I am just about finishing up my RNFA certification! I am looking into working independently as the hospitals in my area do not hire RNFAs. Could anyone with experience in this enlighten me on where to begin? I know I need an NPI #, and to file as if I am opening a small buisness...what else? Do I need a medicare/medicaid # even though they do not reimburse RNFAs? Also, I've heard that many RNFAs charge an hourly rate when assisting on medicare/medicaid cases. Is this the standard? Any advice/info would be grealty appreciated!!!