core0

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All Content by core0

  1. core0

    Question on boilerplate text in chart notee

    For some reason I can't quote the OP. However, what about inserting a .phrase "the text below is automatically generated and may or may not reflect services performed"
  2. core0

    This is why...

    https://www.medpagetoday.com/meetingcoverage/acep/106708
  3. core0

    Comparing NP and MD Earning First 10 Years

    Interesting. In theory, a fellowship is not needed so that would change the tipping point for the psychiatrist closer to 9 years. I didn't think that most psychiatrists did fellowships, but the American Psychiatrist data shows more than 1/2 of reside...
  4. core0

    Anyone prescribing Ivermectin or Hydroxychloriquine?

    He also lost his license and his job. He no longer has a license to practice medicine in the United States.
  5. core0

    The economics of PA vs. NP

    Considering the first PA program was established in 1965 and the first NP Program was announced in 1967 clearly the PA profession was a response to the Original NP Program that would be established in 2 years. The rest of your information is equally ...
  6. core0

    Earning a PhD in Nursing after a JD and MSN

    I normally tell someone to follow their dreams, but the route you have charted doesn't make any sense. I will put a caveat that if you have a full ride or mostly full ride to a top 10 law school then you should absolutely take it. Otherwise the reaso...
  7. core0

    NP residency and salaries

    They are both in the abstract supplement of Critical Care Medicine. Presented at the last SCCM conference. https://journals.lww.com/ccmjournal/FullText/2020/01001/111__MEASURING_ADVANCED_PRACTICE_PROVIDER_CRITICAL.79.aspx https://journals.lww.com/cc...
  8. core0

    NP residency and salaries

    1. Depends on your organization. Our organization gives you 1 year experience - which leads to a raise one year earlier and $20k a year for the first two years (which sort of makes up the difference between the resident salary and the normal starting...
  9. core0

    NP's how are you these days?

    We are using Remdesivir in trial. Most of our other patients are getting Hydroxychloroquine (dosing 400 mg PO 12h x 2 doses, then 200 mg PO q12h x 5-10 days (tablets can be crushed & dispersed in water; preferred to remove film coat w/ alcohol b...
  10. core0

    Acute Care NP Schedule?

    For our ICUs it all 3 x 13.33 usually 630a to 800p or the reverse. Usually get out by 730 but sometimes there until 9. Most of our specialty APPs are Monday through Friday 8 hours although some are going to 4 x 10s with rotating weekends. Most of the...
  11. core0

    Writing help

    Presumably you have word. Next you need to get Endnote. This is a bibliography manager. When you install Endnote it will attach itself to Word and work inside Word. You select the citation style and it will do the style (such as APA) automatically. C...
  12. core0

    Question re APP billing

    So the only way that a physician can bill for a APP service is split/shared billing. Here'e what Medicare has to say about that (via the hospitalist): "However, shared/split rules restrict the services reported under this billing model, recognizing ...
  13. core0

    Question re APP billing

    It depends on how they are credentialed. Generally in our institution they are licensed NPs and PAs. As such you can't have their procedures billed under the collaborating physician. Either you don't bill for the procedures or you credential them lik...
  14. Three issues: 1. The RVU bonus should be based on the RVUs you earn. The deduction comes on the payment per RVU, not the RVU, so they shouldn't make you earn more. 2. Since you don't work full-time, the RVU bonus structure should be adjuste...
  15. Apparently you don't work with internal medicine residents. While there are primary care focused IM residencies, most IM residencies are heavily concentrated on inpatient services. What this does point out is that primary care specialties are not gen...
  16. Interesting what the NC board of nursing says about NP scope: "The population-focused Nurse Practitioner scope of practice is defined by the Nurse Practitioners formal academic, graduate educational preparation, national certification, and maintained...
  17. There are actually two or three states that list scope of critical care. The real issue is risk. Our internal insurance was unwilling to cover liability for non-ACNPs working in the ICU.
  18. core0

    ICU Nurse Practitioners

    What we have published so far is that residency trained APPs reach full productivity (as measured by billing) 3 month sooner than non residency trained APPs. The issue with financial benefit is a trickier one. The cost of a residency is tremendous (n...
  19. core0

    ICU Nurse Practitioners

    We have 150 APPs across 4 hospitals and around 15 ICUs. We get hires from 2 pathways. 1. APP residency. We have 3-4 slots every six months (6-8 per year). The residency is a year long and includes ICU rotations as well as OR for intubation, ID, and n...
  20. 25% of base salary is the standard amount businesses budget for benefits. On smaller businesses its more like 40%. Also if you are going to work 45 to 50 hours either bill them for that or add it into the premium. Going that way I would look at 50% p...
  21. core0

    Ok TEXAS NP's, wake up and smell the coffee!!!

    You have a dramatic misunderstanding of what happens in medicine and are missing the entire point of this rule. 1. The rule does not say a radiologist must read the xray simply a physician. So a Family practice physician who has minimal training in ...
  22. core0

    Can't get ACNP job

    They are fairly competitive depending on when you apply. Emory takes 6-8 per year in two classes and gets around 50 applications total. So fairly competitive. But when you count in the fellowships in heme/onc, cardiology and transplant there are a lo...
  23. core0

    Can't get ACNP job

    I will add something else. At 2 years without practice is something else you have to think about. Its one thing if someone with years of experience takes a year or so off. But you never practiced after school. If you are given the choice between some...
  24. core0

    Medical billing and coding for NPs

    You could also look at this one: https://store.sccm.org/SearchResults.aspx?searchterm=integrating&searchoption=ALL Although I have an authors bias.
  25. We have 2 APPs and a resident (PGY 2-4) for 23 beds. All of our ICUs have at least 1 APP depending on the size the larger ones are 2-3 at night.