module 4

By statute, Medicare may only pay for items and services that are

"reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member," unless there is another statutory authorization for payment.

Module 4 3. Compare and contrast NPI and DEA requirements for the APRN.

(1) on test

Module 4 1. Investigate the concept of APRN mentoring and mentoring of others.

(3) on test

Module 4 2. Analyze the impact of coding and reimbursement on APRN practice.

(5) on the test

Define contraction,

(Ch. 10, PP) Negotiating • Better to negotiate individually • Read the contract carefully, noting areas of confusion • Eveything is negotiable • Seek legal counsel to review a proposed contract Negotiating Salary • straight salary • percentage of net receipts • base salary plus percentage • hourly rate Negotiating Benefits • What benefits does the NP need? • What is reasonable? • What are other NPS getting?

Coding:

-Most frequent CPT codes are the Evaluation and Managment (E&M) services -Typical bill could list one or more CPT codes or one or more ICD-9 codes -CMS published guidelines NPs and other Medicare providers are expected to follow General guidelines for legal coding are as follows:

Rejected Bill: If a payer rejects a bill, the practice should ask the following of the payer:

-Why was the bill rejected? -Is more information needed about procedure? -Is more information needed about diagnosis? -Is more information needed about documentation? -Is more information needed about NP's practice? Conclusion: Reimbursement is a high-stakes issue for any practice Without steady income, no practice will survive

Module 4 4. Explore recommendations and concepts for APRN professional employment, interviewing, etc

. (3) on the test (Buppert, Ch. 10, pgs 350-351)

What are CMS published guidelines NPs and what does it entail?

1. A billable visit involves face-to-face contact between the patient and an advanced practice nurse, physician assistant, or physician. 2. If care is given in an office, an NP must distinguish between a new patient and an established patient and then select the proper E&M (evaluation and management services) CPT code for the visit. 3. History taking, examination, and medical decision making are the key components in determining code selection. 4. Medical record documentation must support the level of care billed 5. A practice's billing will include a variety of E&M codes because patient encounters vary in the amount of attention required. 6. It is important to bill the CPT code that the medical record documentation supports, not a higher level code or a lower level code.

What elements need to be present before qualifying for billing for services?

1. Before billing for services rendered, the nurse practitioner needs to identify appropriate diagnoses for the patient, 2. the type of patient encounter (new or established visit), and 3. what procedures were performed during the patient encounter.

What are the components necessary to be eligible for reimbursement?

1. For a nurse practitioner to be eligible for reimbursement, he or she must hold a minimum of a master's degree in nursing and successfully pass the national certification exam given by the American Association of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC). 2. Whether employed by a practice or as a practice owner, a unique provider number will be assigned, reflecting where the services will be provided to a patient. 3. Lastly, the nurse practitioner must receive credentialing by the third-party payor in order to bill insurance companies for his or her services.

What are the There are 5 major categories of third-party payers:

1. Medicare 2. Medicaid 3. Indemnity insurance companies 4. Managed-care organizations (MCOs) 5. Businesses that contract for certain services

Define DEA

A DEA number is a number assigned to specific healthcare providers that allows them to prescribe medications, including controlled substances, legally. It includes a series of numbers and letter which identifies the type of provider; for example, nurse practitioner, physician, dentist, etc.

Why Send a note to communicate progress or touch base on a regular basis?

A mentor is more likely to want to help you if you are making it clear you are following through, and the relationship is helping you to reach your objectives and goals.

Define professional employment,

A professional employee is a person who works in a field of specialty that requires advanced education or training. Professional employees must have a substantial degree of freedom related to how they perform their job function. They generally also have some control over the hours they work.Every employment agreement or contract is unique, and various factors should be addressed before negotiation. The NP must determine his or her needs while assessing the potential employer's needs. Reflecting on and balancing your needs and your family's needs is paramount before accepting a position and negotiating your contract. Understand what aspects of the position are desired, negotiable, and non-negotiable. In the previous section, compensation package, job obligations, and practice issues were areas of negotiable elements. The process of negotiating a contract should include preparation, bargaining, and finalizing. DeNisco, (pp. 439-440).

What is a credentialing form?

A provider application form is filled out, which is also known as the "credentialing form." The nurse practitioner will be required to complete an attestation form to verify that the information submitted is correct. Once the nurse practitioner has obtained a national provider number, employer provider number, and third-party credentialing or insurance company membership, he or she is ready to begin billing for services. (Denisco p. 404)

The development of a career enrichment, formally called a mentorship program by

AANP

According to CMS guidelines, what counts as a billable visit?

An encounter may occur in the provider's office, a clinic, an inpatient setting, a nursing facility, or the patient's home. Each billable visit must be a diagnostic visit, identified with an ICD code.

What are CPT?

Another component of medical billing is the Current Procedural Terminology (CPT), which describes the services and/or procedures for which reimbursement is sought.

What is the ICD-10?

Another necessary reference book is the International Classification of Diseases tenth edition, or ICD-10. This reflects "why it was done." This book classifies diseases, symptoms, injuries, and accidents with numeric codes.

The standard billing form is the

CMS 1500. It can be accessed through an electronic billing system.

Define CPT,

Current Procedural Terminology (CPT): updated annually; describes services and/or procedures for which reimbursement is sought. CPT is the "what was done" such as types of visits, consults, referrals, studies, and treatment regimens; Published by American Medical Association-Initiated in 1966 to standardize terms for medical procedures used for documentation purposes. (Denisco, pg. 405)

What is an example of Setting clear objectives for yourself in your career growth.

Decide exactly what it is you need mentoring on before you start thinking of the ideal person to work with. This will help you to seek out the right person as a mentor.

Define Preceptor

Defined as: "a teacher; in nursing, usually an experienced nurse who assumes responsibility for teaching a novice" (Chitty & Black, 2011, p. 460). Assigned to the student or new graduate Usually a prescribed length of time—typically a short duration Relationship usually confined to the work environment

Define coding and billing,

Definition of medical coding- translation of the original medical record documentation regarding pt diagnoses and procedures into a series of code numbers that describe the information in a standard manner o Different types- International Classification of Diseases (ICD) Codes, Current Procedural Terminology (CPT) codes • Coding and Billing Resources o Identify appropriate diagnoses for the patient o Type of patient encounter (new or established visit) o Procedures performed during patient encounter o Other reportable billable services include medications administered and supplies used to provide care o Clear and accurate documentation validating reported diagnoses and procedural codes

Define Mentor

Definition of mentoring that is more applicable currently to NPs: "voluntary, intense, committed, extended, dynamic, interactive, supportive, trusting relationship between two people, one experienced, and the other a newcomer, characterized by mutuality" (Hayes, 1998, p. 525). May be a faculty person, a clinical preceptor, or a professional the graduate comes into contact with. May be a formal relationship, in which a mentor is assigned by an organization, or an informal agreement made between a mentor and mentee who have chosen each other. The relationship lasts for a mutually agreed-on time and is typically long-lasting.In an ideal mentoring relationship, both parties "develop personally and professionally within the auspices of a caring, collaborative, and respectful environment" (Grossman, 2013, p. 186).

What is the difference between a mentor, a friend, and a coach?

Expect a mentor to tell you what you need to hear, not like a friend who may tell you what you want to hear. A business coach is focused on helping you with generic skills, whereas a mentor's aim is to teach you based on specific situations.

What are the key components in determinng code selection?

History taking, examination, and medical decision making are the key components in determining code selection.

Waht does the CMS 1500 form asks for?

ICD codes, CPT codes, date of service, patient identifying information, and provider identifying information.

Define DEA

In addition, the NP must apply for state-controlled substances licensure and the DEA licensure. Through the Department of Justice and the DEA, the NP must apply for a DEA number pursuant to title 21, code of federal regulations, section 1300.01 (B28), which states • the term midlevel practitioner means an individual practitioner, other than a physician dentist veterinarian or podiatrist, who is licensed comma registered comma or otherwise permitted by the United States or the distinction in which he/she practices, to dispense a controlled substance in the course of professional practice.

What is time important according to CMS billing guidelines?

In ambulatory care, only face-to-face time is to be considered in selecting an appropriate CPT code. The nature of the presenting problem also figures into the choice of CPT code, under medical decision making. What happens if there is a lack of support for level of care billed?* Lack of documentation can lead to charges of fraudulent billing or "false claims." For every E&M service billed, the medical record documentation must indicate medical necessity for the visit.

Define ICD-10 coding,

International Classification of Diseases, Tenth Edition (ICD-10): Classifies diseases, symptoms, injuries, and accidents with numeric codes. NP must select a code for the disease or symptom by "what you know," by being as specific as possible. (Denisco, pg. 405)

Define Peer mentoring

It is another format for a mentoring relationship that may be useful as the increased number of NP/DNP graduates seeking experienced NP/DNPs is mismatched. What are the steps of setting up a peer mentorship?* Identification of a peer mentor that can help in areas where she or he has expertise that the NP needs further growth in, and where the NP can offer her or his own expertise in an area the other person needs to grow in. Prior to graduating from NP programs, students should consider identifying a mentor and prepare to discuss the relationship with the person so there is more of a formal relationship for supporting the novice NP. Mentees should be prepared that, down the road, they may consider becoming mentors to others, whether peer mentors, or the more familiar relationship with a novice NP. The rewards are many for both. DeNisco Ch. 16, pg 391 -397

CMS has special documentation criteria. What should be included?

It should include a chief complaint, relevant history, assessment, physical exam, diagnostic testing, and treatment plan. It must be signed by the provider of record (the one who performed the service). Rationale for testing must be apparent. Health risks must be identified. Responses to treatment and follow-up must be clear. CPT and ICD-10 must be supported in the documentation. (Denisco, chapter 17 p. 412) Buppert Chapter 9 p.321-331

Define Coach

May be assigned or chosen. Helps move someone forward to where they want to be, whether this relates to a goal weight, becoming an expert swimmer, or writing an article for publication. Specific goals could be set by the coach or the individual, or mutually set depending on context. The individual's objectives and goals are the focus of the coaching relationship. The relationship can be short term or long term, depending on the individual's desire to be coached and the setting. A preceptor can be viewed as a coach because they help the NP student during the transition from RN to NP.

Define national certification,

National board certification in your specialty area is a mark of excellence and establishes that a new graduate NP has met the educational criteria and clinical competencies to work as a safe and prudent clinician.DeNisco (p. 431). Upon completion of the graduation requirements, the NP should apply for national board certification from either the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC). Graduates of women's health or neonatal NP programs should apply to the National Certification Corporation for the obstetric, gynecologic, and neonatal nursing specialties. Candidates for the pediatric NP examination should apply to the Pediatric Nursing Certification Board. The candidate should check with the board of nursing for the state in which he or she plans to practice to see which certifications are acceptable for licensure application. All states require an NP to be board certified in order to practice, except for California. New York does not require it if the graduate attended the NP program in NYS. In recent years, there have been efforts to allow multi state compacts so NPs can legally practice in more than one state with one license. DeNisco, (p. 432).

Define third party credentialing,

Necessary to bill insurance companies for services-the nurse practitioner must receive credentialing by the third-party payor in order to bill insurance companies for his or her services. While this is usually completed by the practice manager, the nurse practitioner should become familiar with the rules and policies of the third-party payor. A provider application form is filled out, which is also known as the "credentialing form." The nurse practitioner will be required to complete an attestation form to verify that the information submitted is correct. The nurse practitioner must make sure the information is correct. Any errors may delay the application process or compromise timely reimbursement. Once the nurse practitioner has obtained a national provider number, employer provider number, and third-party credentialing or insurance company membership, he or she is ready to begin billing for services. (DeNisco, Pg 403)

Describe collaborative agreements.

Nurse practitioners in Texas must work under physician supervision. Each nurse practitioner (NP) must enter into a written collaborative agreement with a physician in order to practice. A collaborative practice agreement is a written statement that defines the joint practice of a physician and an APN in a collaborative and complementary working relationship. It provides a mechanism for the legal protection of the APN and sets out the rights and responsibilities of each party involved. All APNs, regardless of practice setting, should be knowledgeable about aspects of a collaborative practice agreement before they sign one.

Define full practice authority,

Prescribing • NPs have legal authority to prescribe in all 50 states, and District of Columbia o Prescriptive authority independence varies widely by state: o In 25 states (and District of Columbia) NPs can prescribe with no physician involvement o Montana requires only physician involvement o In 24 states, NPs can prescribe with collaboration from physician • Prescriptive authority independence varies widely by state (cont.): o In Michigan, NPs cannot prescribe but can be delegated to order medications o In all states and District of Columbia, NPs can prescribe controlled substances • Explicit Legal Authority to Prescribe/ No Physician Involvement Required- In some states an initial period of collaborative practice may be required prior to being authorized to practice independently •

Define Employer provider number,

Reflects where services are provided to patient-Whether employed by a practice or as a practice owner, a unique provider number will be assigned, reflecting where the services will be provided to a patient. If the medical practice has two office locations, there will be a different provider number for both practice settings. Before billing a third-party payor, whether Medicare, Medicaid, or private insurer, the patient service must have the national provider number of who provided the service and the provider number where the service occurred in order to bill. (DeNisco, Pg 403) •

Development, Revision, Review and Approval

The agreement is developed collaboratively by the delegating physician and APRN or PA. It will be reviewed at least annually, dated, and signed by the physician and APRN or PA.

How do you Work to continually put the guidance into action.

The best mentors are the most interested in helping someone who is willing to learn and grow; so take advantage by putting the suggestions and advice into action.

Define APRN Role Model,

The definition of a role model is "an individual who serves as an example of desirable behavior for another person" (Chitty & Black, 2011, p. 462). People in whom we find qualities that are admirable or appealing. Can choose one or more role models. No direct contact or personal relationship necessary

Define National provider identification or npi

The health insurance portability and accountability act of 1996 (HIPAA) mandated the adoption of a standard unique identifier for health care providers. This is particularly important for reimbursement of health care services that the NP provides. In 2004, the Centers for Medicare and Medicaid Services (CMS) adopted the national provider identifier (NPI) as the standard unique identifier number for all health care providers to use when filing and processing healthcare claims. All nurse practitioners are required to apply for national provider number in our assigned to only one number that will follow the NP wherever she or he practices. The application must be completed by the nurse practitioner to avoid any potential error that could delay billing and reimbursement. (p. 434).

How is a mentor different from a preceptor or a coach?

The mentor, then, is different from a preceptor or a coach, yet may function in those roles in addition, but a mentor encompasses much more. an authority on mentoring, identified two components of this type of relationship: career and psychosocial.

What are International Classification of Diseases (ICD) codes,?

They are are used to identify the patient's diagnoses or reasons for seeking care

Example of Collaborative Agreement From Texas.gov:

This document authorizes the APRN or PA to perform medical acts in accordance with the Nurse Practice Act,§301.152, Texas Occupations Code and the Medical Practice Act, §157, Texas Occupations Code. This document delegates certain medical acts, as required by Texas law, and sets forth guidelines for collaboration between the delegating physician and the APRN or PA. Except if specifically stated in this document, this agreement is not intended to limit the health care services the APRN or PA provides under his/her scope of practice, based on the advanced practice role and specialty authorized by the Texas Board of Nursing (BON) or the Texas Physician Assistant Board (TPAB). Examples of services that are in the APRN's or PA's scope of practice include, but are not limited to, performing physical examinations and medical histories, ordering laboratory and radiologic exams, providing health promotion and safety instructions, managing acute episodic illness and chronic diseases, and referrals to other health care providers as needed.

What do you do to be respectful of mentor's time?

When you meet, be prepared by having specific issues to discuss.

What are examples of career mentoring activities?

Within the career mentoring portion are activities such as sponsorship, networking, and coaching,

How do you distinguish between a new patient and an established patient?

You must select the proper E&M (evaluation and management services) CPT code for the visit. A new patient is one who has not received professional services within the past 3 years from a provider in the same specialty in the same practice. Telephone communication is considered a professional service.

Clinical mentors are

academically and clinically qualified advanced practice nurses, physicians, faculty, nurse executives, and other healthcare professionals or health policy leaders who are able to facilitate and support the objectives of the student's clinical residency and DNP project.

They are not the same. All APRNs must have

an NPI, which is mandated by The Health Insurance Portability and Accountability Act of 1996. Medicaid and Medicare use the NPI for reimbursement. The NPI is also identified on prescriptions. A DEA number is not required for all NPs, but states that allow NPs to prescribe controlled substances must apply and use a DEA number.

This time period can cause

anxiety in the mentee (Grossman, 2013; Kram, 1986).

Mentors need to:

both push and pull their mentees at times, leading by guiding the interaction with the mentees—while always remaining supportive.

In addition, nurses who have been mentored noted

career advice, role modeling, education, and emotional support to be benefits of the relationship (Dyer, 2008).

Even within an informal mentorship, there may be a contract or agreement to

clarify goals and timelines.

As the relationship matures, the mentee and mentor have a more

collegial relationship,

Nurse Practitioners have been shown to provide

cost-effective care compared to their physician colleagues; therefore, reimbursement for healthcare services is the fiscal responsibility of every nurse practitioner.

NPs should be prepared to

define NP scope of practice, list state requirements for collaboration or supervision, if any; and identify the sources of reimbursement for NP services.

Who developed the International Classification of Diseases (ICD) codes,

developed by the World Health Organization,

Dependence on the mentor can be strong during these

early stages.

A mentor may be a

faculty person, a clinical preceptor, or a professional the graduate comes into contact with and identifies as a person that the graduate would like to engage in a supportive relationship for an extended period of time.

Billing third-party payers includes

filing the proper forms, including the appropriate diagnostic and procedure codes, and documenting encounters in the medical record in a manner that justifies a bill. It also involves following up denied claims and claims that have not been paid in 30 days.

Mentoring may be a

formal relationship, where a mentor is assigned by an organization, or an informal agreement made between a mentor and mentee that have chosen each other; the relationship lasts for a mutually agreed upon time, typically long-lasting. In the ideal mentoring relationship, both parties "develop personally and professionally within the auspices of a caring, collaborative, and respectful environment" (Grossman, 2013, p. 186).

Who are Examples of midlevel practitioners?

health care providers such as nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialist, and physician assistants, who are authorized to dispense controlled substances by the state in which they practice (p.434).

A provider with a pattern of coding all visits with one of the higher level codes, without documentation to justify the high-level visits, is likely to be

identified by the Medicare carrier as an "upcoder," that is, a provider who bills for a higher level of service than actually provided in order to get a higher fee. Upcoding is false claims. A normal distribution of E&M codes for established patients is a bell-shaped curve, with most visits being 99213.

What are psychosocial activities of mentoring?

include helping the mentee to move forward in professional development, role modeling, and friendship.

Mentors are

inspirers, supporters, envisioners, sponsors, coaches, and role models. Nurses who have been mentored reported the capability to model positive traits of their mentors, such as persistence, job dedication, honesty, and discipline.

The definition of mentoring which is more applicable currently to NPs:

is a "voluntary, intense, committed, extended, dynamic, interactive, supportive, trusting relationship between two people, one experienced, and the other a newcomer, characterized by mutuality"

Define Medical necessity

is defined as medical items and services that are "reasonable and necessary" for a variety of purposes.

Understanding proper medical record documentation and billing procedures for an office visit can

maximize reimbursement for services affecting both the practice and the nurse practitioner's bottom line (Denisco p. 403).

When you have the "what was done" with the "why it was done," this equals:

medical necessity: CPT + ICD-10 = medical necessity.

and most likely, the mentee in turn has now become a

mentor to a novice.

Define NPI

national provider identifier (NPI) as the standard unique identifier number for all health care providers to use when filing and processing healthcare claims. All nurse practitioners are required to apply for national provider number in our assigned to only one number that will follow the NP wherever she or he practices. The application must be completed by the nurse practitioner to avoid any potential error that could delay billing and reimbursement. (p. 434).

What is a Coded medical information is used for?

patient care, research, reimbursement, and evaluation of services (Aalseth, 2006).

At this time, the mentee is becoming more confident that her or his

professional and personal goals can be met.

Mentees can get the most of a mentoring relationship by

recognizing that they have found someone who genuinely cares about them and their career.

Each type of payer has its own

reimbursement policies and fee schedules, and each operates under a separate body of law. Some payers reimburse NPs in the same manner that they reimburse physicians. On the other hand, some payers have NP-specific rules and policies regarding reimbursement. Not every payer will pay every NP for service.

A bill submitted without a CPT or ICD code will be:

rejected.

For reimbursement The NP must do a couple of things for documentation including: (Next few cards)

select a code for the disease or symptom by "what you know," being as specific as possible, and "what was done" with the "why it was done,"

In stage 4, the mentee has become

self-confident and is not as dependent on the mentor, and will start the separation process.

Mutual goals should be set in

the cultivation stage. A contract clearly identifying what achievements are desired, and how the mentor will guide the mentee to reach those achievements, a note articulating the frequency and mode of meetings, as well as confidentiality, and a clause written about openness and conflict resolution should be included.

Is time is important?

the least important factor, unless the visit is a "counseling" visit, there is significant time spent on coordination of care, or the visit qualifies as "prolonged service."

In stage 1, initiation,

the mentee and mentor are becoming acquainted. The experienced person believes that the novice can be successful and is willing to mentor the novice. The novice finds the mentor admirable and is willing to be guided and coached by the mentor.

The medical record is

the most important document in the reimbursement process. Any information provided to the patient on a particular date of service must be recorded in the record. If it was not documented, it was not done. The medical record clearly should state what was done and why it was done.

The mentor-mentee relationship was found

to help the socialization of the mentored nurse into a specific nursing unit or nursing position (Dyer, 2008).

It is important to bill the CPT code that the medical record documentation supports, not a higher level code or a lower level code. Failing to bill for all billable services rendered can mean

unnecessarily low revenues for a practice. Consistent overcoding without medical record documentation that supports the level of visit billed can result in an audit by the Medicare carrier, fines, criminal prosecution for Medicare fraud, loss of Medicare provider status, and loss of license.

Define incident to billing,

used in the care of Medicare patients • Used by physicians to bill for various services provided in the office by healthcare personnel that are performed in "relation to" or "incident to" the care the physician provides • In this situation, NP bills for her services with the physician's national provider number. Visit is reimbursed 100% • Problematic, because NP is not visible in this method of billing and cannot show the income he or she is generating for the practice Criteria: • NP must be employed and directly supervised by the physician (cannot be out of town, in the hospital, or out of office) • Physician must see the patient for the initial visit and develop treatment plan (NPs cannot see any new Medicare patients under the current guidelines) • Physician must have ongoing participation in the patient's care (DeNisco, pg 425)

The mentor should use the following guidelines when working with a mentee:

• Advise the mentee about the duration of the meeting. • Discuss the mentee's achievements and give positive feedback. • Be specific and kind when giving necessary constructive feedback that may not be what the mentee might want to hear. • Be prepared to fill the meeting time with specific issues and objectives. Take every moment seriously. • Reassure the mentee that trust, honesty, and confidentiality are of paramount importance to your relationship.

Components of these five aspects included (Grossman, 2013):

• Having a personal commitment to mentoring • Having expertise in the field the mentoring occurs in • Having the necessary qualities of counselor and educator • Being prepared to be a sponsor • Having an effective communication style • Being respected in the profession • Having good self-esteem • Balancing work and personal life • Willing to take on new challenges • Being open to change

Box 16-1 Stages of the Mentor Relationship

• Initiation • Cultivation • Separation • Redefinition

AANP have identified the following important aspects of the relationship

• Mutually benefit both the mentee and mentor • Focus on helping and guiding toward professional goals • Involve time, energy, initiative, and follow-through to be successful • Involve mentors as generous learning brokers • Involve mentees committed to achieving defined objectives

Define credentialing

• Necessary to bill insurance companies for services-the nurse practitioner must receive credentialing by the third-party payor in order to bill insurance companies for his or her services. While this is usually completed by the practice manager, the nurse practitioner should become familiar with the rules and policies of the third-party payor. A provider application form is filled out, which is also known as the "credentialing form." The nurse practitioner will be required to complete an attestation form to verify that the information submitted is correct. The nurse practitioner must make sure the information is correct. Any errors may delay the application process or compromise timely reimbursement. Once the nurse practitioner has obtained a national provider number, employer provider number, and third-party credentialing or insurance company membership, he or she is ready to begin billing for services. (DeNisco, Pg 403)

The following tips have been adapted for new NP/DNP graduates (Tracy, 2012; Zwilling, 2012):

• Set clear objectives • Work to continually put the guidance into action. The best mentors are the most interested in helping someone who is willing to learn and grow; so take advantage by putting the suggestions and advice into action. • Remember, the best mentors are busy people. • Remember the difference between a mentor, a friend, and a coach. • Send a note to communicate progress or touch base on a regular basis.

Interview Questions

• Why should I hire an NP? • Why should I hire you? • How many patients are you used to seeing in a day? • Do you have a DEA number? • How independently are you used to practicing? • What can you bring to the practice? • What is your greatest job strength? Weakness? • What can an NP legally do in this state? • What do you want to be doing in 5 years? In 10 years? • Does working evenings and/or weekends bother you?