FNP pay, splitting reimbursements from insurance?

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Has anyone here ever worked for a physician where your pay was based on the reimbursements from the insurance for the patient you have seen?

I have approached a doctor I am interested in working with/learning from and have offered this rather than hourly pay. I figured yes, it's risky cause it's not consistent pay but if the practice does well, my earning potential could be higher than hourly pay. I'd start off as one day/week to build my own patient base and expand my days as needed. Would love to know your thoughts/experiences. And if you have ever done this sucessfully, what was the deal you worked out? did you go in at 50/50? 40(NP)/60?

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Great post! Interested learning more about this and what ppl actually made.

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I did it years ago. I was seeing mostly Medicare/Medicaid patients in board and cares, private homes and SNFs. The split was 51% for me 49% for the MD. You have to make sure schedules are booked and overbooked. If you don't see patients you don't make $. Patients will cancel, flake out or forget about the appointments. I personally would not do it again.

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If I was a new provider at a practice, I'd never work per patient. I would need a higher percentage unless there were factors like health insurance, malpractice, cost of ma/facilities, etc.

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We haven't ironed out the details yet but this is going to be a side job/extra income for me as I have a part time peds job already. I'm starting off 1 day/week and training with him first to get my feet wet with the adult population. We're also thinking of expanding his cosmetic/aesthetic business. I'm excited to see how it goes.. it's very local to me and so it wouldn't be too much trouble for me to be there.

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