Biomaterial Database

Direct third-party reimbursement for nursing. 1990

S J Gates

Research data gathered during the last 10 years indicates that nurses and nurse practitioners practice in a safe, cost-effective manner. However, due to the lack of direct third-party reimbursement, nurses have been unable to directly impact the marketplace and demonstrate their fiscal credibility. Increasing client access to affordable health care is the primary reason that nurses and nurse practitioners seek direct third-party reimbursement. This article presents an overview of reimbursement for nurses, emphasizing the importance of obtaining direct third-party reimbursement, while explaining traditional insurance programs, current reimbursement policies, obstacles that must be overcome, and the out-look for the future.

UI	MeSH Term	Description	Entries
D007349	Insurance, Health, Reimbursement	Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)	Health Insurance Reimbursement,Reimbursement, Health Insurance,Third-Party Payments,Third-Party Payers,Health Insurance Reimbursements,Insurance Reimbursement, Health,Insurance Reimbursements, Health,Payer, Third-Party,Payers, Third-Party,Payment, Third-Party,Payments, Third-Party,Reimbursements, Health Insurance,Third Party Payers,Third Party Payments,Third-Party Payer,Third-Party Payment
D009738	Nursing Service, Hospital	The hospital department which is responsible for the organization and administration of nursing activities.	Hospital Nursing Service,Service, Hospital Nursing,Hospital Nursing Services,Nursing Services, Hospital,Services, Hospital Nursing
D000553	Ambulatory Care	Health care services provided to patients on an ambulatory basis, rather than by admission to a hospital or other health care facility. The services may be a part of a hospital, augmenting its inpatient services, or may be provided at a free-standing facility.	Outpatient Care,Outpatient Health Services,Clinic Visits,Health Services, Outpatient,Outpatient Services,Services, Outpatient Health,Urgent Care,Care, Ambulatory,Care, Outpatient,Care, Urgent,Cares, Urgent,Clinic Visit,Health Service, Outpatient,Outpatient Health Service,Outpatient Service,Service, Outpatient,Service, Outpatient Health,Services, Outpatient,Urgent Cares,Visit, Clinic,Visits, Clinic
D014481	United States	A country in NORTH AMERICA between CANADA and MEXICO.