Definition: "Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities, and populations." (Nursing World 2018)

I have been reading a lot about the concerns of nurse practitioners obtaining "equal pay for equal work" in the world of reimbursement. Currently, nurse practitioners receive 85% of that paid to a physician (an evaluation and management code billed to insurance)...and I strongly disagree! As a nurse practitioner myself, why would I disagree?

Nursing is not being an assistant to a physician. We do not perform 100% of their work, nor do we perform 85% of their work. The intrinsic nature of our work is different from that of medicine. We perform the duties of a nurse, elevated to a level which can include the diagnosis and treatment of a patient...this may overlap the world of medicine, but this does not define a nurse as less than or underneath a physician.

I feel that as a completely different discipline, we should be asking the world of insurance and billing to create evaluation and management visit codes that differentiate us from those who practice medicine. 

Maybe then we can perform 100% of our training, and receive 100% of the benefit for the way in which we care for patients.

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