FNP2B1, BSN, MSN, RN, APRN, NP 8,513 Views
Joined: May 4, '10;
Posts: 113 (73% Liked)
; Likes: 341
If you are salaried you should be ok. Its hard to make a year long steady income as a contractor
That the patient is my ex wife. 3 years with that byeotch was enough.
I can only use my own personal experience as NP wages declining. I was working at a multi-physician dermatology practice. I was making over $200k a year but knew the gross revenue I produced via cosmetic procedures was close to $900,000. I did lots and lots of botox, fillers and laser resurfacing. The owner of the practice asked me to take a cut in pay of over $60,000 because in her words " The average new NP salary for our area was $115k" This was in Southern California. I said no thank you, I know my worth and what revenues I bring in. They did bring in a new NP and tried to train her. Trust me, you don't want a brand new graduate trying to inject Botox and fillers in clients who have high demands. She lasted two weeks. The next one last 3 weeks. I got called a few weeks ago asking me to come back. I declined. So yes, wages are going down because of the glut of new graduates. I have a dozen NP colleagues who can tell you the same story. It's not isolated in any geography. If it hasn't happened to you yet it will. Over supply of NPs = lower salaries. I'm now doing locums and even that is being affected.
It's raining phlegm, hallelujah, it's raining phelgm, amen♫
I'm gonna go out to run and let myself get
Absolutely soaking wet ♫
I've left more than a handful of jobs over the years but never with just one day notice even if I thought something was fishy. Your future employer may want to know why you gave just one day's notice out of fear that you may do the same to them. Even if you think there is fraud going on it is just a professional thing to do to give at least two weeks notice.
In regards to billing, you can always contact your Medicare contractor which is probably Noridian and speak to a representative there if you are concerned regarding incident to billings. They are usually very helpful. You will need to have your TIN number on hand along with your Medicare billing number.
Free doughnuts in the break room!
At this point I would not recommend any RN to pursue the NP path if you are doing it to garner higher wages. Had a very good friend of mine just get offered a NP job starting at $35 per hour.
The wage deflation is happening. No need to spend $ for a NP education if the ROI is negative. The nursing programs should of capped NP production long ago. It's going to take 10 years plus for the over supply situation to correct itself. One only has to look at the legal profession for guidance. Have a friend of mine who graduated with a law degree and passed the bar. He makes more being a bar tender than he can as an attorney. I fear those days are just around the corner for NPs regardless of your specialty.
You are correct there are jobs out West in rural areas. Unfortunately the glut of new graduates has pushed salaries down. Five years ago working in rural California you could easily make close to $200k. These days the salaries are $70,000 to $80,000 less. Its all about supply and demand. There are plenty of clinics willing to pay you a low salary and they always will be around looking for fresh meat. Seasoned NPs are the ones who are taking it in the arse salary wise.
I live in a very rural area. The saturation is even starting to depress wages here. It was only a matter of time and the time is now.
50% of each procedure if doc is providing supplies. This was my former agreement and it worked well. If I'm buying the Botox, fillers etc then I get 75% of gross revenues. 20% is highway robbery. These are cosmetic procedures where the patient is paying cash. Get paid what you are worth and I can promise you it's a lot more than 20%
My brother and I are taking my niece and nephew out to the shooting range tomorrow to teach them how to handle a weapon properly and how to defend themselves with a firearm if attacked. We both belong to the NRA and will let the kids shoot our semi-automatic AR rifles tomorrow. FWIW AR stands for Armor Lite, the original manufacturer of the rifle seen on TV so often, not assault rifle. I don't want my extended family to be victims of a gun crime without any defense to protect themselves. I'm going to make sure all of them know how to shoot back. We will then begin the process of getting them a conceal and carry permit. That's how they will protest tomorrow.
Poor little guys, they got confused and drank Mrs. Iris Whizkee's stool sample.
We just emptied O'Malley's Zassi tube. I guess he wasn't kidding when he said he had severe case of the green sheetz.
Babe, if it's ok with you I'd like to start my intervention after St Patrick's Day.
Start offering $100 per hour for RNs and see how quickly the nursing shortage at your hospital evaporates. I once interviewed for a NP position with Peace Health in Florence Oregon and was floored at what they offered. It just wasn't enough. They were $100,000 less than what I could get in California. Now if they start paying more sure I'd come back and work in coastal Oregon. It's all about the $$$$. I'm sure your hands are tied but if the hospital administrators want more nurses they are going to have to get off of their wallets and pay for it. There has to be an $$$$ incentive to get people to work in rural areas. The scenery just isn't enough. Where I am now, a very, very rural area with a population of 2000, I make what the MDs make. To make the offer sweeter the company offered $150,000 in a housing grant if I signed a 5 year contract. They understand what it take to have full staffing. Unfortunately many hospital groups do not.
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