core0

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All Content by core0

  1. core0

    CNL Program Applicant

    core0 replied to Nurse3242's topic in Advanced Practice

    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...
  2. core0

    ICU NP/PA schedules

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

    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....
  3. core0

    Is this legal or illegal?

    core0 replied to MegRyanGirl's topic in Advanced Practice

    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....
  4. core0

    Any Hospitalist APRNS?

    core0 replied to traumaRUs's topic in Advanced Practice

    Correct. Also you can bill shared services in a hospital based outpatient
  5. core0

    Any Hospitalist APRNS?

    core0 replied to traumaRUs's topic in Advanced Practice

    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...
  6. core0

    Any Hospitalist APRNS?

    core0 replied to traumaRUs's topic in Advanced Practice

    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
  7. core0

    ICU NP/PA schedules

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

    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...
  8. core0

    ICU NP/PA schedules

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

    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...
  9. core0

    17 and thinking of Joining the Army for nursing

    core0 replied to DaeshawnWisdom's topic in Government, Military

    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...
  10. core0

    What is Bagram AFB Hospital Like?

    core0 replied to St.BaptistRN's topic in Government, Military

    From the USAF New Bagram hospital offers state-of-art
  11. core0

    Thoughts on these job offers please!

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

    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...
  12. core0

    Is taking an occupational health NP job as a new grad advisable??

    core0 replied to CynCyn26's topic in Nurse Practitioners, NP

    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...
  13. core0

    Non-Prescribing CNS-What's Your Role?

    core0 replied to MurseJJ's topic in Clinical Nurse Specialists, CNS

    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...
  14. core0

    Billing As A First Assist

    core0 replied to Nolagrace1202's topic in Nurse Practitioners, NP

    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...
  15. core0

    Issues with residents

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

    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...
  16. core0

    lying about clinical hours

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

    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
  17. core0

    Can I join the army with asthma

    core0 replied to Thevigilante's topic in Government, Military

    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...
  18. core0

    Critical Care NP/PAs

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

    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....
  19. core0

    Acetaminophen use, liver damage, and ICU

    core0 replied to FerrousVirago's topic in Critical Care

    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...
  20. core0

    Is this Fraud?

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

    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...
  21. core0

    Why have you decided to become a NP and not a Doctor?

    core0 replied to Lightning90's topic in Nurse Practitioners, NP

    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,...
  22. core0

    Rapid Response vs Code Blue?

    core0 replied to JennyJo22's topic in Critical Care

    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...
  23. core0

    Experienced NPs

    core0 replied to Jules A's topic in Nurse Practitioners, NP

    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...
  24. core0

    My professor told us NPs have no future...

    core0 replied to anilechim's topic in Student Nurse Practitioner

    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...
  25. core0

    New NP, embarrassing salary offer!

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

    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...