The events of recent weeks have brought feelings of anger, sadness, pain and confusion. VCNP is committed to supporting our black, brown and African American colleagues, patients and communities and to increasing diversity, equity and inclusion within our organization and profession. As an association of healthcare professionals, it is our responsibility to use our platform for justice. We will be meeting as a Board this weekend and will follow-up next week regarding action steps we will take to further this mission.
COVID-19 is presenting NPs, and the nation, with an unprecedented health care challenge while placing considerable demands and stressors on NPs, both professionally and personally. VCNP is working to share resources and support our members during this time. We hope you will refer to this web page to find valuable online resources and updates as they impact your practice during this time. Please let us know how we can continue supporting you by contacting us at firstname.lastname@example.org.
On November 1, 2019, the Centers for Medicare and Medicaid Services (CMS) released the Medicare Physician Fee Schedule final rule, which will positively affect the NP and PA preceptor documentation burden. For those of you providing clinical teaching rotations for advanced practice registered nurse (APRN) and/or PA students, you may be aware that in March 2018 CMS reduced the documentation burden for physician preceptors. This change authorized teaching physicians to verify and sign student documentation components of evaluation and management (E/M) services rather than have to re-document the work themselves. Unfortunately, this created unintended consequences for APRN and PA preceptors and the students they supervise.
In an era where productivity in patient care has been a major driver of reimbursement, the 2018 rule caused many practices to abruptly discontinue precepting APRN and PA students—creating a crisis in NP and PA education. As a result, the American Association of Nurse Practitioners (AANP), the American Academy of PAs (AAPA), nursing, and physician stakeholders worked diligently to mobilize their constituencies and to request changes to the 2020 final rule. Through lobbying efforts and regulatory comments, CMS revised the language, thereby creating documentation requirement parity among all clinician preceptors.
Effective January 1, 2020, APRN and PA preceptors may review and verify medical record documentation entered by other licensed health care providers and members of the health care team, as well as student APRNs and PAs. This update will ultimately improve patient access to high-quality health care.
There are additional changes affecting APRN and PA providers including, but not limited to, updates to Medicare telehealth service reimbursement, E/M services documentation and reimbursement, physician supervision requirements for PAs, and payment for transitional care management services. Click the links in the references below for additional information.
The Donna Campanella Distinguished Nurse Practitioner and Outstanding Nurse Practitioner Student awards will be announced at lunch. Please consider nominating someone. We hope to see you there! 6.25 continuing education hours will be awarded at the completion of this activity.
7:45-8:15AM Welcome: Kristen Johnson, President, Richmond region
Guest Speaker Delegate Dr. Dawn M. Adams
8:15-9:15AM The End of the Antibiotic Era: The Rising Tide of Antimicrobial Resistance, J. Daniel Markley, DO, MPH
9:15-10:15AM Mood Disorders: Diagnosis and Management, Prakash Ettigi, MD
10:15-10:45AM Break with vendors
10:45-11:45AM Guideline Directed Therapy for Heart Failure, Preeti Dube, MD
11:45AM-12:45PM Polypharmacy in elderly: What can we do about it? Sheila J. Turbides Minaya, MD
12:45-1:30PM Lunch with vendors
1:30-2:30PM Basics of Biologics: A Primer for APNs, Mandy Gatesman, PharmD, BCOP
2:30-3:30PM Common GI Issues: Anywhere from Mouth to Anus: Let’s be as Blunt as our Scopes! Mary Kathleen Engelken, NP
Virginia Council of Nurse Practitioners is approved as a provider of continuing nursing education by the Virginia Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.
Since the two bills were reported without opposition, we anticipate that they will be added to the Uncontested Calendar in the House and the Senate. Ultimately, should this legislation become law, it will go into effect on October 1, 2019.
On January 31st, our reimbursement bills – HB 1640 and SB 1178 – were heard in the Virginia House and Senate Commerce & Labor Committees.
SB 1178, sponsored by Sen. Glen Sturtevant, faced no opposition and was passed unanimously by the Senate Commerce & Labor Committee by a vote of 15-0. Similarly, during the House Commerce & Labor Committee meeting this afternoon, the companion bill HB 1640, sponsored by Del. Margaret Ransone, was reported by the Committee 19-0.
In both committees, the bill was amended so that the legislation does NOT require a study by the Health Insurance Reform Commission (HIRC) – thereby moving our legislation forward to the House and Senate floors!
We are delighted by these positive developments. Since the bills were reported without opposition, we anticipate that they will be added to the Uncontested Calendar in both the House and the Senate. Ultimately, should this legislation become law, it will go into effect on October 1, 2019.
As of January 7th, HB 793 regulations are in effect! Nurse practitioners with five or more years (that is, 9,000 hours or more) of clinical experience are now able to submit their applications for autonomous practice. You may find the attestation form and instructions for applying on the Virginia Board of Nursing website.
We will soon be debuting a special FAQ, as well as a “Roadmap to Autonomous Practice” that will outline the application process in an easy-to-read format. Further, don’t forget to register for one of our informative Town Hall webinars! Though the January 10th session is now full, space is still available on January 15 and January 30.
Celebrate with your fellow NPs at the 45th Anniversary Gala during the 2019 VCNP Annual Conference.
Join us for an evening of recognition and celebration of accomplishments Nurse Practitioners have achieved. VCNP will recognize members and present association awards. Special prizes will be presented to participants, and the regional baskets will be given away.
2019 VCNP Annual Conference registration is open! Register now for the conference and be part of this special event. Registration is not required to attend.