| Course | INHE 3001 Integrative Health Care Models |
|---|---|
| Week | Week 5 |
| Paper type | Staffing analysis |
| Length | About 660 words, 5 pages |
| Format | APA 7 student paper |
| School | Walden University |
| Program | BS in Integrative Health |
| Updated | October 2026 |
Free sample paper for INHE 3001 Week 5
Eleven Roles Read Through Scope of Practice: A Staffing Analysis of an Integrative Service Sorting Who Bills Independently, Who Needs Supervision and Where Two Roles Overlap
Student Name
Walden University
INHE 3001: Integrative Health Care Models
Instructor Name
Month Day, Year
Eleven Roles Read Through Scope of Practice: A Staffing Analysis of an Integrative Service Sorting Who Bills Independently, Who Needs Supervision and Where Two Roles Overlap
The Service and the Question
The service analyzed here is a fictional outpatient integrative pain program inside a health system, staffed by eleven roles. The question is not who reports to whom but what each role may do, whether it can bill for its own work and under what supervision. Because billing rules differ by payer, this analysis uses Medicare as the reference payer, since it publishes national rules; private insurers and state Medicaid programs vary. Scope of practice for licensed roles is set by state law, so the analysis assumes a state that licenses every role listed.
The Roles
Table 1
Eleven roles by licensure, independent billing to Medicare and supervision
| Role | State license | Bills Medicare independently | Supervision or limit | |
|---|---|---|---|
| Physician, medical director | Yes | Yes | None; supervises others | |
| Nurse practitioner | Yes | Yes | Varies by state for collaboration | |
| Registered nurse, intake | Yes | No | Works under orders | |
| Physical therapist | Yes | Yes | Plan of care certified by a physician or other practitioner | |
| Clinical psychologist | Yes | Yes | None | |
| Registered dietitian | Yes | Yes, for medical nutrition therapy | Only for conditions Medicare covers, such as diabetes and kidney disease | |
| Chiropractor | Yes | Yes, narrowly | Medicare pays only for manual manipulation of the spine | |
| Licensed acupuncturist | Yes | No | Medicare covers acupuncture for chronic low back pain only when supervised by an eligible clinician | |
| Massage therapist | Yes | No | No Medicare benefit | |
| Health and wellness coach | No | No | Voluntary national certification only | |
| Yoga therapist | No | No | Voluntary professional credential only | |
Medicare rules summarized from federal coverage decisions and program guidance; state scope rules differ and must be checked locally.
What the Table Shows
Six of the eleven roles can bill Medicare for at least some of their own work. Five cannot, and four of those five are the roles patients most associate with integrative care: acupuncture, massage, coaching and yoga therapy. Medicare's 2020 decision to cover acupuncture for chronic low back pain illustrates the pattern. Coverage came with conditions, including that licensed acupuncturists deliver it under the supervision of a physician or other eligible clinician rather than billing on their own (Centers for Medicare & Medicaid Services [CMS], 2020). An organization therefore cannot add acupuncture to a Medicare line of service simply by hiring an acupuncturist; it must also arrange supervision and meet the coverage criteria for each patient.
Where Roles Overlap
Two overlaps force a choice. The first is between the physical therapist and the massage therapist, both of whom work with soft tissue. A physical therapist can bill for therapeutic massage as part of a plan of care, while a massage therapist cannot bill Medicare at all, so a program serving many Medicare patients would route hands-on soft tissue work through physical therapy and reserve massage therapy for self-pay or grant-funded sessions. The second is between the registered dietitian and the health coach, both of whom talk with patients about eating. Only the dietitian can provide medical nutrition therapy, and only for covered conditions; the coach can support goals the patient sets but cannot prescribe a diet. A program that hires both must write down which conversations belong to which role, or patients will receive conflicting advice.
Implications for the Service
The analysis suggests a staffing core built around roles that can bill, with complementary roles funded by other means and supervised where coverage requires it. That matches the finding of a framework on team-based integrative practice: integration depends on structure, including who is accountable for what, as much as on shared values (Boon et al., 2004). It also explains why many integrative programs depend on philanthropy or self-pay for the very services that give them their name, a pattern economic reviews have noted when they find little evidence on multi-practitioner integrative care (Herman et al., 2012).
References
Boon, H., Verhoef, M., O'Hara, D., & Findlay, B. (2004). From parallel practice to integrative health care: A conceptual framework. BMC Health Services Research, 4, Article 15. https://doi.org/10.1186/1472-6963-4-15
Centers for Medicare & Medicaid Services. (2020). Decision memo for acupuncture for chronic low back pain (CAG-00452N). https://www.cms.gov/medicare-coverage-database/view/ncacal-decision-memo.aspx?proposed=N&ncaid=295
Herman, P. M., Poindexter, B. L., Witt, C. M., & Eisenberg, D. M. (2012). Are complementary therapies and integrative care cost-effective? A systematic review of economic evaluations. BMJ Open, 2(5), Article e001046. https://doi.org/10.1136/bmjopen-2012-001046
What the INHE 3001 Week 5 instructions ask for
Staffing analysis assignments ask students to examine the roles in an integrative service and what each can do. Prompts often ask about licensure, scope of practice, supervision and billing, and some ask students to identify gaps or overlaps between roles. Students may be given a staffing list or asked to build one. Instructors look for analysis grounded in regulation and payment rules rather than job descriptions. Papers that list roles and their duties as an organizational chart would, without asking what each role is legally permitted to do or paid for, usually receive less credit than those that work from scope and reimbursement. Some prompts ask students to recommend which roles to hire first.
How the INHE 3001 Week 5 example is put together
The analysis states its reference payer and its licensure assumption before the table. A table gives eleven roles with licensure, independent Medicare billing and supervision or limits, and a note explains the sources and that state rules vary. A section reads the table, counting billing roles and using Medicare's acupuncture coverage decision as an example of supervision requirements. A section names two overlaps, physical therapist with massage therapist and dietitian with health coach, and gives the rule that settles each. A final section draws staffing implications, citing a team-practice framework and an economic review. Every row of the table can be checked against a federal or state source, and the note under it says which. The program and its roles are fictional, while the rules applied to them are real.
Where the marks sit in the INHE 3001 Week 5 rubric
Instructors generally reward analysis built from scope and payment rules, and the table secures much of the grade by putting those rules in one place. Naming a reference payer and an assumption about licensure shows the student knows rules vary. Using a specific coverage decision to illustrate supervision earns credit for precision. Strong papers tend to pull ahead in the overlaps section, since it shows an organization must choose between roles, not simply hire both. Implications linked to published frameworks complete the argument. Accurate citations, including a federal coverage decision, are part of the grade. Separating the fictional program from the real rules it is tested against is a sign of careful framing.
INHE 3001 Week 5 help from the desk
List every role in your service and look up, for each, whether it is licensed in your state, whether it can bill your main payer and whether it needs supervision. State which payer and state you are assuming. Look for pairs of roles whose work overlaps and decide who does what. Then ask what your findings mean for how the service should be staffed and funded. If regulation and billing rules for integrative roles are hard to pin down, a sample analysis for your state and payer mix can be prepared.
Get a INHE 3001 Week 5 example written to your instructions
Send the staffing prompt, the rubric and the state or setting your classroom specified, and one finished INHE 3001 staffing analysis comes back inside 24-48 hours, free for a first sample. Scope statements in it are attributed to the board or association language they came from, so every row in the table can be checked before you build your own.
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INHE 3001 Week 5 questions, answered
Where can I find a free INHE 3001 Week 5 sample paper?
The staffing analysis of eleven integrative roles appears on this page in full.
Which roles can bill Medicare independently?
Six of the eleven, including the physician, nurse practitioner, physical therapist and clinical psychologist.
Can a licensed acupuncturist bill Medicare directly?
No. Medicare covers acupuncture for chronic low back pain only under supervision by an eligible clinician.
Which roles overlap?
The physical therapist and massage therapist, and the dietitian and health coach.
Why use Medicare as the reference payer?
It publishes national rules, while private insurers and Medicaid programs vary.