RNfromSA 2,746 Views
Joined: Jan 20, '13;
Posts: 24 (8% Liked)
; Likes: 2
Good day. I am currently studying towards my HCS-D (coding)and COS-C (oasis)certifications after being in home health a number of years. I want to contract out to HH agencies to do QA/Auditing/Coding work but am unable to find any benchmark pricing for these services. Is anyone out there doing this privately as a home health/coder or auditor. Any advice in this regard is welcome as I may already have my first client!
Thanks RunBabyRN. BUt how can you charge/set your own rates then if you work through an agency? Dont they say they will pay you X-amount per hour regardless of time of day, and you can either take it or leave it? I have ne ver worked for any agency where I tell THEM what my rates are.
When does your "after-hours" start? Are weekends classified as after hours? What percentage in hourly rate are you paid above your regular hourly rate for after hours?
Can I pm you please?
I am looking for any RN who currently works for Coram as a per diem nurse. I am thinking of applying but have many questions.
Can I pick your brains please?
No, I did not take the job mainly cos of their law suit that their nurses took out against them
Thanks for your reply AsystoleRN. Much appreciated- all your input.
Really? SO IVRUS what are your commuter miles defined as?
Thank you for your reply.
Have you developed a good system to keep track of all these different things such as mileage reimbursed versus not? I work for several agencies so it becomes so complicated as each have their own systems.
I am a field home RN infusion nurse. The nursing agency I work for only reimburses mileage at 50c per mileage for ONE WAY of the trip only! And on top of that they subtract the first 20 miles from that one segment. So I drive sometimes 200 miles a day to see one patient. So my mileage reimbursement is 100 miles-20 miles= 80 miles. So on a 200 mile trip I only get reimbursed for 80 of these miles.
If the distance to the patient is less than 20 miles we get NO mileage.
Is this a standard practice? How do other nursing agencies/registries do home infusion mileage reimbursement?
I understand that each company pays their contractors differently. I am a home IV infusion nurse and work for several agencies as a contractor (1099). One company frequently calls me for medicare OASIS start of care cases late in the evening like 8 or 9 or 10 pm because they cant find anyone else. Are we expected to go out at that hour and get paid the standard agency rate (on a Pay per case basis) like $80 here in California?
Do any of you independent contractors ask for after hours rates or charge extra for these late hour visits? If I was on call for a company I would get a call-out rate.
Medical coders make a fair living and many of them work from home, so you may wish to get certified as a medical coder. Also, look into YesRN.com They are similar to "Justanswer.com" for people to ask health questions online and you get paid per answer you give.
Thank you very much for your feedback Asystole RN. What is confusing is that I currently work with an agency "per diem" but as an independent contractor, and I have the option to take a case or not if I dont want to. I am not paid per diem but hourly. I was just wondering what the advantages would really be being an EMPLOYEE of a company per diem. Its a bit confusing.
If you are "per diem" why is it mandatory to take call?
Please can someone explain how weekly on-call and weekend on-call is paid to per diem IV home infusion nurses...working for a pharmacy?
Also, what is the real difference between working as an "independent contractor" IV home infusion RN as opposed to a "per diem" IV home RN.
Hello. I am jobhunting for home IV therapy jobs and several pharmacies such as bioscrip and Coram to name just two, are hiring RN's in my area. I would really appreciate any feedback on working for these companies in the field (Also Caremark, CVS, Biofusion etc etc). WHich is the best to work for? Which pays better rates?
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