As you may be aware, nursing leader and ANA member Mary Naylor, PhD, RN, FAAN, was recently appointed to be a commissioner on MedPAC, the Medicare Payment Advisory Commission. MedPAC is charged with advising Congress and CMS (the Centers for Medicare & Medicaid Services) on Medicare and Medicaid policies, including annual payment updates for the Medicare prospective payment systems – such as the Physician Fee Schedule, which covers the reimbursement of APRNs (advanced practice registered nurses).

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A new Medicare policy went into effect in 2010, requiring physicians to be physically present in order to reimburse care given to patients in hospital outpatient and observation units. The rule is causing severe hardship for nurses and their patients who need to receive chemotherapy, IV therapy, and other treatments in observation and other hospital outpatient units — particularly in rural areas where patients and physicians must travel long distances.

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ANA recently submitted comments urging CMS, Congress, and the Administration to allow APRNs – and all healthcare providers – to qualify for a portion of the billions of dollars in incentives for adopting health information technology/electronic health records systems under the federal Medicare/Medicaid Electronic Health Record Incentive Program.

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The Centers for Medicare & Medicaid Services (CMS) is giving Medicare providers – including APRNs – another year to enroll or update their enrollment in the PECOS system, as a condition of payment for items and services they order for their patients, or referrals they make to other clinicians.

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With recent news of excessive, harmful radiation from medical imaging procedures, the U.S. Food & Drug Administration announced on February 9, 2010 an initiative to decrease unnecessary exposure from computed tomography (CT) scans, nuclear medicine studies, and fluoroscopy. These contribute substantially to total radiation exposure, with much higher radiation than standard and dental X-rays, and mammography.

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At the January 14-15, 2010 meeting of the Medicare Payment Advisory Commission, commonly known as MedPAC, commissioners supported a greater focus on non-physician Medicare providers, and recognized the important role of Nurse Practitioners in primary care and home health care.

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