ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Whether a nurse practitioner (NP) is employed by a medical practice or Is self-employed, the reimbursement pollcles of third-party payers will determine whether an NP continues to provide care on a long-term basis. The payers-Medicare, Medicaid, indemnity insurers, and managed care organizations-each have their own reimbursement policies and fee schedules, and each operates under a separate body of law. Some payers have a history of reimbursing for NP services in the same manner as they reimburse for physician services. On the other hand, some payers have recently begun to relrnburse NPs directly, either as separate and apart from an employment relationship with a physician practice or following NP-specific rules and policies regarding reimbursement. This article offers basic information necessary to communicate with practice managers, billing experts, and the payers about reimbursement mechanisms and problems. It covers how to set up provider relationships with the various payers, how to submit bills, and how to deal with denial of reimbursement when it occurs.

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

摘要:

Irritable bowel syndrome (IBS) is a cluster of abdominal complaints frequently encountered in the primary setting. It is the most common gastrointestinal complaint seen in primary practice and accounts for 50% of referrals to gastroenterologists. Although the pathology of the disease currently is unclear, the diagnosis is not one of exclusion. When confronting this clinical syndrome of abdominal pain, bloating, flatulence, and changes in bowel habits, the clinician is called upon to balance the need to rule out organic causes with the expense and risk of testing. Optimally the clinician can use established guidelines that clarify the most efficient approach to diagnosing and treating IBS, while providing the patient with the reassurance and education needed to deal with this chronic disease. This article deals with the pathophysiology, diagnosis, and management of IBS.

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID

ISSN:0361-1817    

出版商:OVID    

年代:1998

数据来源: OVID