
Self-Referral by Health Care Providers, Under the Stark Actsp. 140
Prescription of Controlled Substances Under the DEAp. 142
Reporting to the National Practitioner Data Bankp. 142
Patient Confidentialityp. 142
Discrimination in Hiring and Firingp. 145
People with Disabilities Under the ADAp. 145
Documentation Guidelines for Evaluation and Management Servicesp. 146
Prescribingp. 183
Controlled Substancesp. 183
Guidelines for Prescribing Legallyp. 186
State-by-State Law Prescriptive Authorityp. 188
Hospital Privilegesp. 227
Are Hospital Privileges an Issue for NPs?p. 227
Do PCPs Need Hospital Privileges?p. 228
What if Health Plans Require PCPs to Have Admitting Privileges?p. 229
Do NPs Need Hospital Privileges for Advancement of the Profession?p. 229
Do Individual NPs Need Hospital Privileges?p. 229
Who has Hospital Privileges?p. 230
Does Federal Law Support Full Hospital Privileges for NPs?p. 232
What Does it Mean to Have Hospital Privileges?p. 232
Levels of Privilegep. 232
The Application Processp. 233
Expensep. 233
Denial of Privilegesp. 233
Expect Changep. 234
Negligence and Malpracticep. 235
What Can Happen to an NP Who is Sued?p. 236
Life Cycle of a Lawsuitp. 236
What is Malpractice?p. 236
Elements of Malpracticep. 236
Examples of Lawsuits Against NPsp. 238
The National Practitioner Data Bankp. 242
Working with Practice Guidelinesp. 243
How to Prevent Lawsuitsp. 244
What to do if Suedp. 244
Communicationp. 244
Liability of Collaborating Physiciansp. 244
Malpractice Insurancep. 246
Risk Managementp. 249
Risk of Making a Clinical Errorp. 249
Risk of Being Sued for Malpractice When There Was No Clinical Errorp. 252
Risk of Public Perception That the Individual NP Is a Poor-Quality Providerp. 253
Risk of Breaching Patient Confidentialityp. 253
Risk of Violating a Patient's Right to Informed Consentp. 255
Risk of Negligent Nondisclosurep. 260
Risk of Poor Quality Ratingsp. 261
Risk of Disciplinary Actionp. 261
Risk of Medicare Fraudp. 263
Business Risk Managementp. 264
Dealing with High-Risk Patientsp. 265
Reimbursement for Nurse Practitioner Servicesp. 269
Payersp. 269
Medicarep. 269
Medicaidp. 273
Indemnity Insurersp. 273
Managed-Care Organizationsp. 274
Direct Contracts for Health Servicesp. 279
Billing Third-Party Payersp. 279
Billing Self-Paying Patientsp. 284
Credentialing Informationp. 286
The Employed Nurse Practitionerp. 289
What Rights Does an Employed NP Have?p. 289
Does an NP Need a Contract?p. 290
Three Difficult Clausesp. 291
How to Negotiate a Reasonable Agreementp. 296
Interviewingp. 303
Responsibilities of an NP Employeep. 303
Employer's Evaluation of the NP's Performancep. 304
Malpractice Insurancep. 304
Collaborative Practice Agreementsp. 304
Sample Nurse Practitioner Collaborative Practice Agreementp. 306
Sample Employment Agreementp. 310
Practice Ownership: Legal Business Considerations for the Nurse Practitioner Ownerp. 321
Advantages of Practice Ownershipp. 321
Decisions Before Starting a Practicep. 322
Business Planningp. 338
Doing Businessp. 343
A Checklist for Setting Up a Practicep. 358
Independent Contractor Agreementp. 372
Sample Business Planp. 377
Professional Services Agreementp. 393
Lawmaking and Health Policyp. 399
The Legal Processp. 399
The Judicial Systemp. 400
Health Policyp. 400
Laws and Rules That Affect NPsp. 401
Changing Lawsp. 401
Understanding the Big Picturep. 402
The Process of Changing the Lawp. 408
Conclusionp. 414
Promoting the Profession to the Publicp. 417
Public Relations Stepsp. 418
Setting the Goalp. 418
Developing the Planp. 418
Developing the Budgetp. 419
Working the Planp. 419
The Substance of the Messagep. 420
Supporting Datap. 421
Collecting Impressive Factsp. 423
Present Barriers to Fact Collectionp. 424
Not-So-Impressive Facts About NPsp. 424
Dealing with the Downsidep. 425
A Simple PR Plan for a State NP Organizationp. 428
Some Talking Points for NPsp. 430
Sample Fact Sheets on NPsp. 433
Standards of Care for Nurse Practitioner Practicep. 437
Definitions of Standard of Carep. 437
Who is Monitoring Standard of Carep. 437
How Should NPs Keep Current on Standard of Care?p. 446
Credentialingp. 446
Measuring Nurse Practitioner Performancep. 449
Measuring Qualityp. 449
Multiple Measures, Multiple Measurersp. 450
Productivityp. 450
Housekeeping Performance Measuresp. 451
NCQA Measures of Clinical Performancep. 451
Other Measuresp. 452
Formal Researchp. 452
Patient Ratingsp. 453
Peer Reviewp. 453
Utilizationp. 453
How to Get an "A" on Performance Report Cardsp. 454
Ensuring Compliancep. 454
NPs' Self-Evaluationp. 456
Health Maintenance Flowchartp. 457
Resolving Ethical Dilemmasp. 459
Examplesp. 459
Analyzing the Ethical Choices Inherent in These Situationsp. 460
Ethical Analysesp. 467
Strategies for NPsp. 469
Opportunities in a Changing Fieldp. 469
Opponents of a See-A-Nurse-First Systemp. 470
What are the Challenges for NPs Attempting to Advance the Profession?p. 470
Strategies to Implement Collectivelyp. 471
Ten Organizational Strategiesp. 471
Indexp. 479
Table of Contents provided by Rittenhouse. All Rights Reserved.

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