core0

Member

  • Content

    1,831

  • Visitors

    18,279

  • Followers

    0

  • Likes

    48

All Content by core0

  1. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    PAs do work in L&D. There is even a OB-GYN fellowship for PAs: http://www.appap.org/ca.html#one There is also a PA specialty group for OB-GYN: http://www.aapa.org/gandp/issuebrief/womenh.pdf...
  2. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    Two issues. NPs in all states can be directly reimbursed. This is pretty much the only difference between PAs and NP under Medicare. PA reimbursement must either go to the supervising physician or the...
  3. core0

    ER mid-levels - how to get along with MDs.....

    core0 replied to traumaRUs's topic in Nurse Practitioners, NP

    I've seen this before. At a previous job the cardiology NPs (and physicians) were convinced that the NPs couldn't do the assessment and the plan. They were confused when I would see the patient and...
  4. core0

    NPI and DEA?

    core0 replied to emtneel's topic in Nurse Practitioners, NP

    You can do it online here also: https://www.deadiversion.usdoj.gov/webforms/jsp/regapps/common/updateLogin.jsp David Carpenter,
  5. core0

    NPI and DEA?

    core0 replied to emtneel's topic in Nurse Practitioners, NP

    as far as i know its $551 for three years. i don't think there is a way to pay it yearly. david carpenter,
  6. core0

    Now, Wait A Dang Minute, Here!!!

    core0 replied to AngelfireRN's topic in Nurse Practitioners, NP

    Pretty much. They leave out the summer vacation between the 1st and 2nd years. They also leave out all the elective rotations which brings you down to 3 years. The electives are where most people do...
  7. core0

    How to remove staples and use steri strips

    core0 replied to crawlyberry's topic in General Nursing

    My opinion, you didn't do anything wrong. This is one of two issues. Either the staples came out too early or the wound was going to open no matter what you did. This is a relatively normal issue with...
  8. core0

    Now, Wait A Dang Minute, Here!!!

    core0 replied to AngelfireRN's topic in Nurse Practitioners, NP

    If I remember correctly the you pay three years of tuition instead of four. You agree to work in primary care for a set number of years or you owe them one or two years tuition (around 50k if I...
  9. core0

    Now, Wait A Dang Minute, Here!!!

    core0 replied to AngelfireRN's topic in Nurse Practitioners, NP

    I would like to see this also. There are specific rules that prevent anyone from getting a medical degree without three years of medical school. There is a program at LECOM that is three years long....
  10. core0

    C-Dif

    core0 replied to EJSRN's topic in General Nursing

    Positive for c-diff antigen does not require isolation. Positive for C-diff toxin requires isolation. Positive for c-diff toxin antigen requires isolation. Per our policy C-diff antigen is isolated...
  11. core0

    Normal PT/INR w/DIC??

    core0 replied to oeue2007's topic in General Nursing

    Mild DIC can have a normal PT/PTT the only abnormality is usually in the fibrin degradation products. However, this is usually not associated with massive bleeding. In this case I would consider HIT...
  12. core0

    medicine without a license

    core0 replied to georgianurseRN's topic in General Nursing

    This whole thing is kind of interesting. For the OP here is the appropriate law from the medical practice act 43-34-26: (a) If any person shall hold himself out to the public as being engaged in...
  13. core0

    C-Dif

    core0 replied to EJSRN's topic in General Nursing

    Not quite. A substantial portion of patients will be colonized with asymptomatic C-diff. This only becomes a problem if the other bacterial flora becomes suppressed allowing the C-diff to flourish....
  14. core0

    2 potential jobs!!!

    core0 replied to emtneel's topic in Nurse Practitioners, NP

    We have a night differential of around $150 for nights (so around $12.50 per hour). On the other hand those are for 36hr positions (pays 90% of full time). I would try to find out a little more about...
  15. core0

    2 potential jobs!!!

    core0 replied to emtneel's topic in Nurse Practitioners, NP

    $40/hr is the average for all NPs from advance. College Health is the worst paying specialty (even accounting for the nine month positions) averaging $35 per hour. Throw in housing and it sounds like...
  16. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    I really tried to stay out of this, but for the benefit of others I will put this as succinctly as possible. 98% of NPs work for physicians, physician practices, HMOs or hospitals. Generally the...
  17. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    From this: http://www.physiciansnews.com/business/403burke.html Medicare defines "collaboration" as being a process in which a nurse practitioner works with one or more physicians to deliver...
  18. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    My point was that even in the 12 states that do not require physician involvement to prescribe or treat, there is still a requirement to have a collaborating physician to bill Medicare (and most other...
  19. core0

    Differences (Educative/Clinical) between NP & PA

    core0 replied to jstuben's topic in Nurse Practitioners, NP

    So tell me in what state can an NP practice independently (including prescriptive authority) and bill all insurances including billing for medicare and medicaid without the need for any physician...
  20. core0

    Any billing gurus?

    core0 replied to ghillbert's topic in Nurse Practitioners, NP

    The risk of complication refers to the overall risk for the disease and the treatment. There is a published table of risk management that outlines the risk involved in three areas. The presenting...
  21. core0

    Any billing gurus?

    core0 replied to ghillbert's topic in Nurse Practitioners, NP

    So what you have is HPI - 3 elements ROS - 3 elements Hx 2 elements You really only have two ROS elements (flank pain is part of GU). However again that is enough for detailed (2 bullet points in 2-9...
  22. core0

    Any billing gurus?

    core0 replied to ghillbert's topic in Nurse Practitioners, NP

    I teach PA billing which is very similar. I would be happy to look at it. Or you can post it and we can all learn (if that is allowed). For those that are new to coding I recommend the MPECS workshop...
  23. core0

    part time NP job what should I expect them to pay for?

    core0 replied to johnson0424's topic in Nurse Practitioners, NP

    Agree with this. Malpractice should be provided. Other than that it would be unusual to get any benefits for 16 hours. David Carpenter,
  24. core0

    Billing Issue

    core0 replied to ANPFNPGNP's topic in Nurse Practitioners, NP

    There have been no Medicare changes for DNPs. You could bill at 100% if you do incident-to. Or you could commit Medicare fraud which will also net you 100%. Looking at the upcoming MEDPAC it isn't...
  25. core0

    1 month notice?

    core0 replied to lannisz's topic in Nurse Practitioners, NP

    If you are at will there is no requirement that you give them any notice, just as there is no requirement that they give you any notice. This is the definition of at will. There are exceptions but for...