No Plegarism please, assignment will be checked with Turnitin.
Will need minimum of 5 full pages, title, and reference page APA Style, double spaced, times new roman, font 12, and and (3 references within 5 years 2014-2018) with intext citations).
Patient 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.
A 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.”
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.
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.
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. Owens
2. Document the evaluation and recommendations for how Dr. Owens should deal with the referral and bill a referral code.
Written Paper (Microsoft Word doc): minimum 5 FULL PAGES, doubled spaced, words using 6th edition APA formatting
Please review the grading rubric under Course Resources in the Grading Rubric section.
|MN 569 Unit 6 Assignment grading rubric. Referrals Instructors: Enter total available points in cell H2, and values between 0 and 4 in the yellow cells in the Score column.|
|Total available points =||10|
|Content Rubric||Introductory – Not submitted or largely incomplete. Work may indicate very little if any comprehension of content.||Emergent – Work shows some comprehension but errors indicating miscomprehension may be present.||Practiced – Work indicates overall progress toward comprehension. Minor errors may present.||Proficient/Mastered – Work is complete and indicates full comprehension of content.||Score||Weight||Final Score|
|0 – 1.9||2 – 2.9||3 – 3.9||4|
|Referral Request||Referral request omits more than 4 essential elements or is not submitted.||Referral request omits 3-4 essential elements.||Referral request omits 1-2 essential elements.||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.||4||50%||2.00|
|Consultation Request||Consultation request omits more than 4 essential elements or is not submitted.||Consultation request omits 3-4 essential elements.||Consultation request omits 1-2 essential elements.||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.||4||50%||2.00|
|(Do Not Change criteria below)||Content Score||10|
|Writing Deduction Rubric (everyone starts with 4's = no deductions)||Introductory||Emergent||Practiced||Proficient/Mastered||Score||Weight||Final Score|
|Grammar & Punctuation||The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult.||Several confusing sentences, or 1 to 2 confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion.||A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing 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.||4||35%||1.40|
|Spelling||The many misspelled words and incorrect words choices significantly interfere with the readability.||Many typos, misspelled words, or the use of incorrect words making understanding difficult in a few places.||Some misspelled words or the misuse of words such as confusing then/than. However, intent is still clear.||A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper.||4||35%||1.40|
|Order of Ideas & Length Requirement||Paper has some good information or research, but it does not follow assignment directions and is lacking in overall organization and content.||The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall.||The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way.||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.||4||20%||0.80|
|APA||There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear.||This is an attempt use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e. Websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear.||There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear.||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.||4||10%||0.40|
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