Legal/Professional Issues for Advanced Practice Nurses

 
 

Legal/Professional Issues for Advanced Practice Nurses

  • Does Physician Billing for Hospital-Based NP Visits Violate the Stark Law? If a nurse practitioner conducts a follow-up visit and the physician also sees the patient, can the physician bill for the follow-up visit? Does this violate the Stark Law?
  • Do RNs Need a National Provider Identifier (NPI)? Do you need an NPI? Here is the information that you need in order to decide.
  • Allowing an Intoxicated Patient to Drive Can you be sued if you allow an intoxicated patient to drive home from an appointment?
  • How Much Information Must Be Listed on a Surgical Informed Consent? I work in an ambulatory surgery center. On an informed consent, does the donor site need to be identified on the consent form?
  • How Should the APN Code for a Counseling Visit? As oncology nurse practitioners in a private practice, we have been asked to provide educational visits formerly done by the RNs. How should we code these counseling visits?
  • Current Master's Prepared Nurse Practitioners and DNP I've been hearing about the DNP degree. My concern is, what will happen to those of us already in practice with a master's degree. Will we be required to return to school or risk losing our license?
  • Can Nurse Practitioners Bill for Sedation Services? How should nurse practitioners code for sedation services so that they will be reimbursed?
  • Billing for Group Education? How do advanced practice nurses bill for group education for chronic conditions such as diabetes?
  • Patient Compliance and Patient Education in a Perioperative Setting I am an FNP in a hospital setting. How can perioperative NPs initiate a program to improve patient compliance and pre- and postoperative teaching in this setting?
  • Nurses Called "Doctor"? I am thinking of going back to school to earn a DNP. If I earn this degree, can I be called "Doctor" when I practice? How must I identify myself to the public as a nurse practitioner?
  • Do I Need to Notify Medicare if I Change Jobs or Collaborating Physicians? Is the NP who already has an NPI number required to notify Medicare if he or she changes employer or collaborating physicians?
  • Do I Need Malpractice Insurance After I Retire? I am getting ready to retire from private practice. How long should I continue to carry malpractice insurance in case a former patient decides to sue me?
  • Malpractice Insurance and the Medical Reserve Corps Am I protected from lawsuits as an unpaid volunteer in disaster situations, or should I purchase separate malpractice insurance to ensure coverage should I be asked to serve during an actual disaster?
  • Procedure for a Nurse Practitioner to Obtain a Medicare/Medicaid Number How does a nurse practitioner get a Medicare/Medicaid number for billing purposes? Will this same number be applicable for durable medical equipment?
  • How Much Detail Is Required on a Surgical Consent? When doing shoulder arthroscopy, if we routinely (but not always) do rotator cuff repairs through the scope, does "possible open" have to be listed on the consent?
  • New NP Certification I am a family NP, currently working as a trauma NP in both the ED and ICU. Is it true that soon I will need to attain certification as an acute care NP in order to continue working in the ED and ICU?
  • Nurse Practitioner Billing If a hospital leases a nurse practitioner for inpatient services from a physician group and will not seek reimbursement for the in-hospital services, may the physician group bill for the NP services provided during the time he/she is leased to the hospital?
  • Reimbursement and Relative Value Units I am an APN employed by a hospital-managed primary care physician's group. The hospital would like to change the way that I am reimbursed by using RVUs. Will this be fair and reasonable for me?
  • Noncompete Agreement I recently encountered a noncompete agreement in an employment contract. I did not sign it. What is a noncompete clause, and what are the ramifications of not signing it?
  • Caps on NP Productivity Bonuses Can an NP act as an attending at a nonskilled nursing facility in Illinois or in other states?