Home Health RNs: mileage reimbursement? - page 2

by iridium54

7,123 Views | 16 Comments

How many of you home health RNs get reimbursement for your mileage? I was offered a position but they have not told me anything about salary yet (apparently don't have it worked out?) and when I asked about mileage reimbursement... Read More


  1. 0
    Yes, you need milage pay. I work for a HHC and my milage is included on my check. You should also find out what area they want you to cover and get it in writting. Otherwise they may have you driving an hour between patients. Also ask if they have a point system and if you get paid if your over your weekly point quota. For example, I have to get 32 points a week. 2.5 points for a start of care and 1 point per skilled nurse visit... you may also get additional points for milage.
  2. 1
    Depending on your tax bracket you may NOT be able to claim the mileage at the end of the year. My husband makes a lot more money than I do and in order to claim the mileage deduction the amount has to be a certain percentage of our income. In the first 5 years I was in home care (when I wasn't getting paid mileage), I wasn't able to claim it. Get the mileage upfront!
    salvadordolly likes this.
  3. 0
    At our HH agency, we only do private pay, no medicare/medicaid, no oasis.

    I am very happy with my company, LPNs get $37 a visit, RNs get $47. Mileage is considered part of the pay, which I prefer, because then I deduct all the mileage at the end of the year. It drops my taxes like a rock, so I usually get a decent refund at the end of the year. Plus I deduct everything that is legal - scrubs, nursing license, nursing journals, tolls, stethescopes, pulse ox, hand sanitizer, alcohol wipes. The last 2 are supplied by my company, but once in a while I run out and have to buy some.

    Like everyone else, our census goes up and down. When I first started, an experienced nurse told me to sign on with at least one other agency, so when things are quiet at one you have work at the other. I also do per diem hospice nursing when things get quiet.

    I love getting to know my patients. POCs range from one visit to sometimes a year or more. You become a part of the family when you spend that much time with your patients. I often joke that I get paid to hang out with my friends while doing some nursing care on them! I have remained very close with many of my former patients. In the hospital they come in and out and you never know what happens to them.

    As an aside, why do so many HH patients watch the Food Network?
  4. 0
    My agency doesnt cover for mileage but we do a solid 8 or 12 hour shift no visits. The most I get covered is any Tolls I may have to pay. It is ok with me as it is my first and almost only job offer and its only one home a day
  5. 0
    The job I just accepted said they pay mileage at 0.40 cents, but this is only from my home to the first patient house, and then the last patient house back to my home. Do most places reimburse differently?
  6. 0
    Usually the mileage is not paid to the first patient and from the last patient to your house but everything is in between. That's odd. Mileage is a big deal, it adds up quickly, and is sometimes the only reimbursement you get for your time when you're paid per visit.
  7. 0
    Quote from ijuanabhappy
    The job I just accepted said they pay mileage at 0.40 cents, but this is only from my home to the first patient house, and then the last patient house back to my home. Do most places reimburse differently?
    Are you sure it's not for all miles between the first patient and the last patient? Seems more likely that they would have said they DON'T pay for the miles from your house to the first patient's and from the last patient's to your home as those are considered your commute to/from work.


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