From prispunnyfnp at metrocast.net Tue Sep 14 14:25:16 2004 From: prispunnyfnp at metrocast.net (Priscilla Merrill) Date: Tue, 14 Sep 2004 17:25:16 -0400 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? Message-ID: Just wondering what's up wit the list serve. No posts in ages. What's up?? Priscilla --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.760 / Virus Database: 509 - Release Date: 9/10/2004 -------------- next part -------------- A non-text attachment was scrubbed... Name: winmail.dat Type: application/ms-tnef Size: 1752 bytes Desc: not available URL: From csdlp at eiu.edu Tue Sep 14 14:41:47 2004 From: csdlp at eiu.edu (Daphne Piercy) Date: Tue, 14 Sep 2004 16:41:47 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? References: Message-ID: <4147659B.29002073@eiu.edu> Well I got your message. But I have not heard from anyone in a longggg time. I'm not sure, we may be on here by ourselves. Daphne Priscilla Merrill wrote: > Just wondering what's up wit the list serve. No posts in ages. > What's up?? > > Priscilla > > --- > Outgoing mail is certified Virus Free. > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.760 / Virus Database: 509 - Release Date: 9/10/2004 > > > ------------------------------------------------------------------------ > Name: winmail.dat > winmail.dat Type: application/ms-tnef > Encoding: base64 > > ------------------------------------------------------------------------ > _______________________________________________ > 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 avvarnp at msn.com Tue Sep 14 15:42:47 2004 From: avvarnp at msn.com (Audrey Van Voorhis) Date: Tue, 14 Sep 2004 15:42:47 -0700 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? Message-ID: I am still here-was also wondering where everyone was. Audrey ----- Original Message ----- From: Daphne Piercy Sent: Tuesday, September 14, 2004 3:02 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Well I got your message. But I have not heard from anyone in a longggg time. I'm not sure, we may be on here by ourselves. Daphne Priscilla Merrill wrote: > Just wondering what's up wit the list serve. No posts in ages. > What's up?? > > Priscilla > > --- > Outgoing mail is certified Virus Free. > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.760 / Virus Database: 509 - Release Date: 9/10/2004 > > > ------------------------------------------------------------------------ > Name: winmail.dat > winmail.dat Type: application/ms-tnef > Encoding: base64 > > ------------------------------------------------------------------------ > _______________________________________________ > 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From KMCMAHONRN at aol.com Tue Sep 14 15:56:00 2004 From: KMCMAHONRN at aol.com (KMCMAHONRN at aol.com) Date: Tue, 14 Sep 2004 18:56:00 EDT Subject: [PrvPracNP] Testing: Is this list serve still in existence?? Message-ID: I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly -------------- next part -------------- An HTML attachment was scrubbed... URL: From avvarnp at msn.com Tue Sep 14 16:05:10 2004 From: avvarnp at msn.com (Audrey Van Voorhis) Date: Tue, 14 Sep 2004 16:05:10 -0700 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? Message-ID: Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Tue Sep 14 19:05:33 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 14 Sep 2004 21:05:33 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? References: Message-ID: <006501c49ac8$7ce95660$209cfea9@VAIO> I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Tue Sep 14 19:08:02 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 14 Sep 2004 21:08:02 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? References: Message-ID: <007801c49ac8$d546f330$209cfea9@VAIO> Everyone else has gone over to IndNursePrac at yahoogroups.com. There are folders with information available over there. There are links for necessary resouces over there as well. The archives are also accessible and attached files are allowed. Head on over if you wish. Namaste, Pamela ----- Original Message ----- From: KMCMAHONRN at aol.com To: prvpracnp at nurse.net Sent: Tuesday, September 14, 2004 5:56 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From millernp at pacbell.net Sun Sep 12 19:00:48 2004 From: millernp at pacbell.net (Laura Miller) Date: Sun, 12 Sep 2004 19:00:48 -0700 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? In-Reply-To: References: Message-ID: <4144FF50.4000508@pacbell.net> ...I'm no, no new message... Laura Priscilla Merrill wrote: >Just wondering what's up wit the list serve. No posts in ages. >What's up?? > >Priscilla > >--- >Outgoing mail is certified Virus Free. >Checked by AVG anti-virus system (http://www.grisoft.com). >Version: 6.0.760 / Virus Database: 509 - Release Date: 9/10/2004 > > > >------------------------------------------------------------------------ > >_______________________________________________ >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 > -------------- next part -------------- An HTML attachment was scrubbed... URL: From CAW at peabodyrc.com Wed Sep 15 06:18:28 2004 From: CAW at peabodyrc.com (White, Carol) Date: Wed, 15 Sep 2004 08:18:28 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? Message-ID: <5E6722C3814FD711A13C00065BF66452083320@EXCHANGE> Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Wed Sep 15 11:25:09 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Wed, 15 Sep 2004 13:25:09 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? References: <5E6722C3814FD711A13C00065BF66452083320@EXCHANGE> Message-ID: <00bd01c49b51$5b8eadb0$209cfea9@VAIO> Hey Carol! Wondered if you were ever going to give me congrats after our big offline discussions on other options. I'll let you know the day, I am sitting in orientation, which hospital it is. That is supposed to be tomorrow. Trust me! The salaries they are paying nurses now are not what they were when we were in nursing. Plus, since I am so used to negotiating salary, I just did it for this job as well. They give these great benefits, cuz they don't give a sign on bonus and they want a low turnover. It works. It's hard to get a job at this hospital. They just happened to open this new unit and I wanted nights cuz of the disability. I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't rec'd the letter from my doc stating all is a okay. He will accept a fax even and the doc only needs to type 3 lines on letter head and send. So, I was having a relaxing day today, in anticipation of starting work tomorrow and my cat being brought back from the brink of death over the past 5 days, by my vet and finally getting him home and restalling him in the house. But NOOOOO! Course not. Other people are in so much stress, that they feel the need to spread it around hahaha. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 8:18 AM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From CAW at peabodyrc.com Wed Sep 15 12:38:58 2004 From: CAW at peabodyrc.com (White, Carol) Date: Wed, 15 Sep 2004 14:38:58 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? Message-ID: <5E6722C3814FD711A13C00065BF66452083321@EXCHANGE> Well let me know. I would think it would be hard to go back to being a "real nurse" (RN) after having so much independence. You will have to let me know how that works out for you. Again, congratulations! Carol -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Wednesday, September 15, 2004 1:25 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Hey Carol! Wondered if you were ever going to give me congrats after our big offline discussions on other options. I'll let you know the day, I am sitting in orientation, which hospital it is. That is supposed to be tomorrow. Trust me! The salaries they are paying nurses now are not what they were when we were in nursing. Plus, since I am so used to negotiating salary, I just did it for this job as well. They give these great benefits, cuz they don't give a sign on bonus and they want a low turnover. It works. It's hard to get a job at this hospital. They just happened to open this new unit and I wanted nights cuz of the disability. I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't rec'd the letter from my doc stating all is a okay. He will accept a fax even and the doc only needs to type 3 lines on letter head and send. So, I was having a relaxing day today, in anticipation of starting work tomorrow and my cat being brought back from the brink of death over the past 5 days, by my vet and finally getting him home and restalling him in the house. But NOOOOO! Course not. Other people are in so much stress, that they feel the need to spread it around hahaha. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 8:18 AM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Wed Sep 15 13:48:05 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Wed, 15 Sep 2004 15:48:05 -0500 Subject: [PrvPracNP] Are we reallly all that independent. References: <5E6722C3814FD711A13C00065BF66452083321@EXCHANGE> Message-ID: <002101c49b65$4e4e8f30$209cfea9@VAIO> Hi Carol, I wrote this all out once and my computer froze and now I have to do it all over again. Arrrggghhhh! LOL. That is why it is in outline format lol. Trying to get all the info I wrote into a more organized format. 1. I am not yelling with my large font. I can't read small font without extreme difficulty. It has become standard of community in groups to us a size 14 font or size 3 or 4 if writing from a website. The majority of people in groups are over 40 and therefore, the good ol'eyes aren't what they used to be. 2. Regarding Independence: I had to answer to more people as an NP than I ever did in the hospital. There is the collaborator, the state, medicare/medicaid, third party payors, contractees, secretarial and billing staff, not to mention the patients. In the hospital, I only had to answer to my supervisor. I still haven't gotten money from medicare, medicaid for patients that I saw in March!! a. In this job, I will be working night shift. I will be out of all that day time politics. Thank the Lord. b. Should I have a problem with the medical director of the unit, I take it to my ACNO. c. My direct superior is the Assistant Chief Nursing Officer. She is looking for a supervisor of the Unit and she is looking at me for the position. Told her only if I can do it at night. And I don't see any reason why that can't be done as nursing is nursing and one of the best things about it, all the rules are written out. There are no surprises. So, supervision can be done on any shift, even though it is traditional done on days, because most supervisors prefer to work days. I don't. Don't want to deal with the families. Work at night and check all the charts, talk to all the patients. I think it's a great way to supervise. Staff meetings can be done between shifts: eves to nocs, nocs to days. And, if they do want me to become the supervisor, more bucks have to be delivered and they said they would be. As a staff nurse, they don't take education into factoring salary. Never heard such a thing. Since I already have my Masters, that's an automatic increase on top of the supervisor increase, should I decide to take the supervisor position. d. MY sister reminded me that I am trying to decrease my stressors because of my health. Well then, only having to answer to one person is a step in the right direction. And because I am reducing my stressors, I prolly won't go for the supervisor position. e. Being a Real Nurse, means I only have to be at work at a certain time, do my work and go home. No call! Yippeeee! Thank you so much for the congratulations. I sure will let you know how it goes. Update me if your email changes. I am going to maintain my certification and license for the next eight years. Then, if things change after that, I still have that to rely on for part time. Because, by that time, I will be ready to retire and may just pick up a couple hours a week doing something simple as an NP. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 2:38 PM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Well let me know. I would think it would be hard to go back to being a "real nurse" (RN) after having so much independence. You will have to let me know how that works out for you. Again, congratulations! Carol -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Wednesday, September 15, 2004 1:25 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Hey Carol! Wondered if you were ever going to give me congrats after our big offline discussions on other options. I'll let you know the day, I am sitting in orientation, which hospital it is. That is supposed to be tomorrow. Trust me! The salaries they are paying nurses now are not what they were when we were in nursing. Plus, since I am so used to negotiating salary, I just did it for this job as well. They give these great benefits, cuz they don't give a sign on bonus and they want a low turnover. It works. It's hard to get a job at this hospital. They just happened to open this new unit and I wanted nights cuz of the disability. I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't rec'd the letter from my doc stating all is a okay. He will accept a fax even and the doc only needs to type 3 lines on letter head and send. So, I was having a relaxing day today, in anticipation of starting work tomorrow and my cat being brought back from the brink of death over the past 5 days, by my vet and finally getting him home and restalling him in the house. But NOOOOO! Course not. Other people are in so much stress, that they feel the need to spread it around hahaha. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 8:18 AM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From LauraHoemanARNP at aol.com Wed Sep 15 15:12:07 2004 From: LauraHoemanARNP at aol.com (LauraHoemanARNP at aol.com) Date: Wed, 15 Sep 2004 18:12:07 EDT Subject: [PrvPracNP] NP Practice acts & private practice Message-ID: I opened my private practice in psych. 8 months ago and although some days it drives me crazy, I'm glad I did it and wouldn't do anything else. In Washington state, we have one of the best NP practice acts, so I don't have to have any of those pesky (pricey) MDs involved if I don't want to. I'm getting very busy and although still not making as much money as I used to when I was an employee, the potential is greater. Anyway, I think it's mostly do to our NP practice act that I'm doing as well as I am. I encourage anyone who's thinking about private practice to work on NP practice/legislative action in their state. It makes all the difference. --Laura -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Wed Sep 15 16:14:17 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Wed, 15 Sep 2004 18:14:17 -0500 Subject: [PrvPracNP] NP Practice acts & private practice References: Message-ID: <00de01c49b79$b9b966a0$209cfea9@VAIO> LOL. That is so true Laura. I should have listened to you and moved out there when you told me to. LOL. Congrats on the success of your business. Kep up the good work. You're only 8 months into it. You'll be making plenty of money in no time. Namaste, Pamme ----- Original Message ----- From: LauraHoemanARNP at aol.com To: prvpracnp at nurse.net Sent: Wednesday, September 15, 2004 5:12 PM Subject: [PrvPracNP] NP Practice acts & private practice I opened my private practice in psych. 8 months ago and although some days it drives me crazy, I'm glad I did it and wouldn't do anything else. In Washington state, we have one of the best NP practice acts, so I don't have to have any of those pesky (pricey) MDs involved if I don't want to. I'm getting very busy and although still not making as much money as I used to when I was an employee, the potential is greater. Anyway, I think it's mostly do to our NP practice act that I'm doing as well as I am. I encourage anyone who's thinking about private practice to work on NP practice/legislative action in their state. It makes all the difference. --Laura ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: From prispunnyfnp at metrocast.net Wed Sep 15 16:28:32 2004 From: prispunnyfnp at metrocast.net (Priscilla Merrill) Date: Wed, 15 Sep 2004 19:28:32 -0400 Subject: [PrvPracNP] RE: PrvPracNP Digest, Vol 7, Issue 1 In-Reply-To: <200409151900.i8FJ0ba09335@merlin.wizards.net> Message-ID: So great to hear from you all! Thanks! Maybe we just needed a nudge to get us going again. We've been discussing a lot of private practice issues on np clinical and np info. For anyone interested, just sign up at www.npcentral.com NP clinical gets crazy sometimes with up to 40 new emails per day but I love all the range of topics. Thanks so much. My private practice partnership goes well. Just glitches with getting paid but glad I did it and glad also that it's only 2 days per week so I can have 2 "real jobs" to make ends meet. All the best, Priscilla Merrill FNP --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.760 / Virus Database: 509 - Release Date: 9/10/2004 From psumner2 at yahoo.com Sat Sep 18 19:36:33 2004 From: psumner2 at yahoo.com (Paula J. Sumner) Date: Sat, 18 Sep 2004 19:36:33 -0700 (PDT) Subject: [PrvPracNP] Testing: Is this list serve still in existence?? In-Reply-To: <00bd01c49b51$5b8eadb0$209cfea9@VAIO> Message-ID: <20040919023633.95835.qmail@web51608.mail.yahoo.com> Pamela, where is this wonderful hospital? sounds great. A friend is offering me nites on the pain team, at 55 I don't think I can stay awake all nite, lol. but it sounds like a great job, too bad it is 30 miles from home. keep us posted on how you like it in 6 mos. sounds like you will enjoy it. paula "Pr. Pamela A. Provost N.P." wrote: Hey Carol! Wondered if you were ever going to give me congrats after our big offline discussions on other options. I'll let you know the day, I am sitting in orientation, which hospital it is. That is supposed to be tomorrow. Trust me! The salaries they are paying nurses now are not what they were when we were in nursing. Plus, since I am so used to negotiating salary, I just did it for this job as well. They give these great benefits, cuz they don't give a sign on bonus and they want a low turnover. It works. It's hard to get a job at this hospital. They just happened to open this new unit and I wanted nights cuz of the disability. I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't rec'd the letter from my doc stating all is a okay. He will accept a fax even and the doc only needs to type 3 lines on letter head and send. So, I was having a relaxing day today, in anticipation of starting work tomorrow and my cat being brought back from the brink of death over the past 5 days, by my vet and finally getting him home and restalling him in the house. But NOOOOO! Course not. Other people are in so much stress, that they feel the need to spread it around hahaha. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 8:18 AM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 Paula Joan Sumner RN, MSN, CFNP Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation. Durham, NC 27707 http://paulajsumner.byregion.net reference# 10102918 http:/www.geocities.com/energy_healing4you 919-490-4656, #8 __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Sun Sep 19 09:50:26 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Sun, 19 Sep 2004 11:50:26 -0500 Subject: [PrvPracNP] Testing: Is this list serve still in existence?? References: <20040919023633.95835.qmail@web51608.mail.yahoo.com> Message-ID: <006401c49e68$c43a29b0$209cfea9@VAIO> Hey Paula, I'm 54 and 100% disabled. That is why I am getting out of the rat race NP business. A nice quiet night RN position is just what I need right now. I'd love to just opt out onto disability, but I have become accustom to this standard of living that has me in debt up to my eyebals. So work I will carry on!! My sister, who is 51, and has advanced DM1 (she wears a pump) just started working nights at the hospital, where she has worked since getting out of school, almost 30 years ago. She loves it. I was worried that it would make her DM worse. But she claims that she has never felt better. And, she has a heck of a lot more energy than she had before as well. As she told me when I asked her about working nights, she said, "Why not? You don't sleep at noc anyway!" LOL. I am so happy about my decision. I do wonder if I remember how to perform like a nurse. But as they say, once a nurse, always a nurse LOL. I'll just have to remember that I don't have to decide what to do with the patient. That's up to the provider. HA! I was surprised to hear that many NP's are getting out of the field and leaving it for the "kids." It is just too much for us seasoned veterans. hehehe. If I wanted assembly line work, I would have gone to work for GM with the big bucks and the big benefits. You bet I'll stay in touch. I'm not leaving the IndNursePrac at yahoogroups.com Namaste, Pamela ----- Original Message ----- From: Paula J. Sumner To: Private Practice NPs Sent: Saturday, September 18, 2004 9:36 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, where is this wonderful hospital? sounds great. A friend is offering me nites on the pain team, at 55 I don't think I can stay awake all nite, lol. but it sounds like a great job, too bad it is 30 miles from home. keep us posted on how you like it in 6 mos. sounds like you will enjoy it. paula "Pr. Pamela A. Provost N.P." wrote: Hey Carol! Wondered if you were ever going to give me congrats after our big offline discussions on other options. I'll let you know the day, I am sitting in orientation, which hospital it is. That is supposed to be tomorrow. Trust me! The salaries they are paying nurses now are not what they were when we were in nursing. Plus, since I am so used to negotiating salary, I just did it for this job as well. They give these great benefits, cuz they don't give a sign on bonus and they want a low turnover. It works. It's hard to get a job at this hospital. They just happened to open this new unit and I wanted nights cuz of the disability. I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't rec'd the letter from my doc stating all is a okay. He will accept a fax even and the doc only needs to type 3 lines on letter head and send. So, I was having a relaxing day today, in anticipation of starting work tomorrow and my cat being brought back from the brink of death over the past 5 days, by my vet and finally getting him home and restalling him in the house. But NOOOOO! Course not. Other people are in so much stress, that they feel the need to spread it around hahaha. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 8:18 AM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you ! see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hos! pital I worked at before becoing an NP. There is also a tax annuity that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 Paula Joan Sumner RN, MSN, CFNP Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation. Durham, NC 27707 http://paulajsumner.byregion.net reference# 10102918 http:/www.geocities.com/energy_healing4you 919-490-4656, #8 __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 4679 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 711 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 6483 bytes Desc: not available URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 18392 bytes Desc: not available URL: From prispunnyfnp at metrocast.net Sun Sep 19 12:16:13 2004 From: prispunnyfnp at metrocast.net (Priscilla Merrill) Date: Sun, 19 Sep 2004 15:16:13 -0400 Subject: [PrvPracNP] RE: PrvPracNP Digest, Vol 7, Issue 3 In-Reply-To: <200409191900.i8JJ0Ea01758@merlin.wizards.net> Message-ID: What's up with the list? I keep getting the same digest over and over. Just me? Priscilla -----Original Message----- From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On Behalf Of prvpracnp-request at nurse.net Sent: Sunday, September 19, 2004 3:00 PM To: prvpracnp at nurse.net Subject: PrvPracNP Digest, Vol 7, Issue 3 Send PrvPracNP mailing list submissions to prvpracnp at nurse.net To subscribe or unsubscribe via the World Wide Web, visit http://lists.nurse.net/mailman/listinfo/prvpracnp or, via email, send a message with subject or body 'help' to prvpracnp-request at nurse.net You can reach the person managing the list at prvpracnp-owner at nurse.net When replying, please edit your Subject line so it is more specific than "Re: Contents of PrvPracNP digest..." Today's Topics: 1. Re: Testing: Is this list serve still in existence?? (Paula J. Sumner) 2. Re: Testing: Is this list serve still in existence?? (Pr. Pamela A. Provost N.P.) ---------------------------------------------------------------------- Message: 1 Date: Sat, 18 Sep 2004 19:36:33 -0700 (PDT) From: "Paula J. Sumner" Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? To: Private Practice NPs Message-ID: <20040919023633.95835.qmail at web51608.mail.yahoo.com> Content-Type: text/plain; charset="us-ascii" Pamela, where is this wonderful hospital? sounds great. A friend is offering me nites on the pain team, at 55 I don't think I can stay awake all nite, lol. but it sounds like a great job, too bad it is 30 miles from home. keep us posted on how you like it in 6 mos. sounds like you will enjoy it. paula "Pr. Pamela A. Provost N.P." wrote: Hey Carol! Wondered if you were ever going to give me congrats after our big offline discussions on other options. I'll let you know the day, I am sitting in orientation, which hospital it is. That is supposed to be tomorrow. Trust me! The salaries they are paying nurses now are not what they were when we were in nursing. Plus, since I am so used to negotiating salary, I just did it for this job as well. They give these great benefits, cuz they don't give a sign on bonus and they want a low turnover. It works. It's hard to get a job at this hospital. They just happened to open this new unit and I wanted nights cuz of the disability. I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't rec'd the letter from my doc stating all is a okay. He will accept a fax even and the doc only needs to type 3 lines on letter head and send. So, I was having a relaxing day today, in anticipation of starting work tomorrow and my cat being brought back from the brink of death over the past 5 days, by my vet and finally getting him home and restalling him in the house. But NOOOOO! Course not. Other people are in so much stress, that they feel the need to spread it around hahaha. Namaste, Pamela ----- Original Message ----- From: White, Carol To: 'Private Practice NPs' Sent: Wednesday, September 15, 2004 8:18 AM Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? Pamela, Where did youn get such a good deal at a hospital if I can be nosy? I am so glad things are working out for you. Carol White -----Original Message----- From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] Sent: Tuesday, September 14, 2004 9:06 PM To: Private Practice NPs Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I opened my private practice in psych 6 months ago and closed it August 31. It I did not have to rent space from an established practice and had been able to support my own sec and billing support, it prolly would have been a go. But, I am 100% disabled and when I need time off for my disability, appts. had to be cancelled. The place where I was renting space, sec/billing support, felt it reflected badly on her practice. Later, she told me that the continued work was telling on me and I was getting more and more ill as the time went on. I told her, I understood, that even though we were two different practices that the patients would still associate us as one. And that it would look bad for her, despite the fact I was available 24/7. The bottom line to the whole situation is that her secretary biller was doing the work of 3 people and she was a severe, unstable Bipolar I, Manic. Her psych MD. had left town and turned all her patients over to me. Needless to say, I jacked this one's meds up twice and she refused to go to therapy, that she needed badly. She was being used by the owner, over, above and beyond her health capabilities for too long (they only opened 10 month ago and this sec/biller was working 7 days a week, 12 hours a day. I thought I was going to have to hospitalize her. So, as you see, there were many factos that played into closing my practice. INCLUDING that the sec/biller, my patient, was daily doing what I advised her in the treatment plan not to do. AND, she couldn't handle cancelling the schedules and rescheduling along wihyt all her other duties. I always say, things work out for the best. I had a long run as an NP, it was time to hang up my DSM-IV. I just procured a position working 3 twelve hour night shifts on a new 12 bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and 3 patient checks in the 12 hours. Full benefits package, making more money than I was as an NP and now I don't have any expenses as the hospital pays them all. And here is the big kicker: I never gave my self any vacation. This place starts me at 6 wks vacation, a pension plan in which I am vested after year 1; short and long term disability, medical, dental, vision and life insurance, membership to the best workout facility in the City and the usual 10 holidays (the day after Thanksgiving is included in those.) All my licenses and my certs are paid for, as well as CE's and tuition if I decide to work on my doctorate. I will be able to retire in 7 years with 100% vesting and at the salary I am at that time, plus I have another snall pension plan from a hospital I worked at before becoing an NP. There is also a tax annuit! y that is matched dollar for dollar. I couldn't afford to pass it up. Killing my self running my own practice, just wasn't worth it. That's for you younger women. Congrats to you both and best wishes for future growth, solidarity and properity. Namaste, Pamela ----- Original Message ----- From: Audrey Van Voorhis To: Private Practice NPs Sent: Tuesday, September 14, 2004 6:05 PM Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? Right on! I opened my practice about 15 months ago and best thing I ever did. Audrey ----- Original Message ----- From: KMCMAHONRN at aol.com Sent: Tuesday, September 14, 2004 4:04 PM To: prvpracnp at nurse.net Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? I am here also. Hopefully, everyone in private practice is too busy to be chatting! I openend an independent practice 5 months ago and would HIGHLY reccommend it! Very political only due to perceptions of competition, but far worth it everyday. Kelly _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nursenet/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 Paula Joan Sumner RN, MSN, CFNP Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique For Peak Performance Issues, Stress Management, Pain Management, Weight Management and Smoking Cessation. Durham, NC 27707 http://paulajsumner.byregion.net reference# 10102918 http:/www.geocities.com/energy_healing4you 919-490-4656, #8 __________________________________________________ Do You Yahoo!? Tired of spam? Yahoo! Mail has the best spam protection around http://mail.yahoo.com -------------- next part -------------- An HTML attachment was scrubbed... URL: http://lists.nurse.net/pipermail/prvpracnp/attachments/20040918/59474b65/att achment-0001.htm ------------------------------ Message: 2 Date: Sun, 19 Sep 2004 11:50:26 -0500 From: "Pr. Pamela A. Provost N.P." Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? To: Cc: Private Practice NPs Message-ID: <006401c49e68$c43a29b0$209cfea9 at VAIO> Content-Type: text/plain; charset="iso-8859-1" Skipped content of type multipart/alternative-------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 4679 bytes Desc: not available Url : http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att achment-0004.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 711 bytes Desc: not available Url : http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att achment-0005.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 6483 bytes Desc: not available Url : http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att achment-0006.gif -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/gif Size: 18392 bytes Desc: not available Url : http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att achment-0007.gif ------------------------------ _______________________________________________ PrvPracNP mailing list PrvPracNP at nurse.net http://lists.nurse.net/mailman/listinfo/prvpracnp End of PrvPracNP Digest, Vol 7, Issue 3 *************************************** --- Incoming mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.766 / Virus Database: 513 - Release Date: 9/17/2004 --- Outgoing mail is certified Virus Free. Checked by AVG anti-virus system (http://www.grisoft.com). Version: 6.0.766 / Virus Database: 513 - Release Date: 9/17/2004 From pamme at sbcglobal.net Sun Sep 19 12:29:41 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Sun, 19 Sep 2004 14:29:41 -0500 Subject: [PrvPracNP] RE: PrvPracNP Digest, Vol 7, Issue 3 References: Message-ID: <00cb01c49e7f$03318a30$209cfea9@VAIO> Looks like you had a bounce. ----- Original Message ----- From: "Priscilla Merrill" To: Sent: Sunday, September 19, 2004 2:16 PM Subject: [PrvPracNP] RE: PrvPracNP Digest, Vol 7, Issue 3 > What's up with the list? I keep getting the same digest over and over. > Just me? > Priscilla > > -----Original Message----- > From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net]On > Behalf Of prvpracnp-request at nurse.net > Sent: Sunday, September 19, 2004 3:00 PM > To: prvpracnp at nurse.net > Subject: PrvPracNP Digest, Vol 7, Issue 3 > > > Send PrvPracNP mailing list submissions to > prvpracnp at nurse.net > > To subscribe or unsubscribe via the World Wide Web, visit > http://lists.nurse.net/mailman/listinfo/prvpracnp > or, via email, send a message with subject or body 'help' to > prvpracnp-request at nurse.net > > You can reach the person managing the list at > prvpracnp-owner at nurse.net > > When replying, please edit your Subject line so it is more specific > than "Re: Contents of PrvPracNP digest..." > > > Today's Topics: > > 1. Re: Testing: Is this list serve still in existence?? > (Paula J. Sumner) > 2. Re: Testing: Is this list serve still in existence?? > (Pr. Pamela A. Provost N.P.) > > > ---------------------------------------------------------------------- > > Message: 1 > Date: Sat, 18 Sep 2004 19:36:33 -0700 (PDT) > From: "Paula J. Sumner" > Subject: Re: [PrvPracNP] Testing: Is this list serve still in > existence?? > To: Private Practice NPs > Message-ID: <20040919023633.95835.qmail at web51608.mail.yahoo.com> > Content-Type: text/plain; charset="us-ascii" > > Pamela, where is this wonderful hospital? sounds great. A friend is offering > me nites on the pain team, at 55 I don't think I can stay awake all nite, > lol. but it sounds like a great job, too bad it is 30 miles from home. keep > us posted on how you like it in 6 mos. sounds like you will enjoy it. > paula > > "Pr. Pamela A. Provost N.P." wrote: > Hey Carol! Wondered if you were ever going to give me congrats after our > big offline discussions on other options. > I'll let you know the day, I am sitting in orientation, which hospital it > is. That is supposed to be tomorrow. > Trust me! The salaries they are paying nurses now are not what they were > when we were in nursing. Plus, since I am so used to negotiating salary, I > just did it for this job as well. They give these great benefits, cuz they > don't give a sign on bonus and they want a low turnover. It works. It's > hard to get a job at this hospital. They just happened to open this new > unit and I wanted nights cuz of the disability. > I am supposed to be working tomorrow, but the hospital's Occ Med doc hasn't > rec'd the letter from my doc stating all is a okay. He will accept a fax > even and the doc only needs to type 3 lines on letter head and send. So, I > was having a relaxing day today, in anticipation of starting work tomorrow > and my cat being brought back from the brink of death over the past 5 days, > by my vet and finally getting him home and restalling him in the house. > But NOOOOO! Course not. Other people are in so much stress, that they feel > the need to spread it around hahaha. > Namaste, > Pamela > ----- Original Message ----- > From: White, Carol > To: 'Private Practice NPs' > Sent: Wednesday, September 15, 2004 8:18 AM > Subject: RE: [PrvPracNP] Testing: Is this list serve still in existence?? > > > Pamela, > > Where did youn get such a good deal at a hospital if I can be nosy? I am so > glad things are working out for you. > > Carol White > -----Original Message----- > From: Pr. Pamela A. Provost N.P. [mailto:pamme at sbcglobal.net] > Sent: Tuesday, September 14, 2004 9:06 PM > To: Private Practice NPs > Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? > > > I opened my private practice in psych 6 months ago and closed it August 31. > It I did not have to rent space from an established practice and had been > able to support my own sec and billing support, it prolly would have been a > go. But, I am 100% disabled and when I need time off for my disability, > appts. had to be cancelled. The place where I was renting space, > sec/billing support, felt it reflected badly on her practice. > Later, she told me that the continued work was telling on me and I was > getting more and more ill as the time went on. I told her, I understood, > that even though we were two different practices that the patients would > still associate us as one. And that it would look bad for her, despite the > fact I was available 24/7. The bottom line to the whole situation is that > her secretary biller was doing the work of 3 people and she was a severe, > unstable Bipolar I, Manic. Her psych MD. had left town and turned all her > patients over to me. Needless to say, I jacked this one's meds up twice and > she refused to go to therapy, that she needed badly. She was being used by > the owner, over, above and beyond her health capabilities for too long (they > only opened 10 month ago and this sec/biller was working 7 days a week, 12 > hours a day. I thought I was going to have to hospitalize her. So, as you > see, there were many factos that played into closing my practice. INCLUDING > that the > sec/biller, my patient, was daily doing what I advised her in the treatment > plan not to do. AND, she couldn't handle cancelling the schedules and > rescheduling along wihyt all her other duties. > I always say, things work out for the best. I had a long run as an NP, it > was time to hang up my DSM-IV. > I just procured a position working 3 twelve hour night shifts on a new 12 > bed inpatient physical rehab unit. 2 med passes, 24 hour chart reviews and > 3 patient checks in the 12 hours. Full benefits package, making more money > than I was as an NP and now I don't have any expenses as the hospital pays > them all. And here is the big kicker: I never gave my self any vacation. > This place starts me at 6 wks vacation, a pension plan in which I am vested > after year 1; short and long term disability, medical, dental, vision and > life insurance, membership to the best workout facility in the City and the > usual 10 holidays (the day after Thanksgiving is included in those.) All my > licenses and my certs are paid for, as well as CE's and tuition if I decide > to work on my doctorate. I will be able to retire in 7 years with 100% > vesting and at the salary I am at that time, plus I have another snall > pension plan from a hospital I worked at before becoing an NP. There is > also a tax annuit! > y that is > matched dollar for dollar. I couldn't afford to pass it up. Killing my > self running my own practice, just wasn't worth it. That's for you younger > women. > Congrats to you both and best wishes for future growth, solidarity and > properity. > Namaste, > Pamela > ----- Original Message ----- > From: Audrey Van Voorhis > To: Private Practice NPs > Sent: Tuesday, September 14, 2004 6:05 PM > Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? > > > Right on! I opened my practice about 15 months ago and best thing I ever > did. > > Audrey > > ----- Original Message ----- > From: KMCMAHONRN at aol.com > Sent: Tuesday, September 14, 2004 4:04 PM > To: prvpracnp at nurse.net > Subject: Re: [PrvPracNP] Testing: Is this list serve still in existence?? > > I am here also. Hopefully, everyone in private practice is too busy to be > chatting! > I openend an independent practice 5 months ago and would HIGHLY reccommend > it! > Very political only due to perceptions of competition, but far worth it > everyday. > Kelly > _______________________________________________ > PrvPracNP mailing list > PrvPracNP at nurse.net > http://lists.nursenet/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 > > Paula Joan Sumner RN, MSN, CFNP > Hypnotherapist, Healing Touch Practitioner, Emotional Freedom Technique > For Peak Performance Issues, Stress Management, Pain Management, Weight > Management and Smoking Cessation. > Durham, NC 27707 > > http://paulajsumner.byregion.net reference# 10102918 > http:/www.geocities.com/energy_healing4you > > 919-490-4656, #8 > __________________________________________________ > Do You Yahoo!? > Tired of spam? Yahoo! Mail has the best spam protection around > http://mail.yahoo.com > -------------- next part -------------- > An HTML attachment was scrubbed... > URL: > http://lists.nurse.net/pipermail/prvpracnp/attachments/20040918/59474b65/att > achment-0001.htm > > ------------------------------ > > Message: 2 > Date: Sun, 19 Sep 2004 11:50:26 -0500 > From: "Pr. Pamela A. Provost N.P." > Subject: Re: [PrvPracNP] Testing: Is this list serve still in > existence?? > To: > Cc: Private Practice NPs > Message-ID: <006401c49e68$c43a29b0$209cfea9 at VAIO> > Content-Type: text/plain; charset="iso-8859-1" > > Skipped content of type multipart/alternative-------------- next > part -------------- > A non-text attachment was scrubbed... > Name: not available > Type: image/gif > Size: 4679 bytes > Desc: not available > Url : > http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att > achment-0004.gif > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: not available > Type: image/gif > Size: 711 bytes > Desc: not available > Url : > http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att > achment-0005.gif > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: not available > Type: image/gif > Size: 6483 bytes > Desc: not available > Url : > http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att > achment-0006.gif > -------------- next part -------------- > A non-text attachment was scrubbed... > Name: not available > Type: image/gif > Size: 18392 bytes > Desc: not available > Url : > http://lists.nurse.net/pipermail/prvpracnp/attachments/20040919/7bad2e85/att > achment-0007.gif > > ------------------------------ > > _______________________________________________ > PrvPracNP mailing list > PrvPracNP at nurse.net > http://lists.nurse.net/mailman/listinfo/prvpracnp > > > End of PrvPracNP Digest, Vol 7, Issue 3 > *************************************** > > --- > Incoming mail is certified Virus Free. > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.766 / Virus Database: 513 - Release Date: 9/17/2004 > > --- > Outgoing mail is certified Virus Free. > Checked by AVG anti-virus system (http://www.grisoft.com). > Version: 6.0.766 / Virus Database: 513 - Release Date: 9/17/2004 > > _______________________________________________ > 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 npsteve at charter.net Tue Sep 28 15:17:04 2004 From: npsteve at charter.net (Steve) Date: Tue, 28 Sep 2004 15:17:04 -0700 Subject: [PrvPracNP] Joining a Psychiatric Group Practice Message-ID: <3a5ama$8r6tp5@mxip05a.cluster1.charter.net> To Whom It May Concern: I am a Psychiatric Mental Health Nurse Practitioner from California. A psychiatric group practice would like to hire me. They request that I become credentialed with their insurance panels. Since the credentialing lag time can be three to four months and some insurance companies do not allow NPs to have provider numbers, I have the following questions: 1. Can I start working at this psychiatric group right away if my service is billed "incident to?" The strict "incident to" criteria would be met. 2. Most of the insurance companies I ask state they do not allow NPs to bill "incident to." To the contrary, many NPs I emailed in private practice state their services are billed "incident to." They are not credentialed with any insurance company. Can the practice start billing "incident to" for my services (prior to receiving my own provider number) since the "incident to" criteria is strictly adhered to? 3. Blue Cross of California (Behavioral Health Division) states that they do not reimburse NPs in any way, shape, or form. But many NPs claim they are receiving reimbursement via "incident to" from Blue Cross. 4. I read an article from Medscape which claims that insurance do not realize they are being billed "incident to" for a NP unless the practice is audited. If audited, the practice would pass since all the "incident to" guidelines were followed. Is this true? Thank you in advance for any help you may offer, Steve Hogan MSN, PMHNP -------------- next part -------------- An HTML attachment was scrubbed... URL: From pamme at sbcglobal.net Tue Sep 28 19:54:32 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 28 Sep 2004 21:54:32 -0500 Subject: [PrvPracNP] Joining a Psychiatric Group Practice References: <3a5ama$8r6tp5@mxip05a.cluster1.charter.net> Message-ID: <007001c4a5cf$a6d0eda0$209cfea9@VAIO> HI Steve, I can sympathize. The credentialing process is a pain in the butt. If the firm you are joining has already paneled themselves as a group with many of the insurance companies, you need only complete a short form that verifies licensing and certification as well as collaboration and graduate school. OH and the big one, your malpractice insurance number and history. But, you won't be reimbursed until you receive the letter of acceptance, that is only a formality. A few companies will do it via phone. You should be able to bill incident to if your practice is "strictly adhered to" in every sense of the word for "incident to." Otherwise, it is considered fraud. And then again, it will depend on the particular company again. Each has it's own rules. And as you have already found out, half of the employees at the insurance companies do not if they credential you or not, because they do not keep up with the memos that are sent out tree by tree in the insurance industry. So, if one person says that you are not going to be able to be credentialed by them, check with someone else. As far as I know, most of the Blue's do credential NP's, but it hasn't been that long that they have been doing so. And California NP's have had a time of it getting recognized. Kaiser Permanente was a big barrier to practice at one time. They hired some NP's, but that was not a general accepted practice in the late 90's. Things may have changed now. I don't know if you are in a supervisory or collaboratory or back-up doc state, but if you are an employee of the firm or in contract or collaboration with a specific doctor, you should be able to bill medicaid. Have you ever been credentialed with medicaid or medicare before? If so, you should have a UPIN # for Medicare. If you are just seeking billing privileges through the corporation and not to be paneled, an address change for submission of reimbursement is all that is needed to get started immediately. Medicare take 120 to 160 days to get back to you with your status for a full application. But, it should only take anywhere from 2 weeks to 90 days for an address change. And, all billing is reimbursed back to the time when you submitted your documents. I would encourage you to call the M's on a weekly basis to check the status of your credentialing. It is amazing how your papers manage to get lost or misplaced or placed in a pile labeled, "I don't know what to do with this one." Make it a practice to find someone who is your contact person at each and every reimbursement panel/company that you are trying to gain credentialing. Don't let someone who says, "we don't credential NP's," stop you. Ask to speak to a supervisor. I found when I moved to Indiana, half the people in the Medicaid/Medicare system had not ever heard of an NP. And, each person I talked to said that it was the most mixed up system in which they had ever worked. I went for paneling and found some insurance companies to panel in a month. Others took forever. The insurance company's that require a fee for paneling are the ones who panel you almost immediately. If the company you work for is requiring you to do your own credentialing, it is worth your while to find someone who does credentialing for a living and pay them to do your credentialing for you. These people, for the most part, used to work for large healthcare companies and found that there was good money to be made by working as an independent. Bottomline, see only Medicaid patients to start with. They reimburse the best any more. Hope this has been of some help. It became so stressful, I just got out of the business. Now, I am back working as a "Real Nurse." However, I am contracted with the hospital also as an NP. The hospital will do the credentialing and I won't have to worry about anything. Plus, I am working on an hourly wage instead of a percentage for my NP work. It is much more lucrative as you are guaranteed a paycheck. The company has more of an incentive to get me credentialed as they are paying me, regardless of whether they are reimbursed or not. Best Wishes and Godspeed, Pamela A. Provost MSN RN NP ----- Original Message ----- From: Steve To: prvpracnp at nurse.net Sent: Tuesday, September 28, 2004 5:17 PM Subject: [PrvPracNP] Joining a Psychiatric Group Practice To Whom It May Concern: I am a Psychiatric Mental Health Nurse Practitioner from California. A psychiatric group practice would like to hire me. They request that I become credentialed with their insurance panels. Since the credentialing lag time can be three to four months and some insurance companies do not allow NPs to have provider numbers, I have the following questions: 1.. Can I start working at this psychiatric group right away if my service is billed "incident to?" The strict "incident to" criteria would be met. 2.. Most of the insurance companies I ask state they do not allow NPs to bill "incident to." To the contrary, many NPs I emailed in private practice state their services are billed "incident to." They are not credentialed with any insurance company. Can the practice start billing "incident to" for my services (prior to receiving my own provider number) since the "incident to" criteria is strictly adhered to? 3.. Blue Cross of California (Behavioral Health Division) states that they do not reimburse NPs in any way, shape, or form. But many NPs claim they are receiving reimbursement via "incident to" from Blue Cross. 4.. I read an article from Medscape which claims that insurance do not realize they are being billed "incident to" for a NP unless the practice is audited. If audited, the practice would pass since all the "incident to" guidelines were followed. Is this true? Thank you in advance for any help you may offer, Steve Hogan MSN, PMHNP ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- A non-text attachment was scrubbed... Name: not available Type: image/jpeg Size: 19732 bytes Desc: not available URL: From pamme at sbcglobal.net Tue Sep 28 19:56:36 2004 From: pamme at sbcglobal.net (Pr. Pamela A. Provost N.P.) Date: Tue, 28 Sep 2004 21:56:36 -0500 Subject: [PrvPracNP] Joining a Psychiatric Group Practice PS: References: <3a5ama$8r6tp5@mxip05a.cluster1.charter.net> Message-ID: <007e01c4a5cf$f00fff10$209cfea9@VAIO> No provider number, then you bill incident to under your collaborator's number and the firm has to use the right modifier. In this goofy state I live in my modifier was AS for Medicare and SA for Medicaid. Regards P3 ----- Original Message ----- From: Steve To: prvpracnp at nurse.net Sent: Tuesday, September 28, 2004 5:17 PM Subject: [PrvPracNP] Joining a Psychiatric Group Practice To Whom It May Concern: I am a Psychiatric Mental Health Nurse Practitioner from California. A psychiatric group practice would like to hire me. They request that I become credentialed with their insurance panels. Since the credentialing lag time can be three to four months and some insurance companies do not allow NPs to have provider numbers, I have the following questions: 1.. Can I start working at this psychiatric group right away if my service is billed "incident to?" The strict "incident to" criteria would be met. 2.. Most of the insurance companies I ask state they do not allow NPs to bill "incident to." To the contrary, many NPs I emailed in private practice state their services are billed "incident to." They are not credentialed with any insurance company. Can the practice start billing "incident to" for my services (prior to receiving my own provider number) since the "incident to" criteria is strictly adhered to? 3.. Blue Cross of California (Behavioral Health Division) states that they do not reimburse NPs in any way, shape, or form. But many NPs claim they are receiving reimbursement via "incident to" from Blue Cross. 4.. I read an article from Medscape which claims that insurance do not realize they are being billed "incident to" for a NP unless the practice is audited. If audited, the practice would pass since all the "incident to" guidelines were followed. Is this true? Thank you in advance for any help you may offer, Steve Hogan MSN, PMHNP ------------------------------------------------------------------------------ _______________________________________________ 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 -------------- next part -------------- An HTML attachment was scrubbed... URL: