From nravey at bellsouth.net  Thu Nov 25 07:14:39 2004
From: nravey at bellsouth.net (Nina Ravey)
Date: Thu, 25 Nov 2004 09:14:39 -0600
Subject: [PrvPracNP] help with kidmed billing in rural health clinic
In-Reply-To: <006101c4b24f$2019d1a0$209cfea9@VAIO>
Message-ID: <20041125151441.VGCN2443.imf18aec.mail.bellsouth.net@nina>

Hi all,
My billing staff are having a difficult time billing correctly for kid-med
and we are a rural health clinic and maybe that is why.  They have sent
bills in and we have not heard one word from them and yet yesterday, we
received a call from our kid-med rep who said we did not have one kid med
done according to their records of last week.  Now we are just about caught
up on seeing all of our kid meds and billing for those kid meds - in the
last 8 mos - yet they don't have a record of them and we have no denials
that we can find.  Is there a specific code and form that has to be filled
out and a special address and person to send this to?  If so, I'd appreciate
both - I am in Louisiana.
Thanks for your help in advance.
Nina Ravey
 


Nina Ravey, RN, MSN, CNS, C-FNP
Family Nurse Practitioner
Shirley Medical Clinic
711 N. Main St.
Jennings, LA 70546
337-824-2002
Fax:337-824-2004
www.shirleymedical.com
Programs we offer: Pharmacy Assist, Kid-Med, LEAP Testing, Weight
Management, Physical Medicine and Rehabilitation, Diabetic Education
Classes, Walk-ins, Appointments


"It never ceases to amaze me how being a good nurse is often in direct
opposition to being a "good employee."

 

-----Original Message-----
From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On
Behalf Of Pr. Pamela A. Provost N.P.
Sent: Thursday, October 14, 2004 7:37 PM
To: Private Practice NPs
Subject: Re: [PrvPracNP] Doctor of Nursing Practice degree

That's great to hear about Illinois.  Did that include NP's who moved into
the state from other places?
But most importantly, if the ANCC got a hold of it, like they have done with
the Psych NP board that they established on their own without consulting any
of the national NP organizations and before the competencies for Psych NP's
even existed, they would not allow anyone who has not obtained the doctorate
to sit for the board.  If you couldn't sit for the board, you couldn't get
reimbursement in IN for doing the same work.  AND, the ANCC is not allowing
any grandfathering at all. They did this very quietly without notifying
anyone in the field nor the national NP orgs of their intent.  This caused
me a tremendous amount of problems in practice in this state;  to the point
where I just got out of it, despite pleas from my colleagues not to abandon
psych  They felt (as did the psychiatrists and psychologists within my
collegial realm), that I was an "excellent" (their words, not mine believe
me) provider with a very well established outcome record of patient
remission and 0 suicide attempts/successes.
Now, if doctorates would be awarded to those of us who had already succeeded
in passing the boards and have had so many years of successful practice
(i.e., 3 years), with perhaps a minor paper presented for publishing based
on case studies, I'd consider it.
However, I think right now, it's a tempest in a teapot.
Namaste,
Pamme

----- Original Message ----- 
From: "Daphne Piercy" <csdlp at eiu.edu>
To: "Private Practice NPs" <prvpracnp at nurse.net>
Sent: Thursday, October 14, 2004 10:59 AM
Subject: Re: [PrvPracNP] Doctor of Nursing Practice degree


> That is a good question.  I don't know.  But if some in the particular
state had
> sought their education in this new way.  It would be great if they made it
a
> standard for liscensure and gradfathered the rest (currently practicing
NPs)
> in.  When we passed legislation in Illinois, we grandfathered all
practicing NPs
> with certain criteria.  For example, some did not have a master's degree.
Now,
> all new NPs need to meet the new application for liscensure standards.
>
> lori wrote:
>
> > Is this something that we would all be required to obtain?   I really do
not
> > want to go back for a doctoral degree at least not right now.  Although
if
> > this was offered when I started graduate school, I probably would have
> > seriously looked into it.
> > ----- Original Message -----
> > From: "Daphne Piercy" <csdlp at eiu.edu>
> > To: "Private Practice NPs" <prvpracnp at nurse.net>
> > Sent: Thursday, October 14, 2004 11:41 AM
> > Subject: Re: [PrvPracNP] Doctor of Nursing Practice degree
> >
> > > I think it may be a good idea.  It would minimize the rhetoric about
> > education levels, both parties (MDs and NPs) would have Doctoral
Degrees.  I
> > am not an expert here, but I would think would need to approval from
most
> > state legislatures as a profession or extension of a profession.  This
could
> > lead to legislative changes that would otherwise take years to pass.
> > Ultimately it could solve much of the reimbursement issues and would
> > hopefully lead to throwing out these collaborative agreements for good!
> > >
> > > Read the Wall Street Journal October 11, 2004.  You can access the
article
> > online.  This situation has lead to very positive publicity for nurse
> > practitioners.
> > >
> > > Daphne - Illinois
> > > "Pr. Pamela A. Provost N.P." wrote:
> > >
> > > > Hi ya Gail,
> > > > Where are their heads at.  We already practice independently in most
> > states without such a program.  It's a nice short cut for obtaining a
> > doctoral degree that usually takes 7 years, but I certainly don't need
it
> > for independent practice.  LOL.
> > > > But I do have to admire their ingeniousness.  By taking that course,
the
> > NP would require to be addressed as Doctor.  Of course, as I told my
friend
> > who has a Phd and is an NP, I'd insist that the patients call her Doctor
> > anyway.  Afterall, she is a doctor!!  LOL.
> > > > Love ya,
> > > > Pamme
> > > >   ----- Original Message -----
> > > >   From: GIN11153 at aol.com
> > > >   To: IndNursePrac at yahoogroups.com ; prvpracnp at nurse.net ;
> > npinfo at nurse.net
> > > >   Sent: Tuesday, October 12, 2004 2:34 AM
> > > >   Subject: [PrvPracNP] Doctor of Nursing Practice degree
> > > >
> > > >   Found this on the Medical Economics site:
> > > >   ========================================================
> > > >   New competition from NPs?
> > > >   Pending New York State approval, Columbia University's School of
> > Nursing plans to offer a doctoral degree for advanced practice nurses.
The
> > Doctor of Nursing Practice (DrNP) program will prepare candidates for
> > independent care. The program would include classroom courses,
supervised
> > practice, and residency. Graduates would then be able to care for
patients
> > in an outpatient office, evaluate their needs in the ED, admit and
co-manage
> > hospitalized patients, provide advice and treatment over the phone while
> > taking call, initiate specialist referrals, and evaluate the subsequent
> > advice. The post-master's program would be two years, including one year
of
> > residency, while the post-baccalaureate program will be four years, plus
one
> > year of residency. The DrNP could be conferred in any specialty of
advanced
> > practice.
> > > >
> > > >   While the AMA supports collaborative practice between NPs and
> > physicians, the organization opposes independent practice. Moreover, the
> > combination of Dr and NP is likely to be confusing to patients, says AMA
> > Trustee Rebecca Patchin.
> > > >
> > > >   ============================================================
> > > >
> > > >   Gail Neuman RNC CPHW SNP LNC
> > > >   listowner of LegalNurseConsulting at yahoogroups.com
> > > >   certified high risk OB/legal consultant
> > > >   Tustin, CA
> > > >
> > >
> >
> --------------------------------------------------------------------------
> > ----
> > > >
> > > >   _______________________________________________
> > > >   PrvPracNP mailing list
> > > >   PrvPracNP at nurse.net
> > > >   http://lists.nurse.net/mailman/listinfo/prvpracnp
> > > >   % You can change you list options and unsubscribe from this page
> > > >
> > >
>
  ------------------------------------------------------------------------
> > > > _______________________________________________
> > > > PrvPracNP mailing list
> > > > PrvPracNP at nurse.net
> > > > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > > > % You can change you list options and unsubscribe from this page
> > >
> > > _______________________________________________
> > > PrvPracNP mailing list
> > > PrvPracNP at nurse.net
> > > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > > % You can change you list options and unsubscribe from this page
> >
> > _______________________________________________
> > PrvPracNP mailing list
> > PrvPracNP at nurse.net
> > http://lists.nurse.net/mailman/listinfo/prvpracnp
> > % You can change you list options and unsubscribe from this page
>
> _______________________________________________
> PrvPracNP mailing list
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From prispunnyfnp at metrocast.net  Sun Nov 28 15:38:49 2004
From: prispunnyfnp at metrocast.net (Priscilla Merrill)
Date: Sun, 28 Nov 2004 18:38:49 -0500
Subject: [PrvPracNP] Taxes/Social Security
Message-ID: <PFENJIGAJNPKIOLBJPODGECECFAA.prispunnyfnp@metrocast.net>

Any advice on how to pay social security?  I've been a sole proprietor since
Feb and think I read you don't have to pay quarterly the first year?  How
and when do you pay this?
I have just started to get the bulk of my insurance reimbursements
(nightmare billing fiasco just getting worked out!) so just making enough to
get out of the debt I incurred starting up.  I haven't taken anything out
yet for taxes and social security but know I should start setting some of
this aside.  I'm thinking my expenses still outweigh my income so hoping to
get some back.
I'm sure this year I won't have enough to put into IRA.  This is all
overwhelming to someone new at private practice so any
recommendations/lessons learned the hard way are very appreciated.
Thanks in advance,

Priscilla Merrill FNP
--
No virus found in this outgoing message.
Checked by AVG Anti-Virus.
Version: 7.0.289 / Virus Database: 265.4.3 - Release Date: 11/26/2004



From GAAdams at aol.com  Sun Nov 28 18:40:09 2004
From: GAAdams at aol.com (GAAdams at aol.com)
Date: Sun, 28 Nov 2004 21:40:09 EST
Subject: [PrvPracNP] Taxes/Social Security
Message-ID: <d5.1c3ca9b7.2edbe609@aol.com>

Priscilla, You don't have to pay anything until April 15th.  If your Expenses 
outweigh your income and you have no income then you won't pay anything.  I 
am assuming you are a sole proprietor.  If you have a LLC or S-corp then you 
pay on what you pay yourself as an employee of the company.  Also your equipment 
and major expenses you may want to amortize or depreciate over several years 
so when you are making more money you have some deductions.  Good Luck
Gaylene
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From pamme at sbcglobal.net  Mon Nov 29 11:15:52 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Mon, 29 Nov 2004 14:15:52 -0500
Subject: [PrvPracNP] Taxes/Social Security
References: <PFENJIGAJNPKIOLBJPODGECECFAA.prispunnyfnp@metrocast.net>
Message-ID: <001701c4d647$d856dd50$209cfea9@VAIO>

Priscilla,
I am in the same boat as you.
I paid myself a salary, in order to pay my bills.  This was drawn from a
business line of credit.  As a benefit, in lieu of an insurance, I paid all
medical bills out of the company till.
My billing was a nightmare as well.  My disability worsened in this period.
As a result, I ended my contracts and went back to being an RN after 10
years.  My health is finally starting to return, as I am making as much
money as I was making as an NP, working for other companies throughout the
ten years and beneficially, I don't have any money to lay out for licenses,
CE's, certifications, malpractice etc. and have paid vacations, a pension, a
health plan, short and log turn disability and it is all paid by the
hospital.
So, my plan is to collect all my bank statements together on Quicken and
email them to my CPA.  I'll let her figure it out.  She knows the law and
can pull it all together for me.  As a result of letting the contractees,
handle the paneling with the M&M's, the Blues et al, I gave out quite a few
free visits to patients on the ineptness of the contractees part.  Needless
to say, I closed my business in the red.
I must say, that I am happier and have reduced my stress a thousand fold,
although the adjustment back to an RN was not a smooth ride.  When I finally
learned that I could turn off my mind after the assessment, the waters
became calmer.  It was a rough ride to that point.
As soon as I find out what my CPA has to say, after I send in my financials,
I'll be sure to let you know.  Would it be ok to email you off this list?
Peace, faith and prosperity,
Pamela Provost NP
----- Original Message ----- 
From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
To: "Prvpracnp" <prvpracnp at nurse.net>
Sent: Sunday, November 28, 2004 6:38 PM
Subject: [PrvPracNP] Taxes/Social Security


> Any advice on how to pay social security?  I've been a sole proprietor
since
> Feb and think I read you don't have to pay quarterly the first year?  How
> and when do you pay this?
> I have just started to get the bulk of my insurance reimbursements
> (nightmare billing fiasco just getting worked out!) so just making enough
to
> get out of the debt I incurred starting up.  I haven't taken anything out
> yet for taxes and social security but know I should start setting some of
> this aside.  I'm thinking my expenses still outweigh my income so hoping
to
> get some back.
> I'm sure this year I won't have enough to put into IRA.  This is all
> overwhelming to someone new at private practice so any
> recommendations/lessons learned the hard way are very appreciated.
> Thanks in advance,
>
> Priscilla Merrill FNP
> --
> No virus found in this outgoing message.
> Checked by AVG Anti-Virus.
> Version: 7.0.289 / Virus Database: 265.4.3 - Release Date: 11/26/2004
>
> _______________________________________________
> PrvPracNP mailing list
> PrvPracNP at nurse.net
> http://lists.nurse.net/mailman/listinfo/prvpracnp
> % You can change you list options and unsubscribe from this page
>




From pamme at sbcglobal.net  Tue Nov 30 07:52:02 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Tue, 30 Nov 2004 10:52:02 -0500
Subject: [PrvPracNP] Taxes/Social Security
References: <d5.1c3ca9b7.2edbe609@aol.com>
Message-ID: <006e01c4d6f4$8926eb50$209cfea9@VAIO>

Gaylene,
I am a sole proprietor and was set up as a PC, professional corporation.  As it turns out, it is an S corp and that is what I told my lawyer I didn't want.  He's not too bright.
When do I have to have the money in that would be the taxes on the salary that I paid myself?  As the company made no money, I will have to borrow to pay those taxes.
Thanks for sharing,
Pamela
  ----- Original Message ----- 
  From: GAAdams at aol.com 
  To: prvpracnp at nurse.net 
  Sent: Sunday, November 28, 2004 9:40 PM
  Subject: Re: [PrvPracNP] Taxes/Social Security


  Priscilla, You don't have to pay anything until April 15th.  If your Expenses outweigh your income and you have no income then you won't pay anything.  I am assuming you are a sole proprietor.  If you have a LLC or S-corp then you pay on what you pay yourself as an employee of the company.  Also your equipment and major expenses you may want to amortize or depreciate over several years so when you are making more money you have some deductions.  Good Luck
  Gaylene


------------------------------------------------------------------------------


  _______________________________________________
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  PrvPracNP at nurse.net
  http://lists.nurse.net/mailman/listinfo/prvpracnp
  % You can change you list options and unsubscribe from this page
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From psumner2 at yahoo.com  Tue Nov 30 10:45:38 2004
From: psumner2 at yahoo.com (psumner2 at yahoo.com)
Date: Tue, 30 Nov 2004 13:45:38 -0500
Subject: [PrvPracNP] Web Site Recommendation - MDLinx
Message-ID: <200411301346546.SM01196@10.0.0.100>



		
Hello Listers,

I would like to recommend a very useful medical website and FREE newsletter service founded by physicians called MDLinx.  MDLinx offers the following:

*MDLinx provides FREE, timely, relevant medical information in an organized format.  It puts you a mouse-click away from the most up-to-date journal articles, news, and research by specialty. 
		
*MDLinx scans the most trusted, peer-reviewed medical journals and publications, organizes and sorts the information by medical specialty and subspecialty, and delivers that information to you on a daily or weekly basis. 

*MDLinx helps you save valuable time searching the Web for pertinent, state-of-the-art medical information -- allowing you to spend more time caring for your patients.

Thousands of physicians, including myself, log onto MDLinx every day. I am confident you will benefit from their valuable and unique services.

In addition, when you sign up and subscribe for newsletters for 60 days, I will be entered to win a brand new 42-inch Plasma TV! Once you sign up for a newsletter, you are eligible for the contest, too. Shortly after you sign up, MDLinx will send you an email about the Plasma TV contest. 

Sign up for FREE newsletters at http://www.mdlinx.com/reg.cfm

Thanks,

Paula J. Sumner RN, MSN, NP
			


From cindyjensennp at hotmail.com  Tue Nov 30 18:33:52 2004
From: cindyjensennp at hotmail.com (Cindy Jensen)
Date: Tue, 30 Nov 2004 18:33:52 -0800
Subject: [PrvPracNP] Taxes/Social Security
In-Reply-To: <PFENJIGAJNPKIOLBJPODGECECFAA.prispunnyfnp@metrocast.net>
Message-ID: <BAY17-F386294BBBEE8E145D09AD0B1BF0@phx.gbl>

Prisiilla,
Try the IRS.gov website for answers to your questions.  Congratulations on 
surviving your first year of independent practice!  It gets better the next 
year.  If I had to do it over again I would have kept better track on my 
expenses the first year.  I alsio underestimated how much Business and 
Occupation (B&O) taxes would add up.  We have no income tax in Washington 
State and the B&O tax is one way of raising revenue that doesn't effect most 
people...except if you are self employed.  It sounds like you have done well 
your first year...most new businesses do not expect to earn a salary for the 
owner or make a profit for 3-5 years.  This is quite an adjustment when you 
have been well employed as a nurse in the past.  If you need further 
motivation, check out the annual NP salary review at NP 
Cliinical/nursenet...the NPs that consistently make over 100,000 dollars a 
year are the ones who took a chance and struck out on their own.  You are 
the future of NP practice.  Enjoy being a pioneer.
Cindy



>From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
>Reply-To: Private Practice NPs <prvpracnp at nurse.net>
>To: "Prvpracnp" <prvpracnp at nurse.net>
>Subject: [PrvPracNP] Taxes/Social Security
>Date: Sun, 28 Nov 2004 18:38:49 -0500
>
>Any advice on how to pay social security?  I've been a sole proprietor 
>since
>Feb and think I read you don't have to pay quarterly the first year?  How
>and when do you pay this?
>I have just started to get the bulk of my insurance reimbursements
>(nightmare billing fiasco just getting worked out!) so just making enough 
>to
>get out of the debt I incurred starting up.  I haven't taken anything out
>yet for taxes and social security but know I should start setting some of
>this aside.  I'm thinking my expenses still outweigh my income so hoping to
>get some back.
>I'm sure this year I won't have enough to put into IRA.  This is all
>overwhelming to someone new at private practice so any
>recommendations/lessons learned the hard way are very appreciated.
>Thanks in advance,
>
>Priscilla Merrill FNP
>--
>No virus found in this outgoing message.
>Checked by AVG Anti-Virus.
>Version: 7.0.289 / Virus Database: 265.4.3 - Release Date: 11/26/2004
>
>_______________________________________________
>PrvPracNP mailing list
>PrvPracNP at nurse.net
>http://lists.nurse.net/mailman/listinfo/prvpracnp
>% You can change you list options and unsubscribe from this page




From GAAdams at aol.com  Tue Nov 30 20:20:25 2004
From: GAAdams at aol.com (GAAdams at aol.com)
Date: Tue, 30 Nov 2004 23:20:25 EST
Subject: [PrvPracNP] Taxes/Social Security
Message-ID: <dc.1ac4f8ea.2edea089@aol.com>

Pamela
If this is your first year then they would be do April 15th as far as I know 
without any penalty.  The money you pay yourself is just like paying another 
employee and you need to take out Social security and medicare I believe monthy.
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From pamme at sbcglobal.net  Tue Nov 30 21:18:42 2004
From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.)
Date: Wed, 1 Dec 2004 00:18:42 -0500
Subject: [PrvPracNP] Taxes/Social Security
References: <BAY17-F386294BBBEE8E145D09AD0B1BF0@phx.gbl>
Message-ID: <002001c4d765$3bc60b40$209cfea9@VAIO>

Congrats of course Priscilla!!
Keep up the good work.
After 10 years in the biz, I decided to go out on my own.
Unfortunately, my years and being 100% disabled, took it's toll.
I had a booming business.  23 follow up patients per day and on my intake
days 10.  Had I been in my youth, it would have been a walk in the park.
However, at the end of 5.5 months, my disability attacked my immune system
and I was sentenced to bedrest for 3 weeks, with pain injections into my
spine under fluoro every week.  Severe Fibro, Chronic Myofaciitis and a
compromised immune system, not to mention advanced age is not a combo for
independent practice.  My colleagues were fearful that I was headed for a
heart attack.  The final week as I was limping into work, my facial skin
rashed out and both legs swollen twice their size and in constant
generalized pain with screaming trigger points.  I went to my specialist and
he said, "I promised you your life back, but you were just too far advanced
in years and disease process and trying to do too much."   The money was
starting to come in, as all the problems with the payor sources had been
worked out.  In fact, I am still getting checks.  It was quite a bash to my
ego, as I had never failed to accomplish anything, that I'd ever started out
to do.  Via projection, I was ahead of the game.  Had I been able to last to
a full year, I would have closed out with a profit for my first year.  I
didn't take it well at all and that just made things worse.
However, I am happy to say that after spending so many years in the
business, I am now retired and I DID achieve what I intended to do.  I had
my own business.
I decided to go back to a career as an RN.  Happily, I am making not quite
as much money as I was as an NP, but $70,000 a year for 3 days a week as an
RN is not bad.  And, I have full benefits again.  I was unable to be insured
with my illnesses as the insurance companies will not underwrite an
insurance policy on an individual basis for someone with my disabilities.
Paid vacation equaling 200 hours per year, holidays, sick days, a pension, a
tax annuity etc at the hospital where I am now employed as a specialist RN.
I almost made a very bad mistake of taking the Medical Director's offer to
do NP work part time during the week.  The ADON took me aside and said, "you
can't do both.  It is hard enough to do either job.  But, to take off one
hat and put on another all in the same week, is confusing to the staff, the
patients, the physicians, not to mention yourself."  She was so right.  I
didn't know who I was any more.  And, the depression set in again, as I
almost lost both jobs, because of it.  I had to decide.  I chose RN.
Embarrassed, and not realizing that no one knew about the conversation, I
went back to work and said nothing to no one.  About 2 weeks later, after
re-reading Roy and getting a hold of the specialty practice manual, I was
getting the hang of being an RN again and enjoying it.  I didn't have to
stress myself out with diagnosis and treatment plan.  Assessment was all I
needed to do.  Having dropped hints to the Med. Dir on coding and the more
prominent diagnoses in the field, in the dual role, I had inadvertently lead
the dir to doubt herself.  Bad move.  However, she and I settled into our
roles after much emotional turmoil and I am happy to report that it looks
like things are going to work out after all.  She announced to the staff one
day, out of the blue, "I wish I could be like Pam.  She got to retire.  As a
doctor, this is all I have."  WOW!  I was bowled over.  I had never thought
about it that way.
The entrepreneur in me is not quite gone, but the light is dimming.  Just
last week, I saw a way to work in the field I am in now as an independent.
Then, I remembered how good I had it and laughed it off.  Oh, it would be a
great position, but it would require traveling all over the state, working
long hours, lots of PR and that is on top of the actual service it's self.
I actually laughed out loud when I remembered that I had retired hahaha.
So to you Priscilla,  I say bravo.  Keep up the good work and do us all
proud.  You are in my thoughts and prayers!!
To those of you who are in the position that I was in, remember their are
plenty of things to do in our business, and still make big money and not
work 5 long days a week to accomplish the monies that we all love to have.
So feel free to speak up and be heard!!  God Bless your hearts.
Peace and happiness,
Pamela
----- Original Message ----- 
From: "Cindy Jensen" <cindyjensennp at hotmail.com>
To: <prvpracnp at nurse.net>
Sent: Tuesday, November 30, 2004 9:33 PM
Subject: RE: [PrvPracNP] Taxes/Social Security


> Prisiilla,
> Try the IRS.gov website for answers to your questions.  Congratulations on
> surviving your first year of independent practice!  It gets better the
next
> year.  If I had to do it over again I would have kept better track on my
> expenses the first year.  I alsio underestimated how much Business and
> Occupation (B&O) taxes would add up.  We have no income tax in Washington
> State and the B&O tax is one way of raising revenue that doesn't effect
most
> people...except if you are self employed.  It sounds like you have done
well
> your first year...most new businesses do not expect to earn a salary for
the
> owner or make a profit for 3-5 years.  This is quite an adjustment when
you
> have been well employed as a nurse in the past.  If you need further
> motivation, check out the annual NP salary review at NP
> Cliinical/nursenet...the NPs that consistently make over 100,000 dollars a
> year are the ones who took a chance and struck out on their own.  You are
> the future of NP practice.  Enjoy being a pioneer.
> Cindy
>
>
>
> >From: "Priscilla Merrill" <prispunnyfnp at metrocast.net>
> >Reply-To: Private Practice NPs <prvpracnp at nurse.net>
> >To: "Prvpracnp" <prvpracnp at nurse.net>
> >Subject: [PrvPracNP] Taxes/Social Security
> >Date: Sun, 28 Nov 2004 18:38:49 -0500
> >
> >Any advice on how to pay social security?  I've been a sole proprietor
> >since
> >Feb and think I read you don't have to pay quarterly the first year?  How
> >and when do you pay this?
> >I have just started to get the bulk of my insurance reimbursements
> >(nightmare billing fiasco just getting worked out!) so just making enough
> >to
> >get out of the debt I incurred starting up.  I haven't taken anything out
> >yet for taxes and social security but know I should start setting some of
> >this aside.  I'm thinking my expenses still outweigh my income so hoping
to
> >get some back.
> >I'm sure this year I won't have enough to put into IRA.  This is all
> >overwhelming to someone new at private practice so any
> >recommendations/lessons learned the hard way are very appreciated.
> >Thanks in advance,
> >
> >Priscilla Merrill FNP
> >--
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> >
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