private duty nurse

[nursemarie]

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. anyone know of a good resource on policy, procedure, guidelines, covered expenses, pay scale????? any help will be greatly appreciated. email: [email protected]

[yrmajesty3]

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.

[Jaki95]

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.

[Jenn55e]

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!

[Jenn55e]

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.

[Jaki95]

I think that is a great idea. There are so many nurses here that is knowledgable in the process and could assist those like us get started. I too is a novice at this and have been reaching out to this forum for guidance so don't give up just keep searching and posting your questions someone here will respond. I read and look for new posting daily. I wish you all the luck.

[Jenn55e]

Hi Jaki95,

This is such an innovative idea yet nurses have been doing it for years, and I'm amazed that very few nurses know about becoming independent private duty nurses (PDN) or independent nurse contractors rather than succumbing to agencies that take 50% of their income. For nurses in other states, there must be a fundamental process to becoming an independent private duty nurse.

What I've come to understand is first you obtain a tax ID # (http://www.irs.gov/businesses/small/international/article/0,,id=96696,00.html).

Second, you obtain nursing malpractice insurance (e.g., nso.com).

Third, you obtain your NPI# at the cms web site.(https://www.cms.gov/NationalProvIdentStand/01_Overview.asp#TopOfPage).

Fourth, you obtain your Medicare provider #. (http://www.cms.gov/MedicareProviderSupEnroll/).

I noticed nurses discuss a Medicaid provider #. Is that the same thing as the Medicare provider #? If there is a Medicaid provider #, what web site do I apply for it?

After the fourth step, its unknown territory. Am I leaving any steps out?

[Jaki95]

That is something that I would be interested in developing. I have worn many hats in my career and auditing/Chart reviews is something i love doing. If there is information on this I would be interested. Hope all is going well.

[atpicord]

Hi BillyMae

Im in wisconsin and am looking to start into PDN. I was wondering if you could help me along...I am lost. All Ive gathered is you need an NPI and I have to take vent classes as well. But from there Im still really new and could use some advice

[atmak]

Where can the Nurse Entrepenuership 101 DVD & Guide be found?

[WI_home_RN]

hi billymae

im in wisconsin and am looking to start into pdn. i was wondering if you could help me along...i am lost. all ive gathered is you need an npi and i have to take vent classes as well. but from there im still really new and could use some advice

i have been working pdn in wisconsin for several years now. i can help you with what you need to know. its quite an easy process. the only hard part is finding steady work, at least in small-town, northern wisconsin, where i reside. i love my job :redbeathe

[Jaki95]

Do anyone know of a site that contracts or hire Nurses to do Chart reviews or Data collection?

[hope4868]

Hi There! Can I get the name of the NY agency?