3-2 Level of Care: Clinical Nurse Specialist Practice

3-2 Level of Care
Name
Institution
Date
A patient is called by the nurse to return to the physician’s office to get the results of a breast biopsy taken a few days earlier. The results are positive. The patient’s spouse joins her to the physician’s office. They discuss the options available and develop a plan of care. The physician spends approximately 60 minutes with the couple discussing this situation. The documentation in this encounter does not include any exam or history. 
Consider the following question: Should the physician be paid for this encounter? If yes, what should be documented in the chart to justify the filing of the claim? If no, how does the provider account for the 60 minutes spent in consulting the patient and her husband?
The history, exam, and medical decision-making process
The physicians ought to be paid for the encounter since the consultation is crucial for the patient to understand what is expected and arrange for follow up. The face to face meeting is crucial to maintaining patient safety, as the consolation addresses various concerns (Jurek, Mosay, & Neris, 2015). As such, the patient ought then to keep appointments and follow through the care plan chosen. Physician-patient relationship enhances treatment, and the physician offers services in the form of consultation. However, there ought to be a clear policy on the process of charging consultation fees, which may depend on the time or the type of consultation services.
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