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Reimbursement for the Palliative Advanced Practice Registered Nurse 

Reimbursement for the Palliative Advanced Practice Registered Nurse
Chapter:
Reimbursement for the Palliative Advanced Practice Registered Nurse
Author(s):

Constance Dahlin

DOI:
10.1093/med/9780190204747.003.0004
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date: 15 December 2019

Opportunities for reimbursement for palliative advanced practice registered nurses exist across all settings as well as in the creation of new models of care. Indirect reimbursement occurs through cost savings. Advanced practice registered nurses who cannot seek reimbursement (usually because they are located under departments of nursing) provide services that can offset costs. Examples are reducing hospital stays, ensuring appropriate utilization of resources, and preventing readmissions. Direct reimbursement under a fee for service model is important to understand. Regulations for this are set by the Centers for Medicare and Medicaid Services (CMS). This chapter review eligibility and basic information about billing and coding rules.

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