If your office has good management, then your census should match your staff/productivity. In other words, for a full time position at my office, I have to see a minimum number of patients a wk. Management should have looked at the census, pattern and projected growth, and know that they x number of nurses for x number of patients.
I remember back in 1997 ( I think) when the venipuncture rule went into effect. All the home healths had to start discharging patients and the census dropped waaaaaay down, some home health closed. Our agency lost several nurses. Tje point is that normally, the staffing patterns in an agency allow for rise and fall of patient numbers without dramatically affecting your paycheck. But occasionally things do happen. I know that I make more money pay per visit than salary but less than I would if I were hourly. And I'm not afraid of losing money due to census drop.
Pay for visit-Usually more money each patient and different pay scale according to if the visit is a regular, or start of care, or recert, ect.
Don't get paid if patient isn't home or refuses visit(do on salary)
All nurses usually eager to see the visits (its your paycheck)
Sometimes some nurses get a little greedy and try to get all the visits
You sometimes have the feeling your working for "free" when your sitting and doing paperwork becacuse alot of agencies (Amedisys included) feel that this is built into your per visit rate.
Ample opportunity to make $$ on OT.
Just my opinion....hope it helps.