Mileage pay

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Just curious if it is an industry standard out there to NOT pay mileage for the first visit of the day? Seems outrageous to drive 20 or 40 miles or even ANY miles to a patient's home and not get mileage. Just wondering if not getting mileage for the 1st visit is something HH nurses can expect universally; or if you can expect the reasonable thing (which is to be paid for it)!

Also, do most agencies pay mileage? I understand the gov't allows $0.40/mile, but that few agencies actually pay that. How exactly do you need to keep records in order to deduct the difference?

We are paid from the first patient's house or from the office. The ending mileage is at the last patient's house or the office. This has been standard at both agencies I have worked for. Neither agency has ever paid the federal rate. To deduct it you take the difference of what the federal rate is minus what you have been paid. It is taken on your taxes if you itemize on Schedule A under misc. expenses which is subject to anything over 2% of your AGI. Of course it only lowers your tax burden a little and you're not actually getting that money back. One of the reasons I just bought a good little used car for work that gets 35 mpg!

Hope this helps,

Ann

Specializes in MS Home Health.

One of the agencies I work for does not even pay mileage.

renerian

Ditto renerian...most of the agencies around here don't pay mileage...and I know I easily drive 100 miles a day....and use to have some days i would drive around 250.

Kathryn

Specializes in MS Home Health.

Very so many good home health people are not paid mileage.

renerian :angryfire

:) I work for small rural agency,in northern Arkansas, we receive milage from office to patients home and then on return at end of visits. We were recently given raise from 0.34 cents per mile to 0.405 cents per mile....we earn it on back dirt and gravel roads!!!

Hi everyone...first time to post for me. Well our hh agency does not pay per mile but per visit. For ex., they pay visit rate plus $4.00 per trip fee. works out ok if not traveling long distances.

Just curious if it is an industry standard out there to NOT pay mileage for the first visit of the day? Seems outrageous to drive 20 or 40 miles or even ANY miles to a patient's home and not get mileage. Just wondering if not getting mileage for the 1st visit is something HH nurses can expect universally; or if you can expect the reasonable thing (which is to be paid for it)!

Also, do most agencies pay mileage? I understand the gov't allows $0.40/mile, but that few agencies actually pay that. How exactly do you need to keep records in order to deduct the difference?

I get $30.00 a week stipend, for gas but no mileage, I too had to get a more fuel effecient car. Our PCAs don't get anything for gas. We work for a privately owned company not gov/t related.

This is how I do my mileage-I start every morning before I see my first patient, checking my voicemail and email, getting my bag, supplies, paperwork and lab slips ready. That is counted as record time (I am paid hourly). Since I have already started my workday, my mileage starts the minute my car leaves my driveway. When I come home, I am checking my voicemail, calling doctors, finishing paper/computer work. So I charge mileage for the ride home too. It is cheaper for my agency to pay that way, than to stop in at my office before and after work. (Office is 1/2 away). I hope this gives some of you ideas to bring up to your supervisor!

Good luck,

Cherricka

I put in my 2 weeks notice at the HH comp I work for today....the gas was killing me (as previously noted, we do not get mileage compensation). The gas savings alone will be about $300/month...not to mention wear and tear on car....and going to a job with benefits...so no more paying for health care out of pocket....boy, the more I mention it...the more I am glad I am leaving..not that the job I am taking is great, but the money is pretty good and only 4 miles from home.

Kathryn

I put in my 2 weeks notice at the HH comp I work for today....the gas was killing me (as previously noted, we do not get mileage compensation). The gas savings alone will be about $300/month...not to mention wear and tear on car....and going to a job with benefits...so no more paying for health care out of pocket....boy, the more I mention it...the more I am glad I am leaving..not that the job I am taking is great, but the money is pretty good and only 4 miles from home.

Kathryn

I am in the same boat we just got took over by another nation wide company and they don't want to pay commision mileage or cell. I was getting cell and some of gas paid by the other company (not alot of commision just enough to help with some of the gas that wasn't being paid.) I use 30+ dollars every other day in gas . I only get 300 total for everything cell and gas . It cost me over 600 in gas a month to set up care and market for the company . If they say no gas or cell paid for I will have go because I can't work for free. This will all be decided tomarrow Monday.

Its really sad because I loved my job even with all its problem . I just hate being taken over but I can't afford to work for free. I am to old to be playing arround looking for a job. Every place I loved has been taken over and my department ends up being gone .

I feel I am going to tell them that I need all my gas paid and cell paid and then I will except their old pay I was at .

What do you think they will say when I make this counter offer.

Diane

Specializes in MS Home Health.

Two more good people lost over gas, mileage, on call and cellular bills. Stinks. I understand 100% though.

renerian

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