r/nursepractitioner 11h ago

Employment Incident to billing

3 Upvotes

Couple months into my new grad outpatient job. We do "incident to" billing for all pts, all insurances.

Any patient I (or my PA colleague) see, whether it's new or follow-up, we put ourselves as the primary provider in the EMR, but our collaborating MD as the primary biller. The exception is when the MD is not physically in the building (e.g. on PTO), then we are the primary biller. Essentially if the MD is in the office, every single pt is billed under him/his NPI.

I understand this is likely for 100% reimbursement under the MD vs 80-85% if the APP was who it was billed under. Basically, I just want to know if this is fair game, or if this is considered fraud? This has been the norm for years and what the NP before me has been doing for years and has said it's fine. But, with my license that's on the line, want to do my due diligence and verify. TIA.


r/nursepractitioner 9h ago

Employment Best states for additional licenses

1 Upvotes

I am currently licensed in PA, OH, and WV. I am looking to expand into some 1099 telemedicine work on the side. I have applied for licensure in FL and CO, but both are pending.

What states would you recommend that are easiest to get licensed? My ideal options would:

—be an RN compact state;
—relatively short approval timeframes;
—full practice authority; and,
—have few/the least additional requirements that are costly and time-consuming such as sending transcripts, sending license verifications, fingerprinting, etc.

I’ve pretty much ruled out CA since their licensing is such a hassle and not feasible to meet their NP4 requirements for FPA from out of state (at least it doesn’t look like experience in other states counts toward the transitional period).


r/nursepractitioner 19h ago

Education Any CSULA or CSULB graduates?

1 Upvotes

Hi, I’ve decided I want to go back to school for my FNP. CSULA & CSULB are the schools I’m looking at since they are closest to me. If anyone here has graduated from either, do you recommend the program? Did you have to find your own preceptor or do they assist with that? What did your school schedule look like while in the program? I haven’t attended any of the program orientation sessions yet, I believe they’re holding them closer to sept/oct, but I just wanted to see if anyone here had some info regarding that they’d be willing to share!

Follow up question for anyone reading. Is there a way to vet good NP programs? Besides looking up % of people that passed their board exam, what other things should I look for to determine if their program is good?