From GIN11153 at aol.com Tue Jan 2 23:00:55 2007 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Wed, 3 Jan 2007 02:00:55 EST Subject: [PrvPracNP] Article about compensation relationships with doctors-employee vs independent Message-ID: Independent contractor vs. employee: Weigh advantages, pitfalls of each before determining physician compensation Determining the type of relationship you will have with a physician?whether he or she will work as an independent contractor or an employee?is one of the most important steps in the compensation planning process. This decision can influence the way you pay a physician, the amount you pay him or her, and your protection status under the Stark and anti-kickback laws. Some cases are clear cut. If the relationship you have with a physician meets Internal Revenue Service requirements for an employment relationship, you must treat the physician as an employee or risk fines and penalties. In other instances, you will have to choose between treating a physician as an employee or as an independent contractor. _Click here to read more_ (http://www.hcpro.com/content/64956.cfm) -you have to pay $10 to read the whole thing: _http://www.hcpro.com/ppv-64956.html_ (http://www.hcpro.com/ppv-64956.html) Gail Neuman RNC CPHW SNP LNC student nurse practitioner and student midwife certified high risk OB/legal nurse consultant Perinatal Nurse Associates Notary Public/Certified Loan Signing Agent PrePaid Legal Sales Associate Santa Ana, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From GIN11153 at aol.com Sat Jan 13 01:20:06 2007 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Sat, 13 Jan 2007 04:20:06 EST Subject: [PrvPracNP] Is anyone going to the Cal. NP Business and Tech Conference in Irvine Sat/Sun? Message-ID: I just read about this 1/13-14 one and a half day seminar on owning your own business, etc and would like to know if there will be audio tapes I could buy or a syllabus I can borrow from someone because it's too late for me to register now. The sessions would have been so helpful to me!! Gail Neuman RNC CPHW SNP student nurse practitioner and student midwife Perinatal education Perinatal Nurse Associates Santa Ana, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From chapman2001 at comcast.net Sat Jan 13 10:15:28 2007 From: chapman2001 at comcast.net (chapman2001 at comcast.net) Date: Sat, 13 Jan 2007 18:15:28 +0000 Subject: [PrvPracNP] Is anyone going to the Cal. NP Business and Tech Conference in Irvine Sat/Sun? Message-ID: <011320071815.28496.45A921C0000441F600006F502205889116CECFCFCD020E039F0E080C@comcast.net> Gail, do you have a link to the seminar? I would like to have a copy as well. If you hear anything please forward to me. Grace Grymes Chapman, ARNP, FNP West Seattle Community Clinic, PLLC 5410 California Ave SW #102 Seattle WA 98136 -------------- Original message ---------------------- From: GIN11153 at aol.com > I just read about this 1/13-14 one and a half day seminar on owning your > own business, etc and would like to know if there will be audio tapes I could > buy or a syllabus I can borrow from someone because it's too late for me to > register now. The sessions would have been so helpful to me!! > > > Gail Neuman RNC CPHW SNP > student nurse practitioner and student midwife > Perinatal education > Perinatal Nurse Associates > Santa Ana, CA -------------- next part -------------- An embedded message was scrubbed... From: GIN11153 at aol.com Subject: [PrvPracNP] Is anyone going to the Cal. NP Business and Tech Conference in Irvine Sat/Sun? Date: Sat, 13 Jan 2007 09:20:59 +0000 Size: 2776 URL: From GIN11153 at aol.com Sat Jan 13 12:31:23 2007 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Sat, 13 Jan 2007 15:31:23 EST Subject: [PrvPracNP] Is anyone going to the Cal. NP Business and Tech Conference i... Message-ID: It's today and tomorrow-surely wish it had been advertised better: _http://canpweb.org/cde.cfm?event=140121_ (http://canpweb.org/cde.cfm?event=140121) Gail Neuman RNC CPHW SNP LNC student nurse practitioner and student midwife certified high risk OB/legal nurse consultant Perinatal Nurse Associates Notary Public/Certified Loan Signing Agent PrePaid Legal Sales Associate Santa Ana, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From GIN11153 at aol.com Sun Jan 14 13:15:38 2007 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Sun, 14 Jan 2007 16:15:38 EST Subject: [PrvPracNP] ad I saw- NPs, PAs, MDs Earn Up to $104K - $175K/Yr. Respectively Message-ID: Saw this ad last night on craigslist.com-sounded interesting to work from home: NPs, PAs, MDs Earn Up to $104K - $175K/Yr. Respectively Reply to: _job-262309684 at craigslist.org_ (mailto:job-262309684 at craigslist.org) Date: 2007-01-13, 7:43PM The Sankofa Medical Group is a consulting organization facilitating online telehealthcare. We hire providers for non urgent, adjunctive healthcare services to patients who seek medical consultation. Designed for providers to assist with patients' routine medical management. Benefits to Patients: 1. Time and cost savings 2. Convenience Benefits to Providers: 1. Work from home 2. Set your own hours 3. Choose # of daily consults 4. Supplemental or Full Time Income 5. No Call 6. Competitive Salary Please specify your degree when responding to this ad via email so that we can fwd the appropriate information to you. Contact Heidi Sankofa 301-523-4265 hsankofa at verizon.net Original URL: _http://orangecounty.craigslist.org/hea/262309684.html_ (http://orangecounty.craigslist.org/hea/262309684.html) ------------------------------------------------- Gail Neuman RNC CPHW SNP student nurse practitioner and student midwife Perinatal education Perinatal Nurse Associates Santa Ana, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From GIN11153 at aol.com Thu Jan 18 13:41:08 2007 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Thu, 18 Jan 2007 16:41:08 EST Subject: [PrvPracNP] NP Entrpreneur of the year article Message-ID: very inspiring! _http://nurse-practitioners.advanceweb.com/common/editorial/PrintFriendly.aspx ?CC=82168_ (http://nurse-practitioners.advanceweb.com/common/editorial/PrintFriendly.aspx?CC=82168) NP Owned and Operated Meet nurse practitioner Greg Lind and his team of NPs at Lake Serene Clinic. He's runner up in the 2006 NP Entrepreneur of the Year competition. The nurse practitioner team at Lake Serene Clinic: (front row, left to right) Carolyn Freed, NP; Andrea Friesen, NP; Jessica Webb, NP; (back row, left to right) Greg Lind, NP; Josh Webb, NP; Marty Couret, NP By Jill Rollet When Greg Lind, NP, earned his doctorate in nursing in 1987, he thought he would love moving from clinical practice to a teaching job at the research-oriented University of Washington. He didn't. "It was a very challenging 2 years," Lind told ADVANCE. He found the pace of discussion slow, and he missed seeing patients. So he asked for permission to go back to practice 1 day a week. He quickly realized why the university didn't want research faculty out in clinical practice: "because that was what I really enjoyed," Lind remembers. Lind left the university and worked for 9 months in a clinic setting. But he soon wondered why he was working for someone else again. He knew that Washington's laws allowed nurse practitioners to own their own practices, so in the summer of 1990, he found a prime location, "I took a banker out for lunch and had a loan that afternoon." Gail Neuman RNC CPHW SNP LNC student nurse practitioner and student midwife certified high risk OB/legal nurse consultant Perinatal Nurse Associates Notary Public/Certified Loan Signing Agent PrePaid Legal Sales Associate Santa Ana, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From chapman2001 at comcast.net Mon Jan 22 16:49:42 2007 From: chapman2001 at comcast.net (chapman2001 at comcast.net) Date: Tue, 23 Jan 2007 00:49:42 +0000 Subject: [PrvPracNP] Clinic Marketing Message-ID: <012320070049.7043.45B55BA5000C484100001B832200761064CECFCFCD020E039F0E080C@comcast.net> I was told today that it is illegal to advertise that a clinic offers a reduced fee to non insured patients if you accept insured patients also. Has anyone else heard of this rule? Grace Grymes Chapman, ARNP, FNP West Seattle Community Clinic 5410 California Ave SW #102 Seattle WA 98136 -------------- next part -------------- An HTML attachment was scrubbed... URL: From bphillips at olderwiserwomen.com Tue Jan 23 06:30:57 2007 From: bphillips at olderwiserwomen.com (Barbara C. Phillips) Date: Tue, 23 Jan 2007 06:30:57 -0800 Subject: [PrvPracNP] Clinic Marketing In-Reply-To: <012320070049.7043.45B55BA5000C484100001B832200761064CECFCFCD020E039F0E080C@comcast.net> References: <012320070049.7043.45B55BA5000C484100001B832200761064CECFCFCD020E039F0E080C@comcast.net> Message-ID: <005801c73efb$1925a780$0300a8c0@olderwiserwomen> Good Morning Grace, You know, we hear so much.I think most of it must be hearsay. That said.I don't think it's illegal. I think this stems from the stuff I've heard about not undercutting insurance companies, as they may turn around and undercut you. The way it was explained to me was that if the insurance companies think they you are charging less to see people, then why are you charging them more and they will reduce your allowable. I have no idea if this is true or not. Now.I do understand that you NEVER want to charge less than the Medicare rates.I do think there is something in the contracts about that.otherwise we might be seen as "gouging" our government. Gail..all bets are off if you are a FQHC.I think the rules there are totally different than just plain ole private office. I'd welcome a discussion with everyone on this list about fees and how everyone came to their fee structure. Seems there are dozens of ways of doing it, and I'm not sure what's correct [if anything]. BTW, I left you a message at your clinic number on Sunday. Hope to connect with you soon. Barbara C. Phillips, NP Aberdeen Primary Care _____ From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On Behalf Of chapman2001 at comcast.net Sent: Monday, January 22, 2007 4:50 PM To: prvpracnp at nurse.net Subject: [PrvPracNP] Clinic Marketing I was told today that it is illegal to advertise that a clinic offers a reduced fee to non insured patients if you accept insured patients also. Has anyone else heard of this rule? Grace Grymes Chapman, ARNP, FNP West Seattle Community Clinic 5410 California Ave SW #102 Seattle WA 98136 -------------- next part -------------- An HTML attachment was scrubbed... URL: From chapman2001 at comcast.net Tue Jan 23 13:18:29 2007 From: chapman2001 at comcast.net (chapman2001 at comcast.net) Date: Tue, 23 Jan 2007 21:18:29 +0000 Subject: [PrvPracNP] Clinic Marketing Message-ID: <012320072118.5575.45B67BA50008CB09000015C72200745672CECFCFCD020E039F0E080C@comcast.net> Thank you Barbara. I did get your message and I am going to call you tomorrow to set up a time that works for the both of us to get together. I really appreciate your response to my question and have just decided to remove the statement from my web page until I get legal confirmation. I dont know if I charge less than Medicare, but will make sure I check on that, since I am not a FQHC. Look forward to meeting with you, Grace -------------- Original message -------------- From: "Barbara C. Phillips" Good Morning Grace, You know, we hear so much?I think most of it must be hearsay. That said?I don?t think it?s illegal. I think this stems from the stuff I?ve heard about not undercutting insurance companies, as they may turn around and undercut you. The way it was explained to me was that if the insurance companies think they you are charging less to see people, then why are you charging them more and they will reduce your allowable. I have no idea if this is true or not. Now?I do understand that you NEVER want to charge less than the Medicare rates?I do think there is something in the contracts about that?otherwise we might be seen as ?gouging? our government. Gail?.all bets are off if you are a FQHC?I think the rules there are totally different than just plain ole private office. I?d welcome a discussion with everyone on this list about fees and how everyone came to their fee structure. Seems there are dozens of ways of doing it, and I?m not sure what?s correct [if anything]. BTW, I left you a message at your clinic number on Sunday. Hope to connect with you soon. Barbara C. Phillips, NP Aberdeen Primary Care From: prvpracnp-bounces at nurse.net [mailto:prvpracnp-bounces at nurse.net] On Behalf Of chapman2001 at comcast.net Sent: Monday, January 22, 2007 4:50 PM To: prvpracnp at nurse.net Subject: [PrvPracNP] Clinic Marketing I was told today that it is illegal to advertise that a clinic offers a reduced fee to non insured patients if you accept insured patients also. Has anyone else heard of this rule? Grace Grymes Chapman, ARNP, FNP West Seattle Community Clinic 5410 California Ave SW #102 Seattle WA 98136 -------------- next part -------------- An HTML attachment was scrubbed... URL: -------------- next part -------------- An embedded message was scrubbed... From: "Barbara C. Phillips" Subject: RE: [PrvPracNP] Clinic Marketing Date: Tue, 23 Jan 2007 14:31:14 +0000 Size: 743 URL: From sdrakenp at comcast.net Tue Jan 23 17:03:47 2007 From: sdrakenp at comcast.net (Suellen Drake) Date: Tue, 23 Jan 2007 20:03:47 -0500 Subject: [PrvPracNP] Clinic Marketing References: <012320070049.7043.45B55BA5000C484100001B832200761064CECFCFCD020E039F0E080C@comcast.net> Message-ID: <002101c73f53$8c9bba80$6601a8c0@suellen> At my office patients must have insurance or they must pay the same day for their visit. We give a discount for self pay patients that is about 20-40% less than what we would bill the insurance company. Years ago when I worked in a family practice as a medical assistant I was told that it was "legal" to give a discount for paying the same day, but not " legal" to bill the patient later on for a visit at a rate lower than an insurance company. I have found that this is a great incentive for patients to pay for their visits and we avoid any temptation for the patients to ask to be billed. Probably the hardest thing of having my own practice was coming up with a fee schedule. I surveyed insurance companies on what their reimbursement was for office visits and then averaged them out for our charges, then discounted for the self-pay patients. I continue to tweak my fees on occasion and feel more comfortable charging what the visit is actually worth based on my overhead. Good luck with your practice, Suellen Drake, ARNP, Northwood Primary Care--New Hampshire ----- Original Message ----- From: chapman2001 at comcast.net To: prvpracnp at nurse.net Sent: Monday, January 22, 2007 7:49 PM Subject: [PrvPracNP] Clinic Marketing I was told today that it is illegal to advertise that a clinic offers a reduced fee to non insured patients if you accept insured patients also. Has anyone else heard of this rule? Grace Grymes Chapman, ARNP, FNP West Seattle Community Clinic 5410 California Ave SW #102 Seattle WA 98136 ------------------------------------------------------------------------------ _______________________________________________ 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 chapman2001 at comcast.net Tue Jan 23 20:05:28 2007 From: chapman2001 at comcast.net (Grace Grymes Chapman) Date: Tue, 23 Jan 2007 20:05:28 -0800 Subject: [PrvPracNP] Clinic Marketing References: <012320070049.7043.45B55BA5000C484100001B832200761064CECFCFCD020E039F0E080C@comcast.net> <002101c73f53$8c9bba80$6601a8c0@suellen> Message-ID: <003901c73f6c$e29df8d0$d2d61618@customerx7o3zg> Thank you. I have been giving patients a 50% discount if they have no insurance and pay cash. I ask them to pay at time of visit if they dont I allow them to send the money in before 30 days lapses. I dont want to be doing anything illegal but will just remove that advertising from my web page. Grace ----- Original Message ----- From: Suellen Drake To: Private Practice NPs Sent: Tuesday, January 23, 2007 5:03 PM Subject: Re: [PrvPracNP] Clinic Marketing At my office patients must have insurance or they must pay the same day for their visit. We give a discount for self pay patients that is about 20-40% less than what we would bill the insurance company. Years ago when I worked in a family practice as a medical assistant I was told that it was "legal" to give a discount for paying the same day, but not " legal" to bill the patient later on for a visit at a rate lower than an insurance company. I have found that this is a great incentive for patients to pay for their visits and we avoid any temptation for the patients to ask to be billed. Probably the hardest thing of having my own practice was coming up with a fee schedule. I surveyed insurance companies on what their reimbursement was for office visits and then averaged them out for our charges, then discounted for the self-pay patients. I continue to tweak my fees on occasion and feel more comfortable charging what the visit is actually worth based on my overhead. Good luck with your practice, Suellen Drake, ARNP, Northwood Primary Care--New Hampshire ----- Original Message ----- From: chapman2001 at comcast.net To: prvpracnp at nurse.net Sent: Monday, January 22, 2007 7:49 PM Subject: [PrvPracNP] Clinic Marketing I was told today that it is illegal to advertise that a clinic offers a reduced fee to non insured patients if you accept insured patients also. Has anyone else heard of this rule? Grace Grymes Chapman, ARNP, FNP West Seattle Community Clinic 5410 California Ave SW #102 Seattle WA 98136 ---------------------------------------------------------------------------- _______________________________________________ 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 GIN11153 at aol.com Wed Jan 24 03:05:18 2007 From: GIN11153 at aol.com (GIN11153 at aol.com) Date: Wed, 24 Jan 2007 06:05:18 EST Subject: [PrvPracNP] Does anyone want to have a group discounted subscription to MD Consult? Message-ID: This is the 4th year that I have organized this group subscription through my former legal nurse consulting listserv. Because I have always had 100-125 people, they give us their best 25% discount. I have about 8 deadbeats that I am needing to replace quickly. Our year goes 12/30/06 to 12/30/07 and this year is lower than last year-only $157.41. In case you don't know the site, it's _www.mdconsult.com_ (http://www.mdconsult.com) and there you'll have access to hundreds of online texts and journals-you can even print off articles for your personal use. If you would like to join, please email me privately at _gin11153 at aol.com_ (mailto:gin11153 at aol.com) with your home address and phone number, and I will email you back with my address for the check to be mailed to. Gail Neuman RNC CPHW SNP LNC student nurse practitioner and student midwife certified high risk OB/legal nurse consultant Perinatal Nurse Associates Notary Public/Certified Loan Signing Agent PrePaid Legal Sales Associate Santa Ana, CA -------------- next part -------------- An HTML attachment was scrubbed... URL: From nravey at bellsouth.net Wed Jan 31 23:03:58 2007 From: nravey at bellsouth.net (Nina Ravey) Date: Thu, 1 Feb 2007 01:03:58 -0600 Subject: [PrvPracNP] Medical Aesthetics In-Reply-To: References: Message-ID: <001901c745cf$5a477dd0$6701a8c0@NRAVEYMAIN> Can anyone tell me if there is a special certification necessary to practice Medical Aesthetics and perform botox, mesiotherapy, dermal fillers, etc? Secondly, would a Nurse Practitioner have to take the course with a certain type of instructor or could someone who has taken the course teach the course to me? Is there one particular course that is not cost prohibitive available if one is necessary and how would I get in touch with them? Any help with this is greatly appreciated - I have contacted my state board of nursing and received no response and contacted several people I googled and have gotten no response their either. Sincerely, Nina Ravey -------------- next part -------------- An HTML attachment was scrubbed... URL: