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The Dark Side of Medicare Advantage Plans

Nurse Practitioners in Business

Recently an NPBO Member shared with me a report on Medicare Advantage plans and the increasing amount of prior authorizations that are being required with Advantage plans. This is true for Original Medicare and Medicare Advantage Plans. Medicare is a complex topic for consumers and providers alike.

Medicare 397
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Business Planning: Not Just For Startups

Nurse Practitioners in Business

It’s an ongoing debate… Some view business planning as essential, whereas others think it’s optional. And some situations may or may not require a business plan. For example: Small, low-risk startups where the business owner has lots of experience or has started a business before.

Business 367
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FAQs of Opting Out of Medicare

Nurse Practitioners in Business

Opting out of Medicare has caused a lot of confusion for NPs and other providers. In this episode of the NP Business Matters Podcast (Episode #65) I address: The Social Security Act and how that impacts providers. When you can bill Medicare and when you don’t have to. What it means by opting out of Medicare.

Medicare 221
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What you need to understand about Medicare cuts

Nurse Practitioners in Business

Hearing about Medicare cuts causes a provider’s blood to run cold. Will you really lose money by seeing Medicare patients? I am constantly asked “Should I opt out of Medicare?” ” by NPs who are new to business and those who have been in practice for years. And many have strong opinions on this.

Medicare 221
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Success Tips from NP Business Owners

Nurse Practitioners in Business

Have you ever wondered what success tips nurse practitioner business owners would share with you? I recently asked Nurse Practitioner business owners to share some of their top success tips for those who are thinking about starting and growing their own practices. Well, here they are.

Business 221
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Taxes and Legal Structures: What You Must Understand

Nurse Practitioners in Business

Recently, a tax-related question posted in the Nurse Practitioner in Business FB Group caught my eye. Taxes can be confusing, and since Tax Day is approaching fast, I thought it might be helpful to review taxes as they relate to different business structures. The question concerned FICA taxes and how they are paid.

Business 195
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Understanding Participating and Non-participating provider status for NPs

Nurse Practitioners in Business

On the surface, it sounds like having non-participating provider status with Medicare is a good thing. Medicare requires NPs enrolled with Medicare as a provider to accept assignment. Check out the Nurse Practitioners in Business Facebook Group Become a Member of the NPBO Ready to start your own practice?

Medicare 221