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Search Results Type: Posts; User: core0

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  1. Acute renal failure alert?
    Probably not. The real answer is that when the patient had an indication for dialysis (hyperkalemia, acidosis, or volume overload) they should have been transferred to a center capable of doing CVVH....
    Jan 1
    Forum: Dialysis / Renal / Urology
  2. Best path for more work options post MSN?
    I'll say as a PA it doesn't make sense. If you look at the time you are looking at 24-29 months full time (ie little to no outside work). In addition its unlikely you have all the pre-reqs so factor...
    Sep 3, '15
    Forum: Advanced Practice Nursing
  3. Billing questions (and other cures for insomnia)
    The issue is the hospital employment. If you were employed by the surgical group then the group could bill for your services. If you were independently employed then you could bill for your services...
    Aug 25, '15
    Forum: Nurse Practitioners (NP)
  4. No more fingersticks in ICU?
    Dumb rule. There is a lot of confusion on this. The FDA correctly pointed out that POC glucometers have not been tested in critically ill patients. They proposed a rule that basically took POC...
    Jun 17, '15
    Forum: Critical Care Nursing
  5. California NP's - Scope of Practice Advice
    With a large organization there should be two departments that can help you here. The first is credentialing. They should be doing the paperwork for licensure and making sure everyone is following...
    Apr 24, '15
    Forum: Nurse Practitioners (NP)
  6. Need some help from my fellow APNs - interviewing for hospitalist position....
    You are correct. It isn't a Medicare term. I'm guessing that its either their term for shared billing or trying to bill under the physician NPI without seeing the patient (ie fraud).
    Apr 18, '15
    Forum: Advanced Practice Nursing
  7. Need some help from my fellow APNs - interviewing for hospitalist position....
    For what its worth, shared visit allows the physician to participate in one part of the E/M then bill the entire visit under the physician NPI at 100%. Shared/Split Service - The Hospitalist ...
    Apr 17, '15
    Forum: Advanced Practice Nursing
  8. Need some help from my fellow APNs - interviewing for hospitalist position....
    For Medicare to bill shared billing you have to have a 1099 or W-2 relationship with the same group that employs the physicians. Most private insurances do not credential PAs or NPs so billing is...
    Apr 16, '15
    Forum: Advanced Practice Nursing
  9. Need some help from my fellow APNs - interviewing for hospitalist position....
    There are a number of problems with this. The biggest problem is you won't be able to bill. You need to have a W-2 or 1099 relationship with the physician group to bill. Also there a number of issues...
    Apr 15, '15
    Forum: Advanced Practice Nursing
  10. FNP - PMHNP required vaccinations
    I'll point out that this does not support your claim that the elderly have a higher rate of pneumonia related mortality, only that the vaccine does not appear to change that mortality. Also I don't...
    Mar 19, '15
    Forum: Student Nurse Practitioner
  11. ID NP Market
    I would add always have a plan B. What if you can't get a job as an ID NP? Would you be satisfied with something else. If not you may spend a lot of money for a job that isn't there. ID is a very...
    Mar 4, '15
    Forum: Nurse Practitioners (NP)
  12. wRVU bonus - am I calculating this right??
    This seems somewhat doable. Its going to depend on your case mix. If you are being shunted all the URIs etc then you won't have as many RVUs as if you have more complex patients (although if you can...
    Jan 22, '15
    Forum: Nurse Practitioners (NP)
  13. North Atlanta Market?
    The market is pretty limited up there. There is only one hospital in Cumming and its a smaller community hospital that does a lot of L&D. You have to go a ways toward the perimeter to find more...
    Jan 1, '15
    Forum: Student Nurse Practitioner
  14. OGT securement in intubated patients
    Why does anesthesia get any say in an ICU patient? How does anesthesia secure OGs when then send them from the OR? I would bet its taped to the ETT. We have a tube holder to secure the tube and then...
    Dec 21, '14
    Forum: Critical Care Nursing
  15. Should I take a job that pays less in order to be home at night with my child?
    One of our centers now has a night shift. It goes from 10 to 3 AM or so. The thought is people can sleep in the chair and still get to work.
    Nov 20, '14
    Forum: Nurse Practitioners (NP)
  16. FNP or AGNP
    I was actually replying to a previous post that listed ER and hospitalist. Our hospitalist group only uses ACNPs. There are a few family medicine programs out there that admit adults and kids to the...
    Oct 31, '14
    Forum: Advanced Practice Nursing
  17. FNP or AGNP
    ACNP can't see kids.
    Oct 30, '14
    Forum: Advanced Practice Nursing
  18. NP Salary
    This is how our MAC interprets it. It is inline with what you see here: [FONT=ArimoRegular]There must have been a direct, professional service furnished by the physician to initiate the course of...
    Oct 16, '14
    Forum: Student Nurse Practitioner
  19. NP Salary
    Umm that is a gross oversimplification of incident to rules. The rules require the physician see the patient and give a plan of care. The NPP then follows the plan of care and bills incident to as...
    Oct 16, '14
    Forum: Student Nurse Practitioner
  20. Common meds in transplant ICU
    Fundamentally, the ICU care of transplant patients is critical care. The patient population depends on how the ICU is run. For our ICU you would be dealing with pre liver transplant patients, post op...
    Jul 26, '14
    Forum: MICU / SICU Nursing
  21. Contract negotiation
    There is a huge difference between net profit and RVUs. It all depends on which end takes the risk. If you are bonused on RVUs then you get your bonus regardless of collections. If collections suck...
    Jul 25, '14
    Forum: Nurse Practitioners (NP)
  22. I need to vent...politics of private practice
    I think that you are missing Juan's point. You are living in the land of ACOs and managed care organizations. If the patient was in an ACO for example, the referrals to neurology and pain cost them...
    Jul 24, '14
    Forum: Nurse Practitioners (NP)
  23. Contract negotiation
    The key would be the contract. There are three issues that would change the reimbursement: 1. How are new patients allocated. New patients reimburse more. If the other positions cherry pick the new...
    Jul 23, '14
    Forum: Nurse Practitioners (NP)
  24. Rehashing the 2015 DNP Requirement Debate
    Doesn't medicare require it to get an NPI?
    Jul 18, '14
    Forum: Advanced Practice Nursing
  25. NP vs PA vs CNS
    Really this would imply that you are wrong: Supervision must be continuous but does not require the personal presence of the physician at the place where health care tasks are performed if the...
    Jul 12, '14
    Forum: Advanced Practice Nursing


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