The instructor wants me to think further about #2. ***Think on a DNP level. The original order number is 121525 – you may look at the original post and think further on a DNP level. Please!
***See number 2 question below***
2. Describe ways the doctor of nursing (DNP) provides leadership in helping a health care entity optimize reimbursement from insurers. (slightly edited #1 from Chapter 2)
Discussion Board #2
Delayed reimbursements have a negative impact on the financial performance of healthcare organizations. In their leadership role, doctorally-prepared nurses can help their healthcare entities to optimize reimbursement from insurers in a number of ways. As outlined in the Doctor of Nursing Practice (DNP) Essential V, doctorally-prepared nurses have the capacity to provide leadership for the creation and implementation of healthcare policy that shapes healthcare financing (Joanne & Christine, 2016). With these competencies, a DNP graduate can provide leadership in helping a health care entity optimize reimbursement from insurers by steering organizational reforms to improve the documentation and coding of prescriptions by physicians. Such changes help to increase efficiencies and effectiveness in the billing process. Again, by leading frequent auditing of their organizations’ systems, DNP nurses ensure that accurate codes are used and sufficient details of healthcare interventions are correctly captured. This promotes timeliness are accuracy during reimbursement (Waxman, 2018). The function of a DNP nurse in enhancing timeliness, effectiveness, and efficiency in reimbursement is part of the imperatives of the Institute of Medicine (IOM) regarding the role.
Doctorally-prepared nurses can utilize modern technologies to generate and integrate innovative ideas that help healthcare entities to manage complex health data and relatively reduce costs. Such technologies can help healthcare organizations to reduce variations during billing, remove healthcare processes that are deemed unnecessary from the list of interventions that require full reimbursement, and adhere to the payers’ coding requirements (Waxman, 2018). Monica et al. (2019) view DNP nurses as leaders who utilize evidence-based research to address financial and economic issues in healthcare organizations. In this respect, doctorally-prepared nurses have the ability to utilize evidence-based interventions when proposing reforms that are aimed at helping healthcare entities to optimize reimbursement from insurers.
References
Joanne, H. & Christine, B. (2016). Evaluation of health care quality for DNPs. 2nd ed. doi: 10.1891/9780826131584.
Monica, T., Sarah, H., Barbara, B., & Jeanine, F. (2019). The expert role of the DNP prepared nurse impacting healthcare systems: Bench to bedside, classroom to boardroom. Washington, DC. https://sigma.nursingrepository.org/handle/10755/21142#.