In-home NP Medicare Assessments - page 9

I have seen several job postings for these type of positions. I am interested in the position because it sounds like there is a good amount of flexibility. Does anyone have experience doing them?... Read More

  1. by   Goatie
    Quote from jwester
    An RN can complete a Risk Assessment . Are you signing 1147's or completing prior authorizations ? How detailed is the home assessment ? If it's simply data collecting and a visual physical exam with no labs , why are NP's completing what is a rather basic template built assessment ?
    Hello! RN's cannot do HRA's- You must be an NP, PA, or MD because you are diagnosing and the health care companies are using these diagnoses very heavily for Medicare reimbursement. And of course you need to be in advanced practice to bill the feds. It is a lengthy visit due to needing to gather so much data because its an annual visit. You will be trained on what to gather- Ive had two HRA jobs already and theyre pretty much all standard nationally.

    There are pros and cons to this job.
    The PRO's: Super flexible, specially if you are part-time or per diem. Its great for NP's with families or who just need additional income. I usually just schedule 3 patients a day and I am done to pick up the kids at school. Meeting nice patients and families- I love to look at gardens, and they always like to take me around their properties to show off. I love to educate, and we all know so many things happen in the home they aren't telling the office providers which you can catch (specially safety issues). When you have a great scheduling department, this is like gold.

    The CONS: It tends to be seasonal: What I mean is, you will sometimes have NO pts for weeks or months on end, while the company tries to renegotiate contracts with the health plan. So, many of my colleagues have 2nd jobs. Those who do full-time/salaried are then asked to do other admin types of duties, or are asked to travel over-night to other cities. The drive can be horrendous specially in urban areas, and the more the pt appts dwindle, the farther you are sent. Visits can get really long- I can do a very thorough job for an hour (maybe 1.25 hrs d/t labs) but it becomes a 1.5 to 2 hour visit for pts who need your translation service. Therefore, in my mind (I make less money per hour because we are paid per case/visit). It behooves you to work faster but thoroughly. And of course, you will meet many types of characters in their homes (I haven't quite met a hoarder yet), and there are not so swanky neighborhoods (thankfully, I haven't met danger). Working with bad schedulers can be a nightmare (not my current employer).

    I WOULD NOT DO THIS if I was a NEW GRAD. Its just me, but as a new grad I would want to be somewhere where I can get the most experience diagnosing and treating, and this isn't it. It is great if you want a more kick-back role as an NP. Don't get me wrong, it is still a job that needs you to be OCD with "crossing every T and dotting every I". You need to capture every possible dx you can get, and having matching meds/PE/labs/hx to prove the dxs (otherwise you wont hear the end of it from QI and your NP manager). Ive been an NP for 20 yrs so this is perfect for me.
    Last edit by Goatie on Mar 30 : Reason: mispelling and added more data
  2. by   Ojbabyface
    Which area are you? I need a job bad.

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