A “fee split” can occur when an NP shares its income or practice expenses with a physician who is not NP`s employer. “royalty splitting,” an agreement or agreement whereby the MNP pays the cooperating physician an amount that depends on a percentage or other part of the NP`s income or income in exchange for the benefits of the cooperating physician, or otherwise dependent on it. For example, if an NP pays 20% of the NP`s professional income to the cooperating physician (who works in a separate medical practice) in exchange for the cooperating physician`s benefits, the NP and the physician are likely to practice an illegal “tariff split.” Nurses (PNN) are required to practice in accordance with written protocols that reflect the department (s) of the practice in which the PNP is certified. Protocols must also reflect current and recognized medical and health practices. Additional protocols in specialized areas (for example. B, hematology, orthopedics, dermatology) that are suitable for the practice of NP can be used, but should not be reflected in the cooperation agreement in practice. Newly certified nurses must submit the New York State Education Department`s (SED) Form 4NP-Verification of Collaborative Agreement and Practice Protocol within 90 days of starting professional practice. The NP is not required to submit additional 4PPs with the SED. A completed 4NP form does not correspond to a common practice agreement. Form 4 NP can be downloaded from the SED website by clicking here.
Many NPNs work for two or more health care providers or in an institution with patients cared for by several different physicians. The SED does not necessarily require that NP enter into several cooperation agreements in such situations. For example, a copy of the cooperation agreement must be kept within the practical parameters of NP and made available to the New York State Education Department (SED) for consultation. Here is a copy of an example of a cooperation agreement (20 KB) that you can use as a template. Every nurse (NP) must enter into a written cooperation agreement with a doctor in order to practice. Collaborative practical agreements contain treatment provisions: no agreement on collaborative practices can effectively cover any clinical situation. Therefore, the collaborative practice agreement is not intended to replace the exercise of a professional assessment with the nurse and should not be. There are situations where patient care is both frequent and unusual and requires the individual exercise of the nurse-practitioner`s clinical judgment. NPNs may refer patients to their cooperating physicians if medically necessary, provided that the NNP receives nothing in return for the transfer. New York law does not require a cooperation agreement to include a payment provision. After the New York State Education Law 6902, a nurse (NP) diagnoses diseases and physical conditions and implements therapeutic and corrective measures in a practical specialty. This law requires the NP to practice in collaboration with a physician qualified for cooperation in the NP specialty and in accordance with a written practice agreement and written practice protocols.
Questions about practice agreements and highly cooperative practical protocols can be asked by e-mail to the [email protected] Care Office or by phone at 518-474-3817 ext.