Anyone Here Work Nursing Homes?

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Hi,

I am interviewing for a position where I would be seeing SNF patients for a few doctors. They have offered to pay me as 1099 - Medicare reimbursement, or as a W2 hourly employee. I have done this job before at a different place and was paid with reimbursement. Does anyone here have an opinion about which is the better option? The hourly rate they are offering is fairly average for the area where I live, and they want me to see 200 patients a month with one weekend of call/month. Thanks in advance if you have any input!

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Alot would depend on the percentage of Medicare reimbursement you get. 10 patients a day shouldn't take you 8 hours, it's more of a part time job, especially as you go along and begin to know the residents.

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When I did this type of job years ago I would split the Medicare reimbursement with the doc 51/49 with me getting the 51%.

Regular non acute SNF patient visits via Medicare paid around $60 for the visit. With the split I got $30. You'd have to see a lot of SNF patients to make this a viable 1099 position. I saw a lot of patients in private homes and board and cares which made up for the low reimbursement of SNF patients. So if you are seeing 200 patients a month at $30 a pop assuming you split the reimbursement with the docs you are looking at around $72,000 a year gross. Very low pay for a NP.

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1 hour ago, FNP2B1 said:

When I did this type of job years ago I would split the Medicare reimbursement with the doc 51/49 with me getting the 51%.

Regular non acute SNF patient visits via Medicare paid around $60 for the visit. With the split I got $30. You'd have to see a lot of SNF patients to make this a viable 1099 position. I saw a lot of patients in private homes and board and cares which made up for the low reimbursement of SNF patients. So if you are seeing 200 patients a month at $30 a pop assuming you split the reimbursement with the docs you are looking at around $72,000 a year gross. Very low pay for a NP.

True enough, but it would be a part time job from my perspective.

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Yes, it would be part time. I really need more flexibility than a clinic job provides, so I am willing to take home a bit less in return for the flexibility. I just didn't know if the 1099 or W2 would be better. I think I may go for the 1099 and hedge my bets that I am concise enough in my assessments to make 1099 the better deal. Thanks for your input!

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