Differentiate the roles and responsibilities of various providers and disciplines to support documentation requirements throughout the continuum of healthcare

Can I please get some help? Subdomain I.B.4 Differentiate the roles and responsibilities of various providers and disciplines to support documentation requirements throughout the continuum of healthcare

Rockville Family Practice in New York is considering hiring mid-level providers; nurse practitioners (NP) and physician assistants (PA). The physicians need some clarification on the scope of work permitted by law and want you, their HIM manager, to find out the answers to several questions. You identify the following website as a resource to find the answers: https://www.bartonassociates.com/resources

(If the link does not work please copy and paste the web address into the navigation bar)

Once you get to the website you will need to navigate to “Nurse Practitioner Scope of Practice Laws” and “Physician Assistant Scope of Practice Laws” towards the bottom of the page. There are multiple articles about the scope of practice laws for PA’s and NP’s as well as information about why mid-level providers should be used. You will need to look at multiple articles on the resources page.

You will be writing a memo to the physicians to answer the questions that they have. You can find a template for a memo in course resources.

1. Please define the following mid-level provider types:

NP:

PA:

2. Research the questions and provide your conclusions to the physicians.

What type of supervison is required for NP’s and PAs?

Is there a limit to the number of PAs that can be supervised by a physician?

Can a PA and NP write prescriptions?

Are the physicians required to co-sign PA or NP documentation?

3. Do some further research and answer the following questions.

Compare the results for New York with those from Texas, Alabama, and Pennsylvania. Outline the differences.

Offer an opinion for the difference in the number of PAs physicians can supervise among these states.

Critique Alabama’s co-signature requirement. As an HIM manager, what difficulty do you see with that state’s co-signature requirement?

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