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jer_sd's Latest Activity

  1. jer_sd

    Best school for DNP- FNP specialty track

    Lowest cost that provide clinical placement
  2. jer_sd

    To Go for DNP or Not?

    I was a certificate prepared NP. Eventually hit the point where I had less employment opportunities since I did not have a MSN. I eventually went back for a MSN.Ico p!etecmy DNP this year ad well. My opinion you have 10+ years of work left you may want to eventually get a DNP but go MSN first. If you have 15+ years of work left you should get a DNP but if you can get a MSN with APN credential firstif possible.
  3. jer_sd

    Job offer based on RVU's

    With this patient population you will primarily be seeing medicare patients. Look up the medicare reimbursement for RVUs in your area. Keep in mind you get 85% of the physicians fee schedule. Look up the E+M codes for nursing facilities and other cpt codes you will be billing for. Look at over all reimbursement and how much you will get. Personally I am a fan of "eat what you kill" for NPs. It is fair and rewards effort. However make sure your share is fair. Jeremy https://www.cms.gov/apps/physician-fee-schedule/overview.aspx 99308 is a follow up worth 1.16 RVU in my area physician reimbursement is 71.86 so collection from medicare is about 48.86 for a np assuming no secondary payer and pt does not pay obligation. So if you get 16.02 that would be 1/3 of collections. Keep in mind your reimbursement may be higher or lower so check the payment in your area.
  4. jer_sd

    Ins Reimburse for Psych from FNP?

    A fnp can treat, bill and diagnose simple uncomplicated psych issues. But you need to be able to recognize and refer appropriately. Personally I do very little psych meds or diagnosis because even though my certification covered basics as a FNP my comfort level in this specialty is lacking. I could take ce classes, arrange a preceptor ship and build my skills but I would still be limited to simple ambulatory care. not all insurance payers recognize NPs but that is another issue.
  5. jer_sd

    Nurse practitioners and Hair Transplantation

    Many procedures done by a np are considered minor surgery. So my guess is as long as your state does not say no, and you have documented training not just on the job experience you can probably do the procedure. Jeremy
  6. jer_sd

    Starting your own practice

    I have opened two practices as a np. It is possible but a lot of work. You need to have a good understanding of billing coding and some business sense. What services do you want to offer, family practice, specialty care? What payers are you looking to use cash only, medicaid, medicare ppo, HMO. Are you credentialed on any provider panels? You will need to have a billing company, clia license. What capital equipment will you want to use, supplies, pharmaceuticals, there are a lot of unanticipated costs associated with opening a practice. Will you have employees? What set up will you have sole proprietor, c corp, s corp, llc It is doable but requires effort and planning. Jeremy
  7. jer_sd

    Did you keep your RN certifications?

    I keep my cnor. One hospital I was credentialed at required APN to have cnor or crnfa to get first assisting privileges.
  8. jer_sd

    Medicare/Medicaid Reimbursement Vs. Private insurance

    It is complicated. All insurance plans have credentialing requirements and policies. APNs can get reimbursement from insurance plans for physician services provided. Best starting point is to look into a few insurance plans in your area.
  9. jer_sd

    DEA# and California Furnishing license for the ED

    You need your furnishing number prior to DEA registration. You may also need to complete a specific course to get scheduale 2 authority.
  10. jer_sd

    The workload of the FNP program

    You will be a FNP when you graduate, however a FNP can see pediatric patients, adult patients and geriatric patients. Most NPs and educators feel the FNP is the most marketable NP program. If you want to be certified as a PNP in either primary care or acute care you need to go through a PNP program in that area. I know some FNPs who only work with peds so that is possible and you do have the flexability to see other ages as well. But if you compare a FNP program gradaute with about 700 clinical hours divided by all age groups to a PNP graduate with 700 clinical hours just in peds out of school the PNP graduate should be better prepared to function with less ojt for catch up. Jeremy
  11. jer_sd

    Midline kits

    At the outpatient imaging center where I work we are getting a fair number of midline catheter requests. We just use a PICC kit and cut the catheter shorter. I am wondering if anyone uses specific midline kits for placement if so what brand? Thank you, Jeremy
  12. jer_sd

    RN to rad tech or sonographer

    The first step is to choose what ultrasound focus will be if you are attending a shorter course, OB/Gyn, Abdomen, Vascular or cardaic then look for shorter courses. A short course will not give you the depth of experience as a full educational program. There are multiple places that offer one week courses here are just a few http://www.jefferson.edu/jurei/cme/ http://www.gcus.com/ http://www.aheconline.com/ http://www.kmaultrasound.com/courses.htm This place offers longer courses ranging form one week to one year http://www.iudmed.com/ If you can specify what you are looking for google can be your friend. There are some accredited distance learning programs for ultrasound as well, they require a full time internship. Jeremy
  13. jer_sd

    RN to rad tech or sonographer

    There are still pathways to train OJT for ultrasound certification. It depends on your employer willing to devote the time and resources to allow you to learn scanning. Check out ardms.org and cci-online.org for exact requirements. But it can take 1 year of full time experience preforming ultrasound. However I would strongly recomend attending an educational program if possible. There are even shorter programs lasting a few months but a fully accredited program is always best. Jeremy
  14. jer_sd


    basic website with incomplete information created to have a specific message and provides selective data to support it Don't really think I want to look much more into that site
  15. jer_sd

    SRNA to FNP

    Honestly I would finish your CRNA then do a post masters certificate for FNP. Most schools only accept a max of 6 credits for transfer for a masters so you will be repeating classes. If you are half way done I would finish. You could proably do a PMC in 1-1.5 years compard to 2-3 for a FNP so the time would be roughly equal if you finish your CRNA. Also a CRNA/FNP does open doors for pain management or even ICU down the road incase you want to go that route. Yes FNP salaries can be 80-90k a year depending on where you work. Jeremy
  16. jer_sd

    How does a UK nurse/midwife become a CNM in US?

    Take a look at certificaiton requirments http://www.amcbmidwife.org/assets/documents/CandidateBookletMARCH2010.pdf B. Prepared in International Settings 1. Notarized proof of licensure active on the date of the examination as a U.S. Registered Nurse (i.e., in one of the fifty states, the District of Columbia, or U.S. territory). 2. Satisfactory completion of a pre-certification program accredited by or with pre-accreditation status from the ACNM Accreditation Commission for Midwifery Education (ACME); or, satisfactory completion of a program in nurse-midwifery (or in a master's program, satisfactory completion of all basic theoretical and clinical requirements of the nurse-midwifery component) accredited by or with pre-accreditation status from the ACNM Accreditation Commission for Midwifery Education (ACME). Page 4 INFORMATION FOR CANDIDATES EFFECTIVE June 1, 2009 3. Verification by the director of the nurse-midwifery program that the candidate has completed the nurse-midwifery portion of the nurse-midwifery program and the date it was completed.