Bonosgrrl

The other thing I guess in Podiatry I do prescribe as in I see the patient make the diagnosis and write the script for any meds but when the office transmits it to pharmacy it's under the docs name.

I have prescribing experience as I worked in internal medicine for years and I also have a psych job right now that I do 1 day a week and I prescribe there. I only do 1 day a week in Podiatry. It is not in my long term plans to be working as an NP in this capacity. I have an essential oil business and Teach alternative health classes. I plan to leave podiatry in about 2 months and just keep my psych job along with my essential oil business. I have a few companies I work with to help them utilize the oils in practice.

She said the fee for additional prescribers for electronic prescribing is too much and she doesn't want to pay it. I feel I am UNDER paid for sure $50 an hour.

I was told by the nursing board here in Massachusetts I do not need a collaborating physician at all if I am not prescribing. I was told it is only needed for prescriptive practice. I do not have my DEA I do not prescribe everything goes thru her for prescriptions. I see the patient and write the plan which may include a script but it goes thru her dea. She did it want to pay the extra fees to have other providers writing scripts.

So we are being asked to change to provider to the physician when we do the superbill in our charting. I'm feeling uncomfortable. Yesterday for instance I saw 3 brand new patients. How can that be billed under the physician if she is not on site?

I think it is only Medicare. Which is the majority of our elderly clients in the practice

I work in a Podiatry practice. They bill every visit on the physicians number. I do have an NPI number as does the other NP that works with me. We work independently, physician not on site, she works opposite days. So we are seeing new patients, follow ups everything and they only bill on the physician. I know about "incident to" billing and it seems like this practice is not following those rules

Wow! I am underpaid. I have been an NP for 15 years.my first job in 2001 was st $32 an hour i did that for 2 years then had a baby and took time off. Went to another job at $40 an hour and stayed there 2009-2014 then switched to my current job at $50an hour.hetting ready to switch back to psych and wondering if I should be at a higher rate.

I am paid hourly, i only work 1 full day and 1 half day a week. The office is open 4 days a week. The other provider is the physician who owns the practice. I am not being called with emergent things, these are things like a patient called and wants to speak to me about something. Or test results. I work in Podiatry so our critical things arw few and far between.

All billing goes under the physicians number. Nothing is billed thru NP

What is your rate hourly? I make $50 an hr part time job in a Podiatrist office. I am about to make a job switch back to geri psych, providing services to nursing home residents. We are going to be discussing my rate shortly. Is $50 the norm? I am in new england.

I work part time 2 days a week. I am constantly getting texts and phone calls on my days off. If a patient calls the office with a question, if labs come back, tests, anything, they call me at home on my off days to handle it. The other provider , the practice owner, wont donit. I do not get paid for this. They say its part if the job and i have to be available to do this. I do not have a written contract. Is this normal?

They were giving me built in breathing room, 2 morning 15 min appts were given 30 min. But the physician said that is too much and now i get 15 min built in for "breathing room". Im expected to look at labs make calls etc all while seeing patients. I see pstients from 8:30 -12 then from 1-3 sometimes til 4

I work with a podiatric surgeon. There is the doctor myself and one other NP. We are both paid hourly. We were told that our charting has to be completed within the time frame of our appointments, so if my last patient is at 2:45 ....its a 15 min appt so im done at 3. Im told if i still have charting to do from the day if its after 3 im doing it off the clock. Thoughts on this? I have always been docume ting my time in and time out when im done and no one has said anything i dont feel i shoukd work for free. And some days it takes me an extra 20-30 min to complete my documentation from the day. The doc says "well im always here extra hours charting and i dont get paid for that" well you OWN the practice! There is nothing in writing on this, i did not sign any contract aggreeing to this.

What complicates this further is the practice owner is a good friend. She asked me for my help until another doctor joins her. I dont want the job permanently but was willing to do it temporarily. I was floored when her office manager told me about not being paid, and i verified this with my friemd/boss. So my patient comes in at 11:45 for a 15 min appt. i am done with him at 12 , i still have to document, but they say i am off the clock. It is electronic and if i only have that one to do, it really is only a couple minutes. But what if its busy, and i cant chart as i go and i have 3-4 pts to still chart on. That 2 minutes can turn to 30.

I have a part time per diem job I am paid by the hour, but I am not paid for charting. for instance, if my last patient comes in for a 15 min appt 11:45 til 12, and then I am done for the day, and I have to finish my charting for this patient and any others, I am not paid for that time. the owner of the practice says she doesnt get paid and she is in the office several hours after the last patient doing her charting. I had no idea of this policy before I took the job. came up after. good news is its only a temporary position, so it has an end date. but just wondering how everyone else is paid.

well I can answer sort of. when I started my adult NP program, I thought I only wanted to work with adults. never worked in pediatrics other than when I was floated to the pedi floor at my hospital job as an rn. so........fast forward.........I realize after being out of school, maybe I would like to work with kids...........uh oh, my cert is only for adults, ( adolescent age and up ), so any job like ER, urgent care, family practice is OUT for me now. so for me i didn't think it thru completely when I started. I was accepted into the two programs I applied to, one being an FNP. one school was 40 miles away, and one was 20 miles away, honestly since i didn't think I wanted to see pedi patients in practice I went with the closer school which was also the adult program. now I am looking to do that post masters cert for fnp so I can expand my options.

I would call and have them send another copy. it may just be misfiled, and ended up in another chart, I have seen this happen many times, it is frustrating.

That is the program I am considering. Boston right?

I am in the same situation. I would like to transition to Family NP. I thought about doing the PNP, but then would that mean double certification? as in double the cost? and maintaining ceu's for both, which again would be a lot.

Thank you for the replies. I do believe I sold myself short when I interviewed for this job a year and a half ago. I should have done my research better back then. I had been out of the work force for a while and just coming back in, so I didn't do a good job for myself when I negotiated the pay. I only work minimal hours, one day a week, no benefits. I will be researching others in my area. I also have a lead on a job doing the same kind of work i do now but with another company, I may pursue that and then I will have a concrete example. the thing that really bothers me, is the company I work for is growing so fast and so much they outgrew their space and had to move the offices. to me growth equals doing well. so why the pay freezes?

I see I make about $10 per hour LESS than the average pay for my area. Mental health in Massachusetts. I have already asked for a raise a few months ago at my 1 year evaluation. but was turned down with the reason that nobody was getting increases at this time. I have a few issues with the company I work for, such as not being paid on time for seeing patients. I am paid by my billing not by the hour. they convert the billing codes into units which are then turned into hours. other than that I am very happy, like the work, like my boss. but I feel like I am not really being paid what I am worth would you seek out another job in this situation? or stick it out and hope for a raise? at this point, though I will always be significantly lower than average if I stay with this company. I don't work full time either, so no benefits. I work only part time 8-10 hours a week.

I am interested in replies to this as well. I work in Psych. now for the past year. Prior to that I worked in primary care for about 3 1/2 years, took some time off in between. so I am not a new grad but newish to Psych. I am paid based on my billing. Its all insurance and each code is assigned units, which translate to hours, so I have an hourly rate. so for instance if I see 5 patients each having a code worth 2 units, that is 10 units = to 5 hours of work. my rate is $40 and hour. which honestly I think is on the low side. I asked about a raise at my 1 yr evaluation and was told no one in the company is getting an increase because of medicare/medicaid reimbursements being down. I would like to know what my billing is worth in dollars though, I don't know how to find out that information, does anyone know?

I stay home if I am sick. I was actually told when I took this job to stay home if sick. I work with nursing home residents.