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Negotiating Decent Terms of Employment
By Carolyn Buppert, JD, NPFederal and state laws govern employment issues. This article discusses how laws can be applied to issues such as disparate pay, termination without cause, addition of unexpected job duties, and freedom to leave a job and take another. It also proviRead MoreKeeping Malpractice Risks to a Minimum
By Carolyn Buppert, JD, NPLegal liability is a concern of every healthcare professional providing clinical care to patients. Nurse practitioners (NPs) need to be aware of the legal ramifications of their increasing responsibility for patient care. .... Read MoreBy Carolyn Buppert, JD, Read Carolyn Buppert's full "A Note to Our Readers" to learn more about the top trends for nurse practitioners in the business aspects of practice and how the publication will tackle these issues in coming months. .... Read MoreIncreasing Revenue With Capitated Rates
By By Carolyn Buppert, JD, NPUnder a capitated system of reimbursement, the agency, institution, or practice gets a set amount per month for all services needed by the patient and covered under a contract between the payer company and the practice company. The following charts Read MoreMore Visits, Higher Rates Mean More Revenue
By Carolyn Buppert, JD, NPLet’s say the average payment per visit to a nurse practitioner by Medicare is $58, and that figure is 85% of the physician rate. Suppose that the nurse practitioner works full time and gets one week off for continuing education, 2 weeks for vacatiRead MoreThe Difference Between a Level 3 and a Level 4 Visit
By Carolyn Buppert, JD, NPFor an office visit with an established patient, the most frequently billed visit for Medicare patients is a Level 3 visit (99213). However, many evaluation and management visits with NPs are at Level 4. The difference in reimbursement between a LeveRead MoreGenerating Revenue: How to Optimize Reimbursement Without Breaking Any Laws
By Carolyn Buppert, JD, NPLike any business, a medical practice or facility must have revenue to support salaries and expenses. Most employers expect not only to cover expenses but also to make a profit from their NP employees. Many nurse practitioners’ salaries are dependeRead MoreDocumenting Productivity: How to Get Credit for Your Work
By Carolyn Buppert, JD, NPThis article explores the different payment systems such as fee-for-service, capitated services, and global fees, as well as how to remove the "invisibility" of NPs. .... Read More