Help! Baffled by 'pay per visit' offer

[elimayrn]

I recently applied as a home health case manager and received a phone call last night saying she would call tomorrow with an offer. The company in Kansas City Missouri pays per visit. I am not sure how to convert my requested annual salary to a per visit number! I have tried dividing annual salary down to daily pay but I'm not sure if visits will be made 5 days a week 52 weeks in a year, so I am worried about accepting their offer not knowing.

[caliotter3]

The long and the short of it is, they put you on pay per visit to save money. There is no way anyone could do 6 visits a day, even if they do 2 admissions. If you are not cutting corners, 4 admissions is as far as math will go in a day. One hour at least for an admission visit, plus 2 hour of charting is 12 hours per day all inclusive.

If they are paying you even $100 per visit, which is rare, you make $300 per day if you see 3 patients. There is no guarantee you will get 3 patients a day. They will make the salaried person work first to recover fixed costs. You will be called only when no one else is available. You will be given the farthest assignments with most time spent travelling. They will not give you a portable laptop with wireless capability, so you will have to chart on paper and take all the paper work home. So you will probably never be able to do 4 patients a day and not have more than a couple of patients on the days you are called.

In short, you will make a fraction of the salary that full-time staff makes.

I left intermittent visit work when my one visit was so far away that I had to get money from other sources to put gas in my car to make the visit. I won't go back to intermittent visit work. In contrast, a former coworker averaged 13-14 routine visits a day and said she had 16 visit days under her belt. She acknowledged five minute visits that were documented at longer duration and she mixed her visits between three agencies. I highly doubt she even visited any of those clients at all. I think she checked in on them over the phone and charted a visit. She kept this behavior up for years without getting caught. I don't recommend it.

[Libby1987]

I left intermittent visit work when my one visit was so far away that I had to get money from other sources to put gas in my car to make the visit. I won't go back to intermittent visit work. In contrast, a former coworker averaged 13-14 routine visits a day and said she had 16 visit days under her belt. She acknowledged five minute visits that were documented at longer duration and she mixed her visits between three agencies. I highly doubt she even visited any of those clients at all. I think she checked in on them over the phone and charted a visit. She kept this behavior up for years without getting caught. I don't recommend it.

This fraudulent behavior is the reason for the ever increasing heavy regulation. Next time anyone is frustrated with the amount of paperwork and hoops in home health, thank a colleague.

[caliotter3]

This fraudulent behavior is the reason for the ever increasing heavy regulation. Next time anyone is frustrated with the amount of paperwork and hoops in home health, thank a colleague.

Have only encountered one or two agencies where I did not run across an individual or two who actively engaged in fraud by way of manipulating their time sheets. Particularly bad when the client gives the instructions and their blessing to do so. I give them the warning that they, too, can suffer when the fraud is dealt with, and it is no wonder that my days on that extended care case are short-lived. The nurses engaging in fraud carry on, the client carries on, and the employer continues to operate with its head in the sand.