core0

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All Content by core0

  1. core0

    FNP or AGNP

    core0 replied to Nurse8486's topic in Advanced Practice

    ACNP can't see
  2. core0

    NP Salary

    core0 replied to Surface's topic in Student Nurse Practitioner

    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...
  3. core0

    NP Salary

    core0 replied to Surface's topic in Student Nurse Practitioner

    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...
  4. core0

    Common meds in transplant ICU

    core0 replied to Melissa1986's topic in MICU, SICU

    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...
  5. core0

    Contract negotiation

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

    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...
  6. core0

    I need to vent...politics of private practice

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

    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...
  7. core0

    Contract negotiation

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

    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...
  8. core0

    Rehashing the 2015 DNP Requirement Debate

    core0 replied to ricardoj's topic in Advanced Practice

    Doesn't medicare require it to get an
  9. core0

    NP vs PA vs CNS

    core0 replied to OriolesMagic's topic in Advanced Practice

    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...
  10. core0

    Orthopedic FNP Texas

    core0 replied to littlebelle1293's topic in Advanced Practice

    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...
  11. core0

    Insurance credentialing for CNS

    core0 replied to aruhoff's topic in Advanced Practice

    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...
  12. core0

    NP clinicals vs PA clinicals

    core0 replied to 34years's topic in Student Nurse Practitioner

    For PAs the standards are found here: http://www.arc-pa.org/documents/Standards4theditionwithclarifyingchanges9.2013%20FNL.pdf Clinical rotations start on page
  13. core0

    NP vs PA vs CNS

    core0 replied to OriolesMagic's topic in Advanced Practice

    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....
  14. core0

    NP's in Non-academic Medical Center ICU's

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

    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...
  15. core0

    NP's in Non-academic Medical Center ICU's

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

    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...
  16. core0

    NP's in Non-academic Medical Center ICU's

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

    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...
  17. core0

    Case Study: "A Case of Bad Blood"

    core0 replied to Corey Narry's topic in Critical Care

    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...
  18. core0

    Case Study: "A Case of Bad Blood"

    core0 replied to Corey Narry's topic in Critical Care

    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...
  19. core0

    Case Study: "A Case of Bad Blood"

    core0 replied to Corey Narry's topic in Critical Care

    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...
  20. core0

    NP residency/fellowship

    core0 replied to ryguyRN's topic in Student Nurse Practitioner

    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
  21. core0

    NP residency/fellowship

    core0 replied to ryguyRN's topic in Student Nurse Practitioner

    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
  22. core0

    Malpractice Insurance Questions

    core0 replied to jennylynn_1983's topic in Nurse Practitioners, NP

    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...
  23. core0

    Psych NP inpatient per patient fees?

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

    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...
  24. core0

    How do you approach parents who refuse pediatric vaccines?

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

    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...
  25. core0

    Salary for New Primary Care PNP

    core0 replied to tussah10's topic in Nurse Practitioners, NP

    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...