help! I'm an NP who's just put in one year of family practice (no contract, hourly pay) at a small clinic. After doing an online seminar a few days ago I learned that I have a right to review billing statements and that I should be reviewing them regularly to make sure they are correct, especially incident-to billing. The doctor and billing manager would not let me see them (in truth, they just did not respond to my request or concerns).
So, I quit the next day (no prior notice...recall that I had no contract) after much internal turmoil! Why? Because I fear they are not familiar with incident-to rules...and have likely been billing incorrectly for the past 6 months that I've been credentialed with CMS. I have never been involved in the billing process...they've kept me in the dark. I have no patients of my own as all have the doctor as PCP.
My thinking was that if they won't address my concerns they probably have something to hide; I figured that if I stayed one more day then my suspicions could/would be confirmed... then I'd have to report fraud, or be indicted for continuing to work there/gaining financially from the fraud.
Quitting immediately before learning anything more spared myself or the practice from going down that ugly road. I've never seen evidence of fraud...only blank stares whenever I'd mentioned that there are specific rules to follow when billing incident-to with an NP on staff... That's never a good sign...right? (I was the first NP at this practice).
Specializes in Psychiatric and Mental Health NP (PMHNP).
How are you going to get a reference for your next job? Your behavior appears impulsive and rash. If you were that concerned, you could have provided this employer with a reasonable notice and worked with them to ensure a smooth transition.
FullGlass, BSN, MSN, NP
2 Articles; 1,950 Posts
How are you going to get a reference for your next job? Your behavior appears impulsive and rash. If you were that concerned, you could have provided this employer with a reasonable notice and worked with them to ensure a smooth transition.