Week 1 healthcare policy.docx - Professor and class 1...

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Professor and class, 1.Identify and describe practice barriers for APN’s in your state and discuss these barriers on a state and national level.One barrier is restrictions applied to NP’s in NC. The NP has to work under the supervision of a practicing physician. They cannot practice independently. In 17 states Np’s practiced with a reduced practice which they have the to provide patient care under an agreement with an outside provider[ CITATION Pet17 \l 1033 ]. 12 states are restricted practice this is NC. The NP can engage in at least one element of NP practice however they require supervision, delegation or team management by an outside provider[ CITATION Pet17 \l 1033 ]. Another barrier is Federal regulations in which Np’s were not allowed to bill for services. The Balanced Budget Act of 1997 was a small victory for NP’s this allowed for them to bill for servicesprovided. There are several states such as Texas that do not give NP’s a lot of freedom to

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