myoglobin

myoglobin ASN, BSN, MSN

ICU, trauma, neuro

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All Content by myoglobin

  1. Trying to understand prior auth's better.

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

    I work IP and my support staff does not do this function. I spent about four to six hours on my "off days" working on this that is to say Sat, Sun and

  2. Trying to understand prior auth's better.

    myoglobin posted a topic in Nurse Practitioners, NP

    So I just spent about 2 hours on a prior authorization for a client that has insurance with Cigna. This was the third time that I have had to get a prior authorization for this client and this...

  3. Is doing therapy as a psych NP realistic?

    myoglobin replied to Kaelif2015's topic in Student Nurse Practitioner

    Maybe but here are my main points: 1. 90% of jobs (even in the non IP states) will expect you to use the add on therapy codes (and if you don't add them they will probably do so for you in their...

  4. Is doing therapy as a psych NP realistic?

    myoglobin replied to Kaelif2015's topic in Student Nurse Practitioner

    Even at W-2 jobs such as the one where I was a student there are two types of billing. Complexity based coding or time based coding. It is only possible to add on therapy codes if you do "complexity"...

  5. Is doing therapy as a psych NP realistic?

    myoglobin replied to Kaelif2015's topic in Student Nurse Practitioner

    Also, while you may not consider add on codes "doing a lot of therapy" I probably earn almost $700.00 per day in add on codes for the therapy that I do and in terms of time it amounts to at least four...

  6. Trying to understand prior auth's better.

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

    I spend almost as much time on prior auth’s as I do seeing patients. What makes me the most upset is that with many companies like Cigna I have to talk to an automated system that cannot understand...

  7. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    Yes, but "the problem" with MD's is that the "creep upward" for their educational requirements means that they have to spend ever more years of their lives in training with concurrent increasing costs...

  8. Too early to start planning for becoming NP?

    myoglobin replied to MDBoy's topic in Student Nurse Practitioner

    Also, you will have to obtain an RN, and NP license along with a DEA (if you plan to prescribe controlled medications) in each state where you practice. The state that you earn the degree in does not...

  9. Too early to start planning for becoming NP?

    myoglobin replied to MDBoy's topic in Student Nurse Practitioner

    Yes,

  10. Too early to start planning for becoming NP?

    myoglobin replied to MDBoy's topic in Student Nurse Practitioner

    Technically, from day one in over 20 states. In reality you would need resources and it would take about three to six months to get credentialed if you want to accept insurance. Although, not my own...

  11. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    Maybe so but the psychiatrists I trained under barely used holistic approaches in practice and spent about 15 minutes per patient on follow ups and 40 min on intakes. I get up to 2 hours with clients...

  12. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    In my experience there is an exponentially greater emphasis on holistic approaches among NP’s than MD’s and a relatively lower emphasis on materialism verses a more spiritual approach. Also, yes...

  13. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    No doubt an MD will beat an NP on "medical jeopardy" nine times out of ten. However, "knowing more facts" does not always equate to better outcomes. Actively, bringing into practice evidence based...

  14. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    I personally would be offended more if an MD called themselves an NP (not that I have to worry about that). Why: a. In my experience they take a far less holistic perspective and are less likely...

  15. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    While I acknowledge that it is "not for everyone" I believe it is the single most powerful dynamic available to NP's in many states for radically improving their level of compensation, while at the...

  16. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    I've only got about five minutes and I must start prepping for clients. However, I believe several points are in order: a. Obviously, 1099 or self employment isn't for everyone. However, I have...

  17. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    I ask questions via email of several psychiatrists and do so only because I have the time. I have the time because I am 1099 and set my appointment times. My practice isn’t “full” and I am not...

  18. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    It is much harder for FNP's for a plethora of reasons including: 1. Relatively more "vast" number of procedures and knowledge base that you can encounter. 2. A greater need to see the person...

  19. Critical care RN to PMHNP, am I crazy? Looking for advice

    myoglobin replied to ScottMedicRN's topic in Student Nurse Practitioner

    It will depend upon your initial resources. If you are working with a "big" company such as the one that I do (it costs more 30% plus $600 per month in fees) then about three months (to earn a monthly...

  20. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    Well, I feel that I practice "safe" and am a "new grad". Also, even if I had accepted one of the 100K "new grad" Florida jobs the only difference (other than much lower pay) would have been an...

  21. Critical care RN to PMHNP, am I crazy? Looking for advice

    myoglobin replied to ScottMedicRN's topic in Student Nurse Practitioner

    In restrictive practice states I would suggest contacting MD's directly rather than applying to posted jobs if you want to find "a deal" where they act as your "covering physician". I would be...

  22. Too early to start planning for becoming NP?

    myoglobin replied to MDBoy's topic in Student Nurse Practitioner

    Here is my case for NP: 1. Unless you want to do something specific like surgery (which requires even more school and residency and is even more competitive) NP's have completely IP practice in...

  23. Nearly impossible to find NP jobs

    myoglobin replied to mrsannRN's topic in Advanced Practice

    Start your own practice even if a non IP state. Pay a percentage to the MD and consider going “cash only” at last for

  24. DNP: Mirroring the Path of DO?

    myoglobin replied to AF2BSN's topic in Nurse Practitioners, NP

    Yes, but after you graduate (or indeed even now) you can augment your education with resources such as Lecturio.com which runs from basic anatomy through a basic medical school curriculum. Part, of...

  25. Contested a Doctor's Order Psych ?

    myoglobin replied to mhadvrn34's topic in General Nursing

    If they were one of my "outpatient" psych patients I would try the "triple play" combo for pain of: 1. SAM(e); OTC in the United States but RX in Europe for depression and pain. Up to 1600mg per...