27 episodes

SAGEClinician is the podcast for healthcare providers where we talk about the NON clinical aspect of being a healthcare provider. SAGE Clinicians are Strategic, Astute, Gusty and Enlightened.

We talk with experts on business, finances, emotional and physical health for us, healthcare policy, leadership, legislation and so much more.

Who is this for? It's for the new clinician as well as the seasoned clinician. We are nurses, nurse practitioners, physician assistants, physicians, healthcare administrators, therapist, students, pharmacists and more.

Always, we strive to provide information that allows you to "live your life like a SAGE Clinician"

The NPBusiness Show with Barbara C Phillips, NP Barbara C Phillips, NP, FAANP

    • Careers

SAGEClinician is the podcast for healthcare providers where we talk about the NON clinical aspect of being a healthcare provider. SAGE Clinicians are Strategic, Astute, Gusty and Enlightened.

We talk with experts on business, finances, emotional and physical health for us, healthcare policy, leadership, legislation and so much more.

Who is this for? It's for the new clinician as well as the seasoned clinician. We are nurses, nurse practitioners, physician assistants, physicians, healthcare administrators, therapist, students, pharmacists and more.

Always, we strive to provide information that allows you to "live your life like a SAGE Clinician"

    Job Hunting Like a Professional-NPBS27

    Job Hunting Like a Professional-NPBS27

    The majority of clinicians - nurse practitioners and physician assistants are not business owners, but employees. However, even though we focus on business here, all professionals are business and need to understand that.

    On this episode of the NPBusiness Show & Podcast, I speak with Renee Dahring, NP and current president of the Minnesota APRN Coalition. She is also the NP behind the career blog at Advance for NPs and PAs and is known as the NPCareer Coach.

    While we, of course, spoke about business and related it to job hunting, Renee was also able to give us ideas how to prepare and approach an interview regardless if you are a NEW nurse practitioner or a seasoned one.

    Her biggest tips IMHO after having interviewed plenty of candidates are toward the end when she talks about the three biggest faux pas that nurse practitioner job candidates make. You'll want to take a listen for that.

    Enjoy the show, and happy job hunting!

    • 30 min
    Billing Incident-To? Here are the Rules - NPBS26

    Billing Incident-To? Here are the Rules - NPBS26

    Does the idea of Incident To billing leave you perplexed? Are you working with individuals who insist that all your visited be billed out as incident-to? Well, this is what we are going to talk about today on the NPBusiness Show podcast.

    Announcements:

    NPWeek Webinars continue. The 3rd one is this week, Sunday, Nov 15, 2015. More details here.
    Sponsored by: NPBO™

    Incident-To Billing
    Incident-to billing can be confusing. Many NPs find their employers wanting to do a lot of incident-to billing. The problem is it can potentially result in fraud charges if the rules are not followed.

    Define (as per CMS): “Incident to” services are defined as those services that are furnished incident to physician professional services in the physician’s office (whether located in a separate office suite or within an institution) or in a patient’s home. These services are billed as Part B services to your carrier as if you personally provided them, and are paid under the physician fee schedule.

    Allowable Discount: 15% to NPs and PAs. For example, if MD is allowed $100, NPs/PAs are allowed $85.

    Rules:


    First of all the visit takes place in the office.



    The physician must perform the initial service and continue to be actively involved in the course of treatment.



    The NP or PA sees the patient in follow-up for the identified problem and follows the plan of care.



    The physician MUST be in the office suite at the time the visit takes place, not necessarily in the exam room, but in the office incase “direct” supervision is required.



    The documentation needs to reflect the essential requirements for an incident to services.



    The NP or PA must be an employee or what medicare refers to as a “leased employee” or an “independent contractor” that is paid for by the physician and practice.



    Other
    Note: “Incident to” services are also relevant to services supervised by certain non-physician practitioners such as physician assistants, nurse practitioners, clinical nurse specialists, nurse midwives, or clinical psychologists. These services are subject to the same requirements as physician-supervised services. Remember that “incident services” supervised by non-physician practitioners are reimbursed at 85 percent of the physician fee schedule. For clarity’s sake, this article will refer to “physician” services as inclusive of non-physician practitioners.

     

    CMS Documentation: http://go.cms.gov/1Y3xJ8H (shortened)

    Your Turn
    What's your experience with incident-to billing?

    .

    • 8 min
    025 SAGEClinician is now The NPBusiness Show

    025 SAGEClinician is now The NPBusiness Show

    Podcasting Again! SAGEClinician is now the NPBusiness Show!

    Welcome to the new NPBusiness Show and podcast. You might remember this show as the SAGEClinician podcast. In this episode you'll hear:


    Why I have not published in a while.
    Why I changed the name
    Some announcements:

    Shout out to Dr. Rachel Silva and The Nurse Practitioner Show - check out her podcast. Thanks Rachel for having me on your show!
    NPWeek2015 - check out more details here.


    Why business is important for all Nurse Practitioners and why my new battle cry is #NoNPLeftBehind.
    Contracts and negotiations guide, available here.
    Ask Barbara. The question is "How can NPs most affect the bottom line of a practice?"

    Answer: Productivity, efficiency, correct documentation and billing.


    FPA - Webinars for your state groups? Contact me

    Goals with this new format is to keep the sessions shorter and more concise (we are all busy!), and most of all, to find a way to help ensure that #NoNPLeftBehind.

    So what about SAGEClinician. For the time being, the website and the first 24 episodes are still available. Eventually, I'll move them here to this site. They are not going to disappear.

    • 16 min
    SCP24: Integrative Wellness with Johnetta Miner, PhD, NP

    SCP24: Integrative Wellness with Johnetta Miner, PhD, NP

    Dr. Miner is a women's healthcare provider and a holistic NP working in New York State. In addition to her clinical work, Dr. Miner is broadcasting the "HEALth Practitioner Podcast" and publishes on her website,"LifeStyleWellnessNetwork.com".

    Having done previous solo podcasts on a variety of health topics, her current podcast the "HEALth Practitioner Podcast" focuses on different healing modalities accessible to clinicians and consumers alike.The HEALth in her podcast stands for HEAL: Holistic, Engaged, Authentic, Leaders...

    The show introduces practitioners utilizing various modalities and  discusses how clinicians and patients can integrate them into their communities. You can find the podcast at www.lifestylewellness.com.

    Dr. Minor also owns her integrated health website, lifestylewellnessnetwork.com. Here she works with consumers, clinicians and business owners who want to improve their health and lifestyle.

    Her website provides information on holistic health, touch healing, acupuncture, auricular acupuncture and general health information. She also provides access to a dispensary, where she can prescribe supplements for clients she works with in a coaching capacity.

    Dr. Minor points out that many healthcare institutions today have some form of holistic health integrated in their patient care. Many utilize therapies such as essential oils, Bach flower therapy, homeopathy, aroma therapy and healing touch therapy.

    Also, many educational institutions today offer training programs on integrative healthcare and integrative practices.

    Dr. Minor herself utilizes Reiki (and she is a Reiki master teacher), essential oils, auricular acupuncture and other modalities in her work. She believes that you become more integrative when you integrate the modality into your service and practice it yourself.

    Enjoy!

    Links:
    HEALth Practitioner Podcast - www.lifestylewellness.com

    Life Style Wellness Network -  www.LifeStyleWellnessNetwork.com

    Twitter:  www.Twitter.com/LWEnterprise

    Google+: www.google.com/+JohnettaMiner

     

    • 33 min
    SCP23: Nursing From Within with Elizabeth Scala

    SCP23: Nursing From Within with Elizabeth Scala

    On this episode of SAGEClinician I have the pleasure of speaking with Elizabeth Scala, MSN/MBA, RN.

    Elizabeth Scala, author, speaker, certified Reiki Master and nurse, describes herself as a spiritual practice nurse, on a mission to shift her profession of nursing from the inside out.

    Applicable to all healthcare professionals but directed toward nurses, her goal is to see you reconnect with the original passion and desire that led you to enter your profession to begin with.

    Healthcare professionals today deal with high stress levels resulting from growing workloads, increasing regulations and complex technologies. All of this removes us further from our core mission – helping our patients. For this very reason the ability to take care of one-self is becoming ever important.

    Elizabeth knows that Reiki is one avenue that allows us to do just that.

    Even though difficult to explain in words, Reiki is a spiritual healing modality that allows us to return balance to our lives. It is a holistic practice that encourages healing and homeostasis to return to all aspects of life.

    Reiki is already utilized in healthcare in work with patients in hospice, in work with chronic pain conditions, PTSD work and many other areas.

    Elizabeth suggests that we also utilize Reiki to take care of ourselves and promote our own healing. After all, how can we take care of others if we don’t strive to be whole, complete and healthy ourselves?

    A speaker and trainer, Elizabeth teaches a variety of Reiki classes. Her focus has shifted from the conventional “taking care of self” limited to proper eating and exercising to a much broader approach.

    She calls her new model “Nursing from within” where the prime focus is on connecting with your authentic self. Taking care of yourself and doing what you truly enjoy, will help you get back in touch with the original reasons you entered the nursing profession.

    WHO is Elizabeth?
    Elizabeth Scala publishes on her own blog and you can listen to her podcast “Reiki Radio: An Rx for Self-Care in Healthcare” where she talks to Reiki professionals, researchers, teachers and authors about the power of Reiki.

    Links:

    ElizabethScala.com
    Elizabeth on Twitter
    Elizabeth on Facebook
    Elizabeth Scala’s books on Amazon

    • 33 min
    SCP22: Technology for Clinicians with Brittney Wilson, The Nerdy Nurse

    SCP22: Technology for Clinicians with Brittney Wilson, The Nerdy Nurse

    On this Episode of SAGEClinician:

    Get ready for my guest Brittney Wilson, who has transformed “challenges” at work into real life resources to help other nurses.
    Find out how she has combined her clinical expertise with her love for technology to help countless nurses and their patients.
    Let her introduce you to a new social media platform designed with you, the healthcare provider, in mind.

    Brittney  is known as the “Nerdy Nurse” and was able to acquire the rights to exclusively use that name by obtaining the trademark. Trademarks are important. They protect a business by preventing others from using the same name, avoiding potential confusion in the minds of consumers.

    It all began for Brittney, when she started blogging about her experiences at work and some of the struggles she had with nursing. Blogging helped her deal with negative experiences, all while helping other nurses by sharing information and resources with them.  You will find resources on her blog TheNerdyNurse.com, providing information on lateral violence, harassment in the workplace and various legal topics related to it.

    Informatics
    Brittany’s clinical background includes nursing in med-surg and until just recently as an informatics nurse.  Working in informatics allowed her to combine her clinical knowledge with her love for technology, supporting direct care nurses and other providers taking care of their patients.

    Brittney is convinced that nurses and providers alike, when properly trained and well versed in using EMRs and other tools, will be able to achieve better outcomes by eliminating documentation errors, all while avoiding duplication of effort.

    Next Wave Connect
    Today, Brittney works as an online community manager for a social collaboration platform for healthcare, called “Next Wave Connect”. As a community manager Brittany writes articles, shares content and engages members to actively participate in the community.

    The goal of “Next Wave Connect” is to provide a space for all types of healthcare providers to come together and collectively work on solving problems.

    When it comes to social media, proper sharing of information is of particular importance for healthcare providers. To stay in compliance and to protect the rights of the individual no PHI data should ever be shared on any social network, ever!

    Members of “Next Wave Connect” collaborate on various issues including ICD 10, Ebola, Clinical Integration, ACOs, Patient Engagement Strategies, just to name a few.  Members also have the ability to form private groups for discussion.

    Brittney invites you to become part of Next Wave Connect!

    Simply go to NextWaveConnect.com, create an account, connect to communities and follow the topics that are of interest to you. Alternatively, you can also start a new discussion.

    Brittney the Author
    But there is more to Brittney!

    Through her book, The Nerdy Nurse’s Guide to Technology, Brittany encourages nurses to confidently embrace technology. The book covers a wide range of topics ranging from Google tools, EMRs, to smart phones, tablets, data security and much, much more.

    Social Media
    Just before concluding the interview, here are 3 words of wisdom from Brittney with respect to social media.


    If you’re an employee, don’t identify your employer. No matter what you say and how you say it, you will automatically be seen as an ambassador for your employer!
    Remember, social media is NOT the hospital water cooler… anything put on social media is there to stay! Her number one rule: “If you can’t say it in front of your mother, just don’t say it”.
    Use social media as a tool for good! Avoid complaining, be positive!

    WHO is Brittney Wilson?
    Brittney Wilson, RN, BSN, also known as The Nerdy Nurse, is a Clinical Informatics Nurse practicing in the Atlanta, Georgia area.

    In her day job she gets to do what

    • 34 min

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