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Is it normal to see a nurse practioner..

OILFIELDTRASH

OILFIELDTRASH

Lifer
over the doctor in what would be considered a somewhat serious issue? I said no I want to see the doctor. Just wondering what you guys thought. Its a follow up to a surgery.
 
Not entirely, a F/u is just checking to make sure wound healing is progressing as expected and checking to make sure progress on the condition is being made. The NP will usually conduct the exam and the doc might step in at the end to double check.

That's normal.
 
Pretty normal. In many cases, the nurses are more qualified than the doctors. And have better bed side manner.
 
I'm not a big fans of nurse practitioners; medical offices tend to code their visits using the same ICD-9 codes as a normal MD visit so they can make more money.
 
sactoking said:
I'm not a big fans of nurse practitioners; medical offices tend to code their visits using the same ICD-9 codes as a normal MD visit so they can make more money.
Click to expand...

What does this have to do with the NP though? That's just the medical office being a penis.
 
pelov said:
What does this have to do with the NP though? That's just the medical office being a penis.
Click to expand...

If I have coinsurance, say 20%, and the office is overbilling a nurse practitioner visit, I have to:
1) pay more than I should
2) waste time fighting the charge
3) refuse to see the nurse practitioner

#3 usually wins out.
 
sactoking said:
If I have coinsurance, say 20%, and the office is overbilling a nurse practitioner visit, I have to:
1) pay more than I should
2) waste time fighting the charge
3) refuse to see the nurse practitioner

#3 usually wins out.
Click to expand...

Yea... but what does that have to do with the Nurse Practitioner? lol

I understand what you're saying but isn't this just a case of the Medical Office being a penis and inflating the charges to pocket more cash and not the fault of the Nurse Practitioner?
 
sactoking said:
I'm not a big fans of nurse practitioners; medical offices tend to code their visits using the same ICD-9 codes as a normal MD visit so they can make more money.
Click to expand...

You are thinking of CPT codes, or HCPCS for Medicare/Medicaid (ICD-9 are the diagnosis codes). In any case, there aren't two sets of codes for an MD vs an NP. An NP can perform physician duties as well as nursing duties and would bill the appropriate CPT. With private insurance, depending on the contract in place, a procedure performed by an NP may be paid at up to 100% of the physician rate. An NP can even be your PCP.
 
i don't care who i see, you gotta pre-diagnose yourself with google anyway, so as long as they give you a prescription, what difference does it make
 
FoBoT said:
i don't care who i see, you gotta pre-diagnose yourself with google anyway, so as long as they give you a prescription, what difference does it make
Click to expand...

Just don't demand treatment for something you read some person whose cousin's brother's wife said worked on her when she tried some of her father's medications to self treat something.
 
NP/PA usually have more time to spend with you then the MD/DO. They are usually specifically trained in the area you are seen.

No problem with them and usually prefer to see them with smaller issues. Chst pain? I want an MD/DO. Sprained ankle/sutures? NP/PA.
 
The Dr's office I go to I see the PA. I don't like the doc, but like the PA. If it's a last minute thing and the PA is gone, I'll wait until the next so I don't have to deal with the doc. The doc is a dick but the PA rocks.
 
sactoking said:
I'm not a big fans of nurse practitioners; medical offices tend to code their visits using the same ICD-9 codes as a normal MD visit so they can make more money.
Click to expand...

If I'm gonna be billed for a doctor's visit...I want to see the doctor, NOT a nurse.

As a rule, I don't have a problem with nurse practicioners or physician's assistants, but I don't want to pay journeyman rates for apprentice work. 😛
 
I've seen 3 NP and as a pharmacist, none of them knew anything near more than I did. I was not impressed.
Go see a PA or an NP.
 
I went to the ER, saw the NP for like 15-20 minutes after waiting for many hours. The Insurance had to pay around 3,000 for that 15-20 minute visit with they NP.
 
Probably get better care cause they have something to prove vs doctors. I would not object. A lot of clinics use them.
 
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