Collaborative MD agreement and fees

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Specializes in family practice, addiction medicine.

Hi,

I was wondering what type of arrangement other nurse practitioners have with their collaborating doctors. The one I had been talking with suddenly decides he is going to charge me $1500 per month, and that he normally charges $2500 per month. This person was one of my preceptors and had always encouraged me to be independent I also worked with him for several months after graduating for free in order to get more experience. I live in Tennessee.

Thanks,

Debbie

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Wow, that's suprising. Is this someone that you would be working with in the same practice? Or are you planning to work independently and need to find a collaborating MD? At my current job, we are not charged to have a collaborating MD sign an agreement (this is retail health though so I know the MD is compensated by the company). The few other interviews I went to I was told that a MD from the practice would sign the agreement at no cost...

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Specializes in Adult Nurse Practitioner.

I have heard of this...even here in Florida. One of the main reasons the medical group in the state lobbies to keep NPs from having autonomy! I have heard of anywhere from $1200.00 to $4500.00. Some charge per patient...that could get REAL expensive.

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Specializes in Adult Internal Medicine.

Being independent as a novice NP is risky, be careful!

That's about the price range for independent practice with MD review.

Sent from my iPhone.

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Specializes in Family Nurse Practitioner.

Thankfully we don't need it in Maryland but I can see the physician's point as anything you write could come back to haunt them. This won't help you in the short term but definitely get involved with your state's NP organization to lobby for LIP.

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$1500 here in Florida is actually very very reasonable from what I hear. I do agree with BostonFNP's advise on practicing independently as a novice NP.

I plan to get experience in different areas for five years then be independent but who knows... if I feel confident after two years and have been exposed to different areas, maybe I will do it earlier than five years but definitely not as a novice NP. I worked too hard to get to this point...

Just my 2cents...

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What I did was (this will probably sound strange, but it worked), I went to a local meet-up group in my area with Medical professionals. I found a MD with over 20 years of practice in my field and told him that I was a new grad NP, told him my plans and my dilemma about not having a collaborating physician. He immediately agreed- NO CHARGE! (THANK GOD!). Through the same meet-up group, I also found a back up collaborating physician (not required, but I did add her to my license, as well)... Search around, there are still some good ole fashioned people who will help you without a fee.

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