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Our system doesn't recognize the CNL in particular but it sets you up for promotion. They require BSN for charge nurse and MSN for nurse manager. One of our new grad nurses with CNL was precepting after one year charge nurse after two years and is in...

Your question doesn't completely make sense. A physician cannot bill for APP critical care. Critical care cannot be shared billing and can only be billed to the NPI of the provider who does the work. If the physicians are billing for APP critical car...

Each insurer has their own rules. It sounds like you are in some kind of captitated plan. You get paid no matter how many times you see the patient. Medical necessity has nothing to do with it. Usually you do extensive modeling to make sure you don't...

Correct. Also you can bill shared services in a hospital based outpatient clinic.

No incident to is for outpatient encounters where the physician sees the patient for the first encounter and documents it. The PA or NP then sees the patient for additional encounters for that condition. As long as the physician is present in the sam...

Just out of curiosity, you're aware that you can't bill incident to for inpatient work? You can use shared billing but the documentation requirements are much more than a signature.

Basically with 5FTEs on Days and 5 on nights we have 2 people 24/7 coverage. This is with one Weekend option on both days and nights. In reality we have 9.8FTE. We have 4 full FTEs on days and one .66 FTE WEO. On nights we have 4 full FTEs (includin...

We use a five person schedule. We have four people on 3 x 13.3 hour shifts (6am to 730p) rotating schedules and one person on weekend option. Our rotating people get $150 per weekend shift and the weekend option person gets $20k above base pay. Our n...

I'll throw out another method. Enlist for 68C LPN then either use the LPN for green to gold or do your time and get out use the GI bill to do a LPN to BSN program. Just make sure you are OK with the military, its not for everyone.

From the USAF New Bagram hospital offers state-of-art care

I'll point out the the money for the second is probably more than the first. If you look at the self-employment taxes alone you are looking at $96000 for the first job (in a W2 job they take out around 7.5% for SS and Medicare - for 1099 you have to ...

While $20k is quite a bit of money, there are other factors. 1. You have already accepted the other job. Depending on your area this has implications. In our organization if you accept then renege you go on the do not hire list. Also people talk. De...

I work in a large academic medical system. CNS have prescribing privileges here but in the hospital system are used in the traditional role. Almost every unit has one and some have 2. The CNS is the clinical lead for the program or area of defined nu...

Its a little more complicated than that. Generally if assist is part of the job it doesn't add to the salary. Instead if you don't assist and they have to find another assist the salary is less. This is why a lot of academic surgery jobs pay less (re...

Just like anyone else residents are a bell curve. Most will be average, some will be excellent and the rest - well meh. Fundamentally, the attending is responsible for GME residents. They should be aware enough about what's going on to step in and co...

Why isn't the program using something like Typhon? It not only counts the encounters but basic demographics, CPT and ICD-10. This allows programs to compare students.

Usually in the context of failing PFT is physical fitness test not pulmonary function test. So you have to pass a physical fiteness test. Whether asthma is a disqualifier is depedent on your PFTs and how well controlled.

1. Our Unit has 9.5 FTEs. There are two of us that are less than full time. We have more than 100 APPs across our center. Our unit also has 4-8 residents per month who take night call if not interns. Less than 1/2 of our ICUs have residents. 2. We w...

The real question is why are you cooling to 33? There is a ton of good evidence that cooling to 33 leads to increased complications without better outcomes. This is a pretty good review of the latest study but your resuscitation committee should be ...

It depends on the insurance. If this is private insurance then its per the contract. Since many private insurance companies don't credential NPs they instruct the office to bill under the physicians NPI. On the other hand, for Medicare, new patients ...

Did you actually read the link that you posted. Those are all post PA program masters for PAs that graduated from non masters programs. There are a number of PA programs that have an online component, but ARC-PA standards would prohibit an online pro...

We have a graded system that seems to work 1. Code sepsis - positive sepsis screen - an ICU nurse goes to the patient. Assesses and if septic can give fluid and get BC. Communicates with provider. If unable to reach provider can call ICU provider for...

So lets look at our prospective NP: "But they could help MDs like Dr. Heidi Schmidt, a Juilliard-trained opera singer and entrepreneur who graduated from American University of the Caribbean School of Medicine on the island of St. Maarten. She recei...

The PA hours are pretty easy when you consider that its a full time job. The first year is didactic but most programs have some clinical component. Ours was 4 hours a week either doing H&Ps inpatient or following a PA in different clinics. Total ...

You've run into a problem frequently seen with large corporations. Likely the HR person has a salary matrix and is reading off of that. The other items will be fixed as they can't vary among members with the same job description. The issue you have a...