core0

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All Content by core0

  1. core0

    "express care guidelines"

    I'm assuming you mean guidelines on who can be referred to urgent care? Most hospitals use either the ESI system or the CTAS. For most places ESI 4 and 5 go to fast track (you can argue that most ESI...
  2. core0

    help i am torn between a job offer

    There are a couple of issues you have to consider. One is that you are presumably making a transition from an hourly profession to a salaried profession. The average FP physician works more than 50...
  3. core0

    Insurance reimbursement

    Interesting question. Short answer is that from my understanding fraud has to either have active participation or complicity. So merely hearing that someone is billing Medicare fraudulently would not...
  4. core0

    Insurance reimbursement

    There is a guy named Michael Powe who is the director of health systems and reimbursement policy for the AAPA. He maintains that if he does nothing else, he can continue to be gainfully employed just...
  5. core0

    Insurance reimbursement

    You can only bill incident to if the physician is present in the same suite of offices and did the initial encounter for that particular problem. Here is an article that discusses it (registration...
  6. Our program doesn't do NHBOD. We are in an area with relatively low MELD to transplant so it doesn't make as much sense. It seems to be more common in high MELD areas such as the Northeast or...
  7. \Actually it was invented in this country: http://www.medscape.com/viewarticle/563803_2 David Carpenter,
  8. When I re-read this I agree. I don't think I've ever stated it this way exactly (although I've certainly thought it). I educate when I can but if I run into one of the few nurses that just don't care...
  9. In theory. However, who would an endocrinologist hire. Presumably an ANP since this is an outgrowth of internal medicine. However, the ACNP claims this as their domain also. Also what about EM. Urgent...
  10. core0

    Grandfather clause for DNP?

    Actually I don't think this is completely accurate. There are still a number of NPs that are practicing without any degree. Depending on what source you use the percentage of NPs that do not have an...
  11. core0

    Malpractice Premiums

    The other issue is that most of these policies are claims made policies. In claims made policies the premium starts low and rises every year until it stabilizes. This is because the first year...
  12. TX isn't that different than any other state. All of them generally follow the State BONs recommendations. TX is unusual in that they actually enforce the recommendations for scope of practice. I...
  13. core0

    VENT: My Frustrating 1st ACNP Job

    good luck. my prediction is that if she goes off on her own the practice would be bankrupt in less than a year. much less if there is competition. david carpenter,
  14. If CRNAs were NPs that would be true. Or you could include CNS in the equation and then the NP average salary would be less. David Carpenter,
  15. core0

    Hep C+ and organ donation

    The HIV exclusion is pretty universal. Even programs that transplant HIV positive recipients will not take HIV positive organs. However, the decision on HCV positive organs is made by the receiving...
  16. core0

    Hep C+ and organ donation

    Here are the guidelines from the CDC. http://www.cdc.gov/mmwr/preview/mmwrhtml/00031670.htm Drug OD is not a contraindication. IVDU is. A lot of donors are because of stroke secondary to cocaine...
  17. A business card is a very nice way of letting a patient know who is taking care of them. I hand them out to every patient so they know who is seeing them. To follow up on TraumaRus' statement. Go to...
  18. You really can't claim anemia based solely on RBC. Anemia is technically a deficiency in hemoglobin. If you look at the CBC there are three values that essentially measure the same thing in different...
  19. core0

    VENT: My Frustrating 1st ACNP Job

    you wrote your first post in march and you are still having problems in june. i hope this works out but in my opinion the practice shows classic signs of not understanding npp practice. they knew you...
  20. core0

    ANP vs. FNP for cardiology?

    This is actually becoming an issue for FP. Most FP programs traditionally have spent their intern year doing inpatient medicine. This gives them a good background in inpatient medicine. However, some...
  21. core0

    Emory NP student help pls?

    The ACNPs here said that most students have 1-2 years critical care experience before applying. I would call the PD if you have any questions. David Carpenter,
  22. core0

    ANP vs. FNP for cardiology?

    This is very region dependent. It depends on how closely the BON adheres to its own rules. It also depends on other outside factors. There are essentially three entities that can limit scope of...
  23. yes this just drives the pas crazy. what ever will we do. oh yeah we'll just have to fall back on 40 years of proven clinical competency regardless of the degree given. this is one of the basic...
  24. For that amount of patients thats a pretty good salary. Unless you are doing a lot of cosmetics they are probably going to lose money on you. The benefits are OK but toward the bottom end (pretty...
  25. core0

    Is this bonus offer far fetched?

    If you're not going to the OR it will be very difficult if not impossible to get your billing over $210k. This is especially true if you are seeing post op follow up patients as you cannot bill for...