djmatte

djmatte ADN, MSN, RN, NP

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All Content by djmatte

  1. Already Burnt out

    djmatte replied to sarena33's topic in Nurse Practitioners, NP

    I will say there are a few things here that are concerning regarding potential for fraud. Especially with things like unnecessary testing and procedures like ultrasounds or unsupported treatment of...

  2. This is why...

    djmatte posted a topic in Nurse Practitioners, NP

    We need to advocate for equity of pay for the percentage of what we bill. Doctors are making money hand over fist for simply "supervising" mid levels. They can literally not bill for what's their...

  3. This is why...

    djmatte replied to djmatte's topic in Nurse Practitioners, NP

    I'd argue the clinic owners (often MDs) are making that number. many of those posting are corporate employees being asked to supervise or be collaborators within the system, but not specifically...

  4. This is why...

    djmatte replied to djmatte's topic in Nurse Practitioners, NP

    He arguably just asked the question. And as expected and is characteristic someone decided to jump down his throat demanding he do some research. It's reasonable to suggest that doctors have been held...

  5. Are more letters after your name better or ridiculous?

    djmatte replied to deza's topic in Nurse Practitioners, NP

    If they're just looking at this website for context, I just added the different degrees and fields as I obtained them through a 14 year career in nursing. So it definitely looks weird here.

  6. Other Options

    djmatte replied to JenMH88RN's topic in Nurse Practitioners, NP

    They could easily teach at an undergrad nursing level if they had a solid background in nursing. At least two of my undergrad instructors were FNPs who found out they preferred to stick with

  7. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    Keep on pushing for better. My first company offered me 10k less than my asking and 5 days less in PTO. they met my negotiation easily. God knows what the women were lowballed in a clinic run by men...

  8. The "Elite" NP

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    I call a spade a spade. Though I'm shocked this latest retort wasn't as long and ridiculous as every over response you take personal offense to. Send to be a common thread.

  9. The "Elite" NP

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    People aren't irked because you challenge. They're irked because your idea of "substantial" is long winded professional equivalents of mansplaining about things most of us professionals are acutely...

  10. The "Elite" NP

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    The guys essentially pushing a direct primary care model. Not exactly new or groundbreaking. It's definitely something I'll consider depending on where the military takes me. He's got a model he...

  11. How do you write your credentials after graduating but waiting to take the boards?

    djmatte replied to night_owl_rn's topic in Nurse Practitioners, NP

    They are but they aren't. BC is authorized for ANCC certified while C accounts for AANP. They are not interchangeable and misrepresents your certification to those who

  12. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    Few people here are ignorant to *how* salaries are determined. We certainly don't need another long winded post about the why for most of these topics. Clinics are paid on reimbursement. While we...

  13. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    The military is a completely different and unrelated pay structure. It's not reality in terms of what actual clinics face in terms of pay and function. Doctors sometimes get paid more as they will...

  14. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    Not a single person here is suggesting NPs are equal to physicians. Even reimbursements account for the education disparity. With a 15-25 percent premium, that is the "value" afforded the education...

  15. in-home welcome to medicare assessments?

    djmatte replied to blusueNP's topic in Nurse Practitioners, NP

    Where in Michigan are you located? That area I imagine is tough. There are more options toward mid Michigan in my experience. Specifically around the flint

  16. in-home welcome to medicare assessments?

    djmatte replied to blusueNP's topic in Nurse Practitioners, NP

    Where in Michigan are you

  17. NPs, inpatient vs outpatient, which one do you like better?

    djmatte replied to treeye's topic in Nurse Practitioners, NP

    Whether you *like* one vs the other shouldn't matter. You should be working in an area commensurate with the training you've received. FNP should be working in family health and or out patient/urgent...

  18. Nurse Practitioners, New Grads especially, be realistic about compensation

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    15% is what the market values all of that "back breaking" work physicians go through. Blame the system. But we should be advocating fit closing THAT gap in every patient billed for.

  19. Nurse Practitioners, New Grads especially, be realistic about compensation

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    I didn't presume you couldn't make the distinction. But to be fair, the OP never worked as an RN. So distinguishing these things doesn't

  20. Nurse Practitioners, New Grads especially, be realistic about compensation

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    There often is a difference though between NPs in clinics and RNs in hospitals or other areas. We actually bill and are revenue generators. It's been my experience when I worked as an RN most...

  21. Nurse Practitioners, New Grads especially, be realistic about compensation

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    Realism will happen when employers put their providers in appropriate proportions of what they bring in. It's understandable if a nurse practitioner makes 15% less than a provider does given the same...

  22. Nurse Practitioner had live sex for online viewing

    djmatte replied to FullGlass's topic in Nurse Practitioners, NP

    If they drop the "I don't mean to judge, but…” I can see the correlation. But people can live a life and not choose to outwardly judge. Maybe they make different choices personally, but just...

  23. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    Cool.

  24. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    I'm not advocating for equal pay. I'm advocating for pay based on presumed value of the education level. If the reimbursement rates were the same then I would absolutely be advocating for equal pay....

  25. NP Salary/Pay Let's Be Transparent

    djmatte replied to SurgicalNP's topic in Nurse Practitioners, NP

    Billing parity isn't the issue. If I'm a NP with 5 years experience, see the same number of patients, see literally the same acuity of patients, I should be paid 85% of what an MD of equal standing in...