Pay per visit home health

Libby1987 · Jun 9, 2015

Your basic PPV rate (for a routine revisit) should be 1.5 X a reasonable hourly rate. An admissions should be 3 X hourly.

I prefer PPV for the autonomy and options to make more money that it allows me. When you're PPV no one micromanages you and calls you on time mgmt. I can take all day to see 3 people or 2 hrs and go home, as long as the work is done properly and completely it's my call.

KelRN215, BSN, RN · Jun 10, 2015

It's good if you can do a lot of visits that are simple and the patients are close together.

It's bad if the patients are complex and live far away from each other.

In my opinion, you make out better salaried. That way you don't lose money when patients are hospitalized or decide to not answer the door when you come from your visit or (as happened to me last week) don't call you to tell you that CPS took custody of the baby who's your patient yesterday.

Libby1987 · Jun 10, 2015

True, especially if they take the distance and acuity into consideration.

But if they expect high numbers regardless it may work out better at PPV depending on the salary vs PPV rate.

fnp3 · Jul 8, 2015

I went to a PPV interview the other day and if I remember correctly a basic visit was about $60. How do you complete your visit, do the paperwork involved, and travel 20-30 miles each way all in less than 2 hours? I decided to turn down the position because I didn't feel like I'd be making more than about $20 hour. Am I wrong in the way I'm thinking about this?

Libby1987 · Jul 9, 2015

I went to a PPV interview the other day and if I remember correctly a basic visit was about $60. How do you complete your visit, do the paperwork involved, and travel 20-30 miles each way all in less than 2 hours? I decided to turn down the position because I didn't feel like I'd be making more than about $20 hour. Am I wrong in the way I'm thinking about this?

First, if you're traveling 20-30 miles each way for each patient then no it doesn't work at all.

My basic visit rate is $65 and it works out to an average of $50/hr for me (which is $8 over our base hourly pay) but I have a specific territory where some patients are only short distances from each other, some around 10 miles, and then maybe one who is 20-30 miles in an outlying area. (Rural miles) I also live in my patient territory and I only drove in 1-2 x week, the rest I worked from home and might have a total of 30 miles from my front door and back on some days.

I've also been doing it forever, can multi task much of it and pretty much know every protocol/action to follow and take that comes with being in the same role for a long time.

Home Health Columnist / Guide · Jul 10, 2015

Nurse is applying for position @ Independent living community. Folks most likely will be living in a building environment or housing complex with minimal travel. Need to determine if this is a home health agency position (care provided billed to residents insurance -lots paperwork) or Resident care provided as part of IL benefit as "wellness checkup" = minimal paperwork.

Inquire how long last nurse was in position, facility staff turnover, care expectations to base decision on. I worked as wellness nurse for 6 months in IL --great job as I had one building and saw patients on my schedule (after children dropped off at school) along with fitting in times residents went to meals and activities. Minimal paperwork. I staffed onsite physician office for 4 hrs 2x wk for doctor sick calls/wellness checkups. Did 12hr shifts there during one flu epidemic too.

Another time, I was working for HH agency skilled intermittent visits and had SR Citizen building --took me 5 minutes between visits waiting for elevator--saw 6-10/day for med teaching/med prefills, BP checks, wound care. etc.