Oldmahubbard

Oldmahubbard

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All Content by Oldmahubbard

  1. NPs who don't bill

    Oldmahubbard replied to britt_possible's topic in Nurse Practitioners, NP

    The doctors look at the patient with their eyeballs, but they don't repeat your physical exam to verify it, do they? I thought not. Now you have to decide whether to whistleblow the fraud, which goes...

  2. NPs who don't bill

    Oldmahubbard replied to britt_possible's topic in Nurse Practitioners, NP

    The services are "rendered under the physician's immediate personal supervision", ie the doctor is standing right there in the room? What would be the point of that? They must be an" incidental, but...

  3. NPs who don't bill

    Oldmahubbard replied to britt_possible's topic in Nurse Practitioners, NP

    Apparently there is a legal way for the NP to see the pt, then the MD, and the MD bills at the higher rate. I have heard of it, I just don't understand the logistics, and how it pays off financially....

  4. NPs who don't bill

    Oldmahubbard replied to britt_possible's topic in Nurse Practitioners, NP

    Most of the private insurers I am familiar with do credential

  5. NPs who don't bill

    Oldmahubbard replied to britt_possible's topic in Nurse Practitioners, NP

    If the MD bills without personally evaluating the patient, it is fraud. Personally, I would be looking for another

  6. Gave up DNP

    Oldmahubbard replied to LookForward's topic in Advanced Practice

    Yep. It's just a question of time for

  7. Prescribing Medical Marijuana

    Oldmahubbard replied to iriska_meller's topic in Advanced Practice

    I have read that weed can replace all kinds of "toxic drugs". It is supposedly safer and more effective. The jury is definitely out. It is going to take a lot to convince

  8. My DoN is a terrifying nepotistic bully. What do I do?

    Oldmahubbard replied to Illmarinen's topic in General Nursing

    Although I am a Psych NP, it never ceases to amaze me how many extremely dysfunctional people there are, some of whom rise to some type of position in spite of it. This seems to be especially...

  9. Lack of Pharmacology Info

    Oldmahubbard replied to clarria24's topic in General Students

    At the RN level, you are expected to recognize different basic categories of drugs, their use, and very general side effects. Even when working, you will still have to look stuff up. It is

  10. Second degree / career change

    Oldmahubbard replied to Nutritionturnednurse_tn's topic in Diploma, ADN, BSN

    Have you checked out an ADN at a nearby Community College? They are usually inexpensive. That is what I did 30 years ago when I was in your shoes. LPN, no. Do not do it. No jobs except in LTC and your...

  11. Skills/Competencies

    Oldmahubbard replied to punkdmm's topic in LTC: Directors, Assistant

    If there were ever a problem, and an investigation at your facility about nurses maintaining competencies, I doubt the teddy bear would pass. The fact that this sort of thing goes on in 2018 floors...

  12. Cost vs benefit of BSN at middle age

    Oldmahubbard replied to Grengemly's topic in General Nursing

    The biggest benefit I can see is that the BSN is likely to extend your career (and earning power). You will probably need to work 17 more years if you are 50. That is a lot of years. Will you be...

  13. How many years of experience necessary to be psych NP?

    Oldmahubbard replied to lakekio12's topic in Nurse Practitioners, NP

    Is this a troll question? Seriously, you will need a ton more experience in the field if it is

  14. "That's a myth about nursing"

    Oldmahubbard replied to Emergent's topic in General Nursing

    Even at the height of the greatest shortages I have ever seen, the shortage is concentrated in jobs almost nobody would

  15. How many years of experience necessary to be psych NP?

    Oldmahubbard replied to lakekio12's topic in Nurse Practitioners, NP

    I would recommend working full time in psych, and going to school part-time. You'll need a solid base if you care about being any good. Yes, it is all med management, but it is also, and most...

  16. Prescribing Medical Marijuana

    Oldmahubbard replied to iriska_meller's topic in Advanced Practice

    A resident with a "card" is using it via vape in one of my LTC facilities. She is flying higher than a kite. The caveat is she has to pay for it herself, and most residents only have 50 dollars a...

  17. Cost vs benefit of BSN at middle age

    Oldmahubbard replied to Grengemly's topic in General Nursing

    The main positive I can offer is that you might be able to work a less physically demanding job, and thus extend your career by several years, or even more. I would not go into substantial debt for...

  18. First job woes

    Oldmahubbard replied to ArmaniX's topic in Nurse Practitioners, NP

    The thing about starting at 97, is that 5 years later you'll probably be making 108. After taxes, and inflation, the difference will be negligible. On the other hand, as a new NP, you haven't yet...

  19. First Job, Unsure of Role

    Oldmahubbard replied to missdeevah's topic in Nurse Practitioners, NP

    Sounds like some flexibility and assertiveness will be needed, and a learning situation even if it doesn't work

  20. Standardization of NP Education

    Oldmahubbard replied to RN-dancer's topic in Nurse Practitioners, NP

    Advanced nursing practice = doing what doctors no longer deign to do in underserved populations, for 2/3 the pay, if you are very

  21. Gave up DNP

    Oldmahubbard replied to LookForward's topic in Advanced Practice

    Concerning the old NPs from 30 years ago with just an ADN and a certificate, who were grandfathered in, and there still are a few- I hope they are settled in a job and very near retirement. It would...

  22. First Job, Unsure of Role

    Oldmahubbard replied to missdeevah's topic in Nurse Practitioners, NP

    This would make me nervous, because it could go either way. You could be the NP pioneer in the organization that opens their eyes, or it could go splat. Not having an office really concerns me. Where...

  23. PMHNP Additional Certifications and Education

    Oldmahubbard replied to Theofficenh's topic in Psychiatric

    From having worked private practice, Community Mental health Clinic, Forensics, and geriatrics/LTC, I can tell you that each psych population is different and offers new

  24. What song describes your workplace environment?

    Oldmahubbard replied to Blackcat99's topic in Geriatric, LTC

    "She works hard for the money" Donna

  25. Standardization of NP Education

    Oldmahubbard replied to RN-dancer's topic in Nurse Practitioners, NP

    My program from 20 years ago. But are similar classes still