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Pay per visit

I am from Ohio and was wondering if anyone out there is familiar with any pay per visit agencies that service the Zanesville, Newark, Dover, New Philadelphia or Coshocton areas?

I do not mind driving a bit because I used to do work for a home health agency and it was probably the easiest money I ever made. I have tried to Google this and the company that I used to work for didn't even come up. I suck at Google.

To give you an idea of the money to be made, I was paid $25 per visit and had 65 visits per week and only worked 17 hours a week. Currently it takes me 2 weeks to take home that much. Essentially I basically doubled my income in half the time. You are probably wondering why I do not work for that company anymore. Well, as it turns out, they employed mostly LPN's, and let me tell you, I have never seen so many women p****d off RN's because we make more money than them and essentially do the same work except developing care plans and recertification's. Don't get me wrong, I have nothing wrong with LPN's and the way I see it, they have the same opportunity to go back and get their RN as I did. To make a long story short, we could not reach a common ground and felt it was in my best interest to walk away before things went sideways.

I hated having to walk away from that job because the money was killer. The best part is that I wasn't killing myself to take home a great paycheck. I have to work overtime to take home that kind of money. I guess I'm looking for ways to supplement my income because I work at a Hospital now and there is nothing worse than getting a call from the CC telling you that you're on call because the census is low. Anybody have any suggestions?

I am from Ohio and was wondering if anyone out there is familiar with any pay per visit agencies that service the Zanesville, Newark, Dover, New Philadelphia or Coshocton areas?

I do not mind driving a bit because I used to do work for a home health agency and it was probably the easiest money I ever made. I have tried to Google this and the company that I used to work for didn't even come up. I suck at Google.

To give you an idea of the money to be made, I was paid $25 per visit and had 65 visits per week and only worked 17 hours a week. Currently it takes me 2 weeks to take home that much. Essentially I basically doubled my income in half the time. You are probably wondering why I do not work for that company anymore. Well, as it turns out, they employed mostly LPN's, and let me tell you, I have never seen so many women p****d off RN's because we make more money than them and essentially do the same work except developing care plans and recertification's. Don't get me wrong, I have nothing wrong with LPN's and the way I see it, they have the same opportunity to go back and get their RN as I did. To make a long story short, we could not reach a common ground and felt it was in my best interest to walk away before things went sideways.

I hated having to walk away from that job because the money was killer. The best part is that I wasn't killing myself to take home a great paycheck. I have to work overtime to take home that kind of money. I guess I'm looking for ways to supplement my income because I work at a Hospital now and there is nothing worse than getting a call from the CC telling you that you're on call because the census is low. Anybody have any suggestions?

I thought that the basic Skilled Nursing visit for a Certified Home Care patient had to be a minimum of 30 minutes to be billable to Medicare or most insurers.

$25/visit sounds incredibly low but is that an average of 15 minutes per visit? And your company was billing for that regularly?

brillohead, ADN, RN

Specializes in Cardio-Pulmonary; Med-Surg; Private Duty.

I'm trying to wrap my head around seeing 65 patients in 17 hours.... were they all living in the same apartment building?

The coworker who told me she averaged 13-14 visits a day, and did as many as 15 or 16, also said that some of her visits were of the 5 minutes in length variety. She also said that she never wrote down 5 minutes because that would not have flown. Since she spread her visits between as many as five employers at a time, none of them, apparently, ever figured out how many of her visits were happening "over the phone" or not at all.

KelRN215, BSN, RN

Specializes in Pedi.

I'm trying to wrap my head around seeing 65 patients in 17 hours.... were they all living in the same apartment building?

Yes I'm also trying to wrap my head around that... that's an average of 4 patients/hr without factoring in driving time. I'm having a hard time believing that every visit done could be a 15 minute visit and that all patients could be that close together.

The coworker who told me she averaged 13-14 visits a day, and did as many as 15 or 16, also said that some of her visits were of the 5 minutes in length variety. She also said that she never wrote down 5 minutes because that would not have flown. Since she spread her visits between as many as five employers at a time, none of them, apparently, ever figured out how many of her visits were happening "over the phone" or not at all.

The most visits I've ever done in a day was 8 or 9... and that took ALL DAY from 8AM until after 5PM with no break and a few patients who were either very straightforward (BP check, subq injection ) or very close together (less than 1 mile). Seeing this many patients every day would not be feasible.

At the best of locations, I can't get from point A to point B in fifteen minutes or less.

such a visit schedule smells like fraud to me...

such a visit schedule smells like fraud to me...

Oh, she was bragging about her visit prowess all right, but didn't pull the wool over my eyes. All I had to do was to compare her bragging to the quality of the job she was doing at the extended care case that she "worked" on the night shift. She worked the case by sleeping at the client's home, in pajamas, no less. Of course, I never told her to her face what I thought of her "professional" behavior.

KelRN215, BSN, RN

Specializes in Pedi.

such a visit schedule smells like fraud to me...

Agreed. I did two very straightforward visits this morning (med compliance check/weight check and a subq injection) for kids that lived a mile apart from each other. It still took me an hour to do them both. There is no way you can see 65 patients in 17 hours.

We, as a population, have been trained to look at the individual consumer of the Medicare and Medicaid systems as the perpetrators of fraud costing "honest" tax payors big $$. The reality is that the bulk of the fraud and the costs of the fraud are found above the patient/recipient and is instead found in the MD offices, the clinics, the hospitals, the specialty care centers, the DME providers, etc.

It is easy to wrap around. 4 house within several streets of each other. 3 houses with 4 patients, 1 house with 1 patient. 13 visits for morning med pass, 13 visits in the evening for med pass. So, that's 26 visits per day. I worked 2.5 days which equals 65 visits at $25/visit. The minimum amount of time that I could bill for was 15 minutes. My morning med pass was approximately 3 hours for all 13 patients. It was roughly 3.5 hours in the evening. When I say the houses were in close proximity, I mean you leave the house your at and go around the corner to the next house. Its that simple, and yes it is feasible and was extremely feasible. The odd ball from the other 3 houses lived about 6 minutes from the others and that was because of traffic lights. Whoopie! 17 hours was what I billed for and pretty close to the actual amount of time I was actually there.

Billing had to reflect a minimum of 15 min/patient.

Yes, billing had to reflect a minimum of 15min/patient.

It is easy to wrap around. 4 house within several streets of each other. 3 houses with 4 patients, 1 house with 1 patient. 13 visits for morning med pass, 13 visits in the evening for med pass. So, that's 26 visits per day. I worked 2.5 days which equals 65 visits at $25/visit. The minimum amount of time that I could bill for was 15 minutes. My morning med pass was approximately 3 hours for all 13 patients. It was roughly 3.5 hours in the evening. When I say the houses were in close proximity, I mean you leave the house your at and go around the corner to the next house. Its that simple, and yes it is feasible and was extremely feasible. The odd ball from the other 3 houses lived about 6 minutes from the others and that was because of traffic lights. Whoopie! 17 hours was what I billed for and pretty close to the actual amount of time I was actually there.

Ah so you're not talking about Medicare certified intermittent visits.

Exactly. The company I worked for was contracted by a home health company to come in and basically just pass meds. They needed RN's as case managers for recerts and plan of care development. Got plenty of stories of the power struggles between both parties and butt kissing. It was very good money, but it always left me asking all kinds of questions. Nice for income supplement, but definitely not a rewarding career as a nurse.

Thanks for clearing things up

msteeleart

Specializes in Psych/med surg.

Libby1987, I just interviewed for an RN case mgr position and they said a skilled nursing visit is $25. I thought that was low too. I also interviewed for another RN case mgr position and they pay $28.50 per visit. I think that is low too. I have an interview on Tuesday at another home health place that 1099's their nurses. I just want to find something that is flexible and pays well. I currently work at a pediatric hospital working 2nd shift and I miss being with my family in the evenings. I work 4 days a week and on the days I work I do not get to see my family at all.

Libby1987, I just interviewed for an RN case mgr position and they said a skilled nursing visit is $25. I thought that was low too. I also interviewed for another RN case mgr position and they pay $28.50 per visit. I think that is low too. I have an interview on Tuesday at another home health place that 1099's their nurses. I just want to find something that is flexible and pays well. I currently work at a pediatric hospital working 2nd shift and I miss being with my family in the evenings. I work 4 days a week and on the days I work I do not get to see my family at all.

California has a higher COL in most places, but that does seem low. Your wages would be less than half of mine.

You can probably count on being able to work up to 6 visits/day, so $21.67/hr if you can do 6 in 8 hrs plus all of your case mgmt responsibilites, but it usually takes me 9 hrs to case manage and average 6/day.

OTOH, if you can get a year's experience you might be able to negotiate a better wage at another agency.

outside_child

Specializes in Rehab, Psych, Acute care, LTC, HH.

$25/visit sounds incredibly low but is that an average of 15 minutes per visit? And your company was billing for that regularly?

My agency pay $45 routine plus $25 on call and mileage. I think he forgot some things in his quote.

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