JEKA

Thanks for the replies. There was an ad for a pain management NP out pt. no weekends or holidays! wasn't sure what it entailed

Hi, I am just wondering if there are any pain management NPs out there. If so, what is your role? thanks

Are nurse practitioners allowed to see medical assistant patients in the hospital? My billing people are saying that we will not get paid for a NP visit in the hospital, only if seen in the office. They say that medical assistance requires a doctor to see the inpt. This doesn't sound right to me. Can anyone shed some light on this for me. I am in Pennsylvania (not sure if that makes a difference). Thanks

WOW, you guys are fantastic and this site is awesome. Thank you all so much

I cover for a busy clinic practice every 5th weekend or so. This is part of my "on call" schedule with my employer. Anyway, I have been sent to the ER to evaluate pts and have gotten calls re: patients in the ER. I have given admitting orders for many, many patients. My billing person now thinks that NPs cannot not admit to the hospital and asked the medical credentialling person if I have admiting credentials. She was told that I do not. My boss seems to think the billing specialist is mistaken. I am unsure if this is a hospital policy or a CMS rule. My question is simply, Can an NP admit a patient to the hospital or would he/she have to write the order as a "verbal" order from the dr? Thanks

I am curious to know how many NPs have their DEA license. I was planning on applying for one but decided against it when I found out it would cost over 500 dollars. Any advice? Thanks. Oh, I work in cardiology ( I see both hospital inpatient as well as office). T

I am curious to know of any good resources for pharm. Now that I am "practicing" I am wondering if there are any pocket type "bullets" for prescribing. Stuff like if pt has this and is allergic to that give this or PO equivilants (conversions) for IV antibiotics etc. For ex. is Levaquin 750 mg IV the "same" as Levaquin 750 mg PO. I don't remember any thing like this in class. Maybe I need to go back to my notes. Thanks.

"however, medicare requires that the doctor see new patients and they will only let the midlevel bill at 100% if the midlevel is treating the patient for an illness/disease for which the patient has already seen the doctor." i'm confused. what about nps that have their own practice, or when we see patients in the hospital for consults and/or h&ps? "if the phyisician sees the patient and preforms all the elements of the visit he can bill for the visit. if you follow for the problems that the physician has specifically indicated a plan for you can bill at 100% under incident to. otherwise you can bill at 85% of the physician fee." so, if i see cardiology patients for follow-up and nothing cardiac wise developed, i can bill for 100% under the dr.'s # as incident to? even if he isn't in office? what about when i see new patients and the physician is in the next room? do i bill under my number for 85% or his for 100% "it depends on the insurance and most will reimburse at 100% if the doctor is on site (they don't even have to see the patient!)." how can this be? is this only for private insurances or medicare too? thank you all very much for the great information.

I'm on the "other side" of the state. NEPA (Poconos area).

I am relatively new and have some questions re: to billing under my # and the doctors. I am sure some one out there has the answers. 1.) Can an NP see a new patient on her/his own or does the dr. have to see new patients ( in the office). 2.) Currently I am seeing the patients in the office and then, at a later time (either that day or even the next morning) I talk with the dr. and review every patient I saw and explain what I ordered etc and if he wants something additional or different, I would contact the pt. This goes for new and existing patients. Sometimes, if he is in the office, I will discuss it with him at that moment, and he may even come in to the exam room and see the patient if I need him to look at or listen to something. We are billing under my number and of course getting 85% but can we bill at a higher level since he is being consulted on just about every case? 3.) When I discuss the case with him or he comes in and examines the patient, how should I document that? Is it enough to say in my note that this was discussed with dr. and WE have decided to ......? Thank you.

I think there is actually a "sample" or template of a collaborative agreement posted on the Pennsylvania BON website. What part of PA are you from? Just curious as I am from PA too.

:icon_rollOk, I know this is probably a really corny question but here it goes :icon_roll My boss is getting business cards made up for me and asked me how I wanted them written. Should it just be "Nancy Nurse, C.R.N.P." or "Nancy Nurse, M.S.N., C.R.N.P" etc. or should it say FNP or CRNP and then spell out Family Nurse Practitioner etc. See, told you it was corny but I really don't want to make a stupid mistake on the cards. Thanks.

I am unable to get to the page that both of the links lead to. It must be my computer but I don't know how to fix it. thanks

I would love to be able to review the worksheets that David's link leads to, but for some reason I am unable to pull up the page. Can you either repost the links or post the sheets? Thanks

I am wondering if anyone knows of any websites, books etc that may have some case studies (esp cardiac) that I can use. I am a new NP and new to cardiology as well (6 months). I am at the point now where things are settling down and I can now focus on some specific senarios. For example, pt comes in with "xyz" symptoms and "abc" shows up on echo how would you treat it etc. Any ideas? Thanks