I prefer per encounter. As you gain familiarity with the patient population your speed will increase. As a 1099 you have your own business/practice and you should treat it as your practice not as an employee of someone else. Often NPs keep the staf...
Too many variables what type of practice, what cpt codes, cash, medicaid, medicare, PPO, cash only. Rent, expenses staff taxes.... You would need to focus this question a bit. Primary care, micro practice, group practice, specialty practice.....
Another issue is many NPs have a clock in clock out mentality. They do not understand billing, payments and cost of practice. As more NPs own their own practices this will change as they learn the business of medicine/nursing. Understanding how to...
Will it be a flat fee per pt or a % of collections? What cpt codes are billed the most frequently and what is the typical reimbursement? What support is provided (scheduling, assistants, ect). Once you understand the revenue you generate and the ove...
jer_sd replied to 2016BSNGraduate's topic in Doctoral
I was a certificate prepared NP. Eventually hit the point where I had less employment opportunities since I did not have a MSN. I eventually went back for a MSN.Ico p!etecmy DNP this year ad well. My opinion you have 10+ years of work left you may...
With this patient population you will primarily be seeing medicare patients. Look up the medicare reimbursement for RVUs in your area. Keep in mind you get 85% of the physicians fee schedule. Look up the E+M codes for nursing facilities and other cp...
A fnp can treat, bill and diagnose simple uncomplicated psych issues. But you need to be able to recognize and refer appropriately. Personally I do very little psych meds or diagnosis because even though my certification covered basics as a FNP my ...
Medicare a NP can boll 85% of physician fees. But medicare only pays 80% of billed. So say a procedure had a medicare fee schedule of $100.00. The MD would collect $80.00, a NP would collect $68 (85*.8). The rest of the amount is the patients or se...
jer_sd replied to nenalablue's topic in NP Students
Having first assisting can add extra value to you as an APN. If you work in primary care type position it will not help. However some providers scrub in to assist in procedures and personally bill first assisting fees over and above traditional sal...
jer_sd replied to mountainaireNP's topic in Advanced
How will your practice be set up under your name!e and number or corporation. This will determine if you use your SSN and npi or an alternate number. Register for a NPI number, free and fast. Hold onto conformation number. Apply for medicare such as...
Many procedures done by a np are considered minor surgery. So my guess is as long as your state does not say no, and you have documented training not just on the job experience you can probably do the procedure. Jeremy
I have opened two practices as a np. It is possible but a lot of work. You need to have a good understanding of billing coding and some business sense. What services do you want to offer, family practice, specialty care? What payers are you look...