Is it normal to see a nurse practioner..

May 13, 2009
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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.
 

PhoKingGuy

Diamond Member
Nov 15, 2007
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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.
 

Bateluer

Lifer
Jun 23, 2001
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Pretty normal. In many cases, the nurses are more qualified than the doctors. And have better bed side manner.
 

sactoking

Diamond Member
Sep 24, 2007
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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.
 

pelov

Diamond Member
Dec 6, 2011
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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.

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

xanis

Lifer
Sep 11, 2005
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Pretty normal. I usually wind up seeing the NP when I go to my family doctor.
 

sactoking

Diamond Member
Sep 24, 2007
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What does this have to do with the NP though? That's just the medical office being a penis.

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.
 

pelov

Diamond Member
Dec 6, 2011
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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.

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

Diamond Member
Sep 24, 2007
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I'm just saying "I don't see NPs" in response to the question "Should I see a NP?"
 

Oceanas

Senior member
Nov 23, 2006
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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.

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.
 

FoBoT

No Lifer
Apr 30, 2001
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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
 

PhoKingGuy

Diamond Member
Nov 15, 2007
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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

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.
 

MedicBob

Diamond Member
Nov 29, 2001
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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.
 

boomhower

Diamond Member
Sep 13, 2007
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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.
 

BoomerD

No Lifer
Feb 26, 2006
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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.

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. :p
 

lothar

Diamond Member
Jan 5, 2000
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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.
 

DCal430

Diamond Member
Feb 12, 2011
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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.
 

Zebo

Elite Member
Jul 29, 2001
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Probably get better care cause they have something to prove vs doctors. I would not object. A lot of clinics use them.