[NP-Clinical] contracts and negotiating for new clinic

Sat May 12 21:42:04 PDT 2007

Paula,
I my opinion, set up your own practice, offer to pay the physician overhead 
and rent in 6 months, collect as much money upfront/have a reasonable cash 
price for visits, accept Medicare and Medicaid because no one else does and 
they may let you see patients now and submit billing later once your 
credentialing is finished, apply for credentialing with every decent 
insurance in town, pick up extra hours to pay the bills at other 
offices/walk-in clinics temporarily until your own practice is stable. I can 
offer this advice because I've done it myself. Don't sell yourself short and 
expect the physician to assume all the financial risk now/and later...all 
financial reward. Own your own career/practice. Chiropractors, physicians, 
dentists, optomotrists are all examples of professions where owning your own 
practice is expected and considered rewarding financially and otherwise. 
This has the potential to change your life. Don't run away from 
opportunity...run towards it.
Just my 2 cents,
Cindy
Owner of one part-time internal medicine practice and one full-time travel 
clinic with three locations in the Seattle-Tacoma region.

>From: Paula Sumner <nurse_healer at yahoo.com>
>Reply-To: NP Clinical <np-clinical at nurse.net>
>To: NP Clinical <np-clinical at nurse.net>
>Subject: Re: [NP-Clinical] contracts and negotiating for new clinic
>Date: Sat, 12 May 2007 21:10:25 -0700 (PDT)
>
>Thanks, Patti,
>   They say when one door closes another opens, and this is really my dream 
>job (I hope). i need to give it a shot.  I just wish he had an offer, bit 
>he did give several possibilities, I just need to see the numbers-base pay 
>plus %.  His concern is low pt numbers right now, but they are beginning a 
>marketing campaign in June.
>
>   He is not taking insurance but charging $50 a half hour and giving a 
>superbill to the patients to file. Added charges are for labs and ekgs when 
>warrented.  I wonder how this will fly with insurance companies and 
>medicare if I am not listed provider.  I guess I will have to warn the pts 
>that the ins co. may not reimburse them.
>
>   We talked about doing group visits but neither of us is sure how to 
>charge for those.  I am wondering if would be open to prepaid pts-like 
>self-insured-again, I am not sure how this works.  Gads I have to much 
>info, i just haven't had to put it to work, lol. Grad school fried my 
>brain, lol,
>   Paula
>
>pattinp at verizon.net wrote:
>   Congratulations, Paula, on this opportunity!!! I know how hard you have 
>worked to find a job like this. IMHO you are selling yourself short if you 
>are asking for $70-75,000/year salary. You have so many skills to bring to 
>this practice - adult Western medicine practice, your CAM skills, and 
>phlebotomy skills are a real asset!!! You should be starting out at at 
>least a minimum of $80-90,000/year salary!! Don't sell yourself short; I 
>once heard a nurse consultant tell us in a seminar that people equate your 
>worth with the amount you charge...something to think about.
>
>Patti Robertson (NP of VA)
>
> >From: Paula Sumner
> >Date: 2007/05/12 Sat PM 04:03:04 CDT
> >To: np-clinical at nurse.net
> >Subject: [NP-Clinical] contracts and negotiating for new clinic
>
> >I knowÂ  this has been discussed ad nauseum, but i am need of some quick 
>tips for a meeting on tuesday. I am being invited to join a brand new 
>integrative med clinic. I am being given the opportunity to build my own 
>primary care (adult) practice with some features like urgent care on 
>saturday, and maybe sports and work physicals.Â  It has been opened 4 wks 
>and the pts are just trickiling in. The PA quit already 'she wasn't ready 
>to return to work'.
>   Â
>   I can start with no income or bennies--that is it would be my own 
>practice to build or
>   I can be offered some sort of base salary plus % still no bennies. 
>overhead is $30/hr. There is a receptionist and RN. And a temp plebotomist 
>(the doc was excited to know i could draw blood, etc).
>   Â
>   The doc does not know how much to pay an NP (I said $50/hr or 
>70-75k/yr)-he said once the clinic got busy i'd be making more than that. Â 
>  i need advice on those who have go!
>ne before me.Â  Do you have a sample contract to share? Haveyou beenin on 
>the start-up of a new clinic where funds are low? What did you negotiate? Â 
>  Thank you, Paula
> >
> >Paula J. Sumner RN, MSN, HTP, CHt
> >Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
> >3500 Westgate Dr., Suite 504-G
> >Durham, NC 27707 (now Carborro too.)
> >919-490-4656, 8#
> >
> >http://paulajsumner.byregion.net Referral ID#10102918
> >
> >http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2
> >
> >http://www.letstalkcounseling.com/sites/paulasumner
> > Give spam the boot. Take control with tough spam protection
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> >
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>
>
>
>Paula J. Sumner RN, MSN, HTP, CHt
>Healing Touch, Hypnotherapy, Emotional Freedom Technique, Reiki-2
>3500 Westgate Dr., Suite 504-G
>Durham, NC 27707  (now Carborro too.)
>919-490-4656, 8#
>
>http://paulajsumner.byregion.net  Referral ID#10102918
>
>http://www.justanswer.com/home.asp?r=HolisticNurse&bn=2
>
>http://www.letstalkcounseling.com/sites/paulasumner
>
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