Hi All, i just wanted to get everyone's opinion regarding participating in a practice that does not allow me to bill. Heres the story...
So I work in an independent practice state. I work in an outpatient clinic for a specialty clinic at a hospital. There are 8 nurse practitioners who are inpatient only. The inpatient NPs do rounds/consults, as well as manage the patients on the service, and are the pre/post procedure NPs. None of them are allowed to bill for their services. They do the work, the MD signs off on their notes and drops the bill. Same for me, i see about 10 patient per day in the clinic, i do the H&P, prescribe Rx, help formulate plan of care, write the note...the MD comes in behind me signs off on the note, drops the bill. I am also responsible for typical outpatient NP duties, such as responding to patient phone calls.
I have a couple of qualms about this job (mostly because i feel like a glorified RN, i made anther post about it a month ago), but i am getting close to annual review time. It donned on me that not only am I under the hospital restrictions re: my pay increase, but i can't ask for an additional raise because i don't have proof of productivity because i don't bill. The docs here are bankrolling from the NPs while we are ALL getting paid the minimum by the hospital. While our director throws many a parties and talks often about how much the department makes, but the NPs never get a raise aside from the yearly 1-2% from the hospital. I understand that not all money made can be allocated to payroll, but does anybody see this as a little fishy? I previously worked at a practice where i did my own billing; i came to this job thinking i would have more support and eventually they would let me bill independently; but now im not so sure? Their reasoning for doing all the billing is that because they do procedures, the patient should always see the MD. Thoughts???
