private duty nurse - page 4

by nursemarie 48,052 Views | 56 Comments

help! i am thinking about becoming an independent medicaid and private pay home health nurse, i have been working in the home health field for 3 yrs. i have the provider packet from medicaid, but it does not give much info. ... Read More


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    Thanks for the info. Lisa1203. I did go to emedny. It took a little bit of investigating but I finally found some info on how to obtain an NPI#. I couldn't do anything before I figure out how to get an NPI# as Medicaid requires you have one before you fill out any of their paperwork. Supervising aides is a big need these days, especially in my area. I've been approached by 4 different agencies for aide supervisions and training aides and you need to be an RN to do so (the agencies tell me). Unfortunately, these are all per diem positions, do not pay much, and the agencies do not want to pay benefits. These are mainly chronic cases, DD, and permanently physically disabled. I also got alot of information from the other related postings re: registries and forms. Thanks so much!!
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    Where do I start to get a tax ID #? I am one of those people who just have so much responsibility that any help anyone is willing to offer, I will gladly lean that way. I have been taken advantage of in the past in working for an agency and that is what I was thinking of doing again (the easy way out). Thanks in advance for any words of advice.
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    Quote from rochesterRN
    Where do I start to get a tax ID #? I am one of those people who just have so much responsibility that any help anyone is willing to offer, I will gladly lean that way. I have been taken advantage of in the past in working for an agency and that is what I was thinking of doing again (the easy way out). Thanks in advance for any words of advice.
    Use your ss#. Good luck!! I called emedny so much to pull info out of them. Call back if you don't feel satisfied with the answer - some reps are blunt & some explain things a lot more.
  4. 0
    Where do I start to get a tax ID #? I am one of those people who just have so much responsibility that any help anyone is willing to offer, I will gladly lean that way. I have been taken advantage of in the past in working for an agency and that is what I was thinking of doing again (the easy way out). Thanks in advance for any words of advice.
    Quote from Lisa1203
    Use your ss#. Good luck!! I called emedny so much to pull info out of them. Call back if you don't feel satisfied with the answer - some reps are blunt & some explain things a lot more.
    Last edit by TheCommuter on Aug 3, '11 : Reason: referred to edited post
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    Hi I am a LPN and live in NY and Is VERY interested in going independent. My question is can this be done as a visiting nurse? I've done this for about 5 years with a home care agency and love doing it. Also I would welcome guidance fron you all also. I have been reading all the blogs and from that I applied for my NPI number last night and woke up to a email with my number. That was less than 24hrs. This morning I filled out for the Med. Provider # I nOw have to submit the hard copies. So things are moving pertty fast but that's a good thing. So please respond with suggestions. I am excited about moving forward. Thanks in advance.
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    I'm reading your post - but forgive me - i'm ignorant about what a visiting nurse is - do you mean just check up on people to make sure things are going well? I have no idea - I hope someone reading this does. As far as I know I see ads looking for various shifts for bedside type care.
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    Hello Ladies,
    I've been reading with great interest as I contemplate registering with an agency while between jobs. It sounds as though NY state is very organized and open about this process.
    I wonder if any of you have information about a similar agency in Pennsylvania where I practice?
    I can't seem to locate an informative on-line resource for this state.
    I am experienced with vent and trach care in medically complex pediatrics and would LOVE to get paid what I'm worth at the bedside ( as opposed to handing it over to the agency)!

    Thanks in advance to anyone who can speak to this request.
  8. 1
    Hi Lisa1203 and Rita

    To explain a little further. When I work as a visiting nurse as a LPN with a home care agency I made home visits to :

    Administer am or pm insulin
    Vital Signs
    Communicate with MD when necessary
    Make appointments
    Wound care
    Pre-pour medications
    Patient teaching
    HHA Supervision
    I have done recertification & SOC (when no RN was available because LPN's do not do them)
    and maybe visit if the patient called with a urgent issue.

    After my visits I must complete a note within 7 days and trun it in to the office. I have done as many as 9 home visits in a day which is a long day. I basically worked mostly on the weekends. I also have the opportunity to work in the zip code areas of my choice.

    It is also known as a FFS Nurse (fee for service ). We get paid per visit because we are perdiem & not on staff with the home care agency.
    The private duty work is shift work? Like 8 or 12 hour shifts?

    I also read the post, may I ask what type of auding you do?? I also have background experience in Quality Assurance too. I will be going to your website to see how to get started as a independent contractor. I also welcome any other information you guys have to offer and thanks for reading my post.
    Last edit by TheCommuter on Aug 3, '11 : Reason: referred to deleted post
    Jenn55e likes this.
  9. 0
    This thread has been the most informative and eye-opening on how to get started as an independent private duty nurse who is a sole proprietor!

    I learned so much from all of you!

    Thank you for sharing this valuable information to nurses interested in becoming independent private duty nurses!
    Last edit by TheCommuter on Aug 3, '11 : Reason: unapproved website links
  10. 3
    I have been looking for information on how to become an independent private duty nurse as a sole proprietor (by myself), but could not find any resource or anyone to assist me. I was not looking to hire anyone or start a company (agency), which is what so many resources focused on. I reviewed the messages in 'Entrepreneurs in Nursing,' but they were focused on start-up companies like agencies, businesses, and schools that employed others.

    From what I read here, agencies seem to be part of the problem (which take about 50% of the nurses' income), not the solution. NNBA was as close as I got to some assistance, however, they didn't focus specifically on independent private duty nurses as sole proprietors (RN self-employment). Mericle Nursing focused on how to get hired as independent nurse contractors at hospitals, but didn't explain how to be an independent private duty nurse.

    I googled 'Private duty nurses association,' and came up with NPDA, but all the chapters are governed by agencies. PDHCA's advisory board lists individuals who run agencies. I considered giving up, but thought to check allnurses one more time. Then, I discovered this thread and all of you who have been so willing to help us become independent private duty nurses. Maybe we can collaborate and create a book that explains this process step-by-step to help others.
    Last edit by Jenn55e on Apr 18, '11
    adreamdeferred, WI_home_RN, and Jaki95 like this.


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