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Pages:
6 pages/β‰ˆ1650 words
Sources:
5 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
Document:
MS Word
Date:
Total cost:
$ 25.92
Topic:

569-a-6 Consultations and Referrals. Consultation letter. Health

Essay Instructions:


Please note: all sources/references within 5 years and in US only. ( this need be accurate so we can avoid delay or revision). Please upload as soon as you finish so i can have time to review or revise if necessary.
569-a-6_InstructionPatient care hinges in part on adequate and timely information exchange between treating providers. Referral and reply letters are common means by which doctors and nurse practitioners exchange information pertinent to patient care. Ensuring that letters meet the needs of letter recipients saves time for clinicians and patients, reduces unnecessary repetition of diagnostic investigations, and helps to avoid patient dissatisfaction and loss of confidence in medical practitioners.As a Nurse Practitioner (NP) you will need to know the difference between a consultation and a referral for treatment, when ordering and when carrying out consultations or referrals.
ConsultationsA consultation is a request for opinion or advice, so that the requestor can manage the patient. A consultation is billed under one of the consultation codes listed in Physicians' Current Procedural Terminology (CPT) (99241-99245 for outpatient of office consultations). If the NP is the consultant, the NP should document the request for a consultation, the reason for the consult, and the NP's evaluation and recommendations.When an NP requests a consultation from another provider, the N P should request "consultation" on the referral form, rather than “referring.”Referrals:A referral is made when the referring provider wants to turn the management of the patient over to the referred-to provider, at least for the current complaint.When a NP refers a patient, the NP should state on the referral form that the NP is "referring the patient for evaluation and treatment." The referred-to provider will bill an evaluation and management code, rather than a consultation code.
NOTE: !!! IMPORTANTRequired: 6 Written Papers (Microsoft Word doc): minimum 2000 words using 6th edition APA formatting. 5 references within 3 years, in US ONLYYou can make up any details you were not given (such as past treatments and referring provider information).  You will need to have references, such as where you found the codes used and any sources you use to determine how to write the referral/ consultation.  1/Writing Assignment: Consult: Write up a consult request and include all key elements.Ms. Perez has been referred to Ms. Wilson FNP-C,APRN, MSN  for consultation regarding eczema unresponsive to treatment in the past six months.Document the evaluation and recommendations for how Ms. Wilson FNP-C,APRN,MSN should deal with the consultation request and bill a consultation code. 2/Writing Assignment: Referral: Write up a referral request and include all key elements.As an NP and Ms. Perez primary care provider, you decide to refer her to Dr. Owens a dermatologist for evaluation and treatment regarding eczema unresponsive to treatment in the past six months.1. Document your referral to Dr. Owens2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.
Content Rubric Proficient - Work is complete and indicates full comprehension of content.  Referral Request Complete referral request written to provider for the current complaint. Includes all essential elements, including patient identification, referring provider information, reason for referral, treatments patient has undergone to date, evaluation and management codes.   Consultation Request Complete consultation request written to provider for current complaint. Includes all essential elements, including, patient identification, reason for the consult, consulting provider’s information, current evaluation and recommendations or treatments and correct CPT code for consult.       Proficient  Grammar & Punctuation There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or run-on sentences.Spelling A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper.Order of Ideas & Length Requirement The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements.APA There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear.

Essay Sample Content Preview:

Consultations and Referrals
Student Name
Institutional Affiliation
Consultations and Referrals
Healthcare providers have a long history of working together with other healthcare professionals to facilitate efficient and comprehensive care to patients. Attaining this often requires healthcare providers to seek consultation from their colleagues or refer their patients to them. Collaboration in healthcare has become critical in the modern world as healthcare professionals seek to improve the quality of care offered to patients (Green, 2015). At the same time, roles that were initially reserved for doctors can now be performed by other healthcare professionals. For instance, nurses in advanced clinical roles like the advanced nurse practitioner (NP) are progressively engaging in clinical consultation roles that were once reserved for medical doctors. More NPs are increasingly undertaking clinical reasoning to diagnose patient’s presenting medical issues and prescribing medication. Since collaboration is critical, healthcare professionals need to familiarize themselves with the various billing and coding procedures. The understanding of the terms “consultation” and “referral” is critical when healthcare professionals collaborate on patient care.
* Consultation
Typically, patients first seek care from their primary caregiver. The primary caregivers need to appreciate that sometimes patients’ needs may go beyond their training or experience. As a result, the primary caregiver may need to make a consultation with a particular specialist. A consultation hence is a request for opinion or advice to enable the requester to manage the care of the patient more effectively (Shmueli et al., 2017). In this context, Ms. Perez has unresponsive eczema for the last six months. Due to this, it is critical to consult Ms. Wilson, who has more expertise on the issue.
Consultation letter
Dear Ms. Wilson,
I am a licensed NP in the state in which my practice is located and in which the patient resides. I am therefore authorized to make a consultation request from you.
I refer Ms. Perez to you for consultation regarding eczema unresponsive that has persisted for the last six months. Since you are experienced in dealing with such an issue, I request you to provide a second opinion for the named patient. My client and I have discussed this consultation request and have outlined the limitations of this request.
Please note that you are free to undertake procedures and testing if the patient agrees. However, all the information should be conveyed back to me. Direct the report and any other necessary information to me for further action. Once I get the report from you, I will be continuing with the care of the patient.
Regards.
How to bill for the consultation
The process of billing an initial patient encounter can be confusing. This is why it is critical to get the process right from the beginning to avoid unnecessary challenges in the future. Billing a consultation begins with documenting the consultation. Ms. Wilson should include the name of the provider who requested the consult. In this case, ensure that you capture all the details of the requesting healthcare provider. For instance, y...
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