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ACNP can't see kids.

This is how our MAC interprets it. It is inline with what you see here: There must have been a direct, professional service furnished by the physician to initiate the course of treatment of which the service being performed by the non-physician is an...

Umm that is a gross oversimplification of incident to rules. The rules require the physician see the patient and give a plan of care. The NPP then follows the plan of care and bills incident to as long as a physician from the practice is in the clini...

Fundamentally, the ICU care of transplant patients is critical care. The patient population depends on how the ICU is run. For our ICU you would be dealing with pre liver transplant patients, post op liver transplant patients, the occasional renal tr...

There is a huge difference between net profit and RVUs. It all depends on which end takes the risk. If you are bonused on RVUs then you get your bonus regardless of collections. If collections suck (get a lot of no pay, reimbursement gets cut etc) th...

I think that you are missing Juan's point. You are living in the land of ACOs and managed care organizations. If the patient was in an ACO for example, the referrals to neurology and pain cost them money. As far as referrals, I will also disagree. Th...

The key would be the contract. There are three issues that would change the reimbursement: 1. How are new patients allocated. New patients reimburse more. If the other positions cherry pick the new patients and then put them on your panel that will m...

Doesn't medicare require it to get an NPI?

Really this would imply that you are wrong: Supervision must be continuous but does not require the personal presence of the physician at the place where health care tasks are performed if the physician assistant is in contact with the supervising ph...

I'm going to let the NPs comment on whether you are within your scope of practice as an RN rounding, admitting, consults, ED closed reductions etc. I can't imagine you are in any state or hospital I've worked in. As for billing, for gods sake please...

This is pretty normal. Its really a two step question. First do they credential NP/PA/CNS? If the answer is no then the second question is how do you submit billing for a CNS? The usual answer is under the collaborating physicians NPI. There are only...

For PAs the standards are found here: http://www.arc-pa.org/documents/Standards4theditionwithclarifyingchanges9.2013%20FNL.pdf Clinical rotations start on page 16.

So the direct entry NPs have BSN and experience? PA schools have a variety of entry requirements including experience. I doubt anyone got in with just a history degree considering the pre reqs. Considering that the overall graduation rates for PA sch...

Take a serious look at IO's. Super easy to do. We are using them in all our code situations. They are good for 24 hours. Put one in at night when you can't get access. You can run just about anything through them.

Umm not what I would use. First APN is not the same in the US as Australia. Second the paper deals primarily with PICCs and single lumen CVLs which is very different than what is placed here in the US. The more definitive paper is here: http://www.m...

This should be doable. While most of the studies on this have take place at academic medical centers in response to loss of resident work hours, a number of community hospitals use PA and/or NP coverage to get 24/7 coverage. I wouldn't underestimate ...

This also points out a problem if you work at a tertiary medical center. These are the hospital that gets the oldest blood. We turn over our blood bank every few days. On the other hand a small hospital may turn it over every few weeks. So when the l...

It can happen to anybody. The hard part is distinguishing it from pulmonary edema or ARDS. In a case like Juan's its more straight forward. When someone has been in the hospital a while it could be PNA >> ARDS. It could be volume overload leadi...

I think the real take home here is don't give blood products that aren't indicated. Clearly in the absence of coagulopathy the FFP was never indicated. I would be willing to bet the PRBCs transfused the patient well over hgb of 7 also. The fundamenta...

Thats your choice. You are also presumably being compensated enough to afford it. I have a fair amount of experience with post graduate programs and this is definitely out of the ordinary.

Not to be critical, it looks like the residents have to provide their own malpractice insurance. I've never heard of a residency that requires the student to provide malpractice insurance.

For claims made policies you have to buy a tail. Ideally you negotiate this to be paid by the employer when you sign a contract. Generally you purchase this from the same company. There is something called a nose which is a tail for the old policy bo...

I'll preface this by saying that I know a lot about billing and coding and very little about how psych billing operates. Looking at the American Psychiatric Association billing section it appears that most inpatient psychiatrists bill in a manner to ...

We had a well known pediatrics group that would discharge the patient/family from the practice. In their intake material that the parents signed it was stated up front that the parents would comply with recommended vaccines unless their was a medical...

Its right as far as it goes. 99213 is 2.13 RVUs so around $73 here. So $511 per day. $2555 per week. 48 weeks (four vacation/CME) comes out to $122640 a year so spot on. Now figure salary at $90k. Add 30% for benefits and you're at $120k. So you have...