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The Role of Advanced Practice Providers in Practice Improvement
Tara Mudd, MSN, APRN, NP-C, discusses her presentation at Heart Rhythm 2023, which took place May 19-21, 2023.
Transcript
Hi, my name is Tara Mudd. I am a nurse practitioner for Norton Healthcare in Louisville, Kentucky. I am presenting as part of the practice improvement track, focusing specifically on creating a high-functioning care team. One of the challenges that we face in the hospital setting is when we see patients as a collaborative team, what does that look like from a billing standpoint? There have been some changes that are coming out through CMS, beginning in 2024, that focus on how to bill visits in the hospital when the patients have been seen by both the physician and advanced practice provider. We know that patients are best treated through a multidisciplinary care team, so we first and foremost want to do the best thing for the patient. But we also must make sure that we've created an operational plan to make that efficient from a business standpoint. So, the goal of my presentation is to take some time to explain what split/shared billing is, and what that means and doesn't mean. As those changes are being proposed to be implemented in January 2024, what are some opportunities to align your care team around that new ruling to ensure adequate, high-quality care for patients? Some of that may look like the compensation models for paying your providers need tweaking, or ways to create a non-competitive environment from a compensation standpoint. That is really the crux of the issue when you get into who is billing for what and you have compensation models that are driven by productivity—those numbers matter to the provider. So again, how can we continue to deliver great care to our patients, but also make sure that we are operationally setting up the team for success, because when our team is set up for success, then our patients are also set up for success.
I am really excited since this is my first Heart Rhythm where I am presenting. I have been in EP for about 15 years now, so I'm excited to be able to present this year.