PRs can refer patients to their cooperating physicians if medically necessary, provided the NP does not receive anything in exchange for the transfer. New York law does not require a cooperation agreement to contense a payment provision. Nurse Practitioners (PN) is required to practice written protocols reflecting the specialties of the practice in which the PR is certified. Protocols should also reflect current, accepted medical and care practice. Additional protocols in sub-specialties (e.g..B hematology, orthopedics, dermatology) suitable for the practice of NP may be used, but should not be taken into account in the cooperation agreement. Many PRs work for 2 or more healthcare providers or in a facility with patients cared for by several different doctors. Sed does not necessarily require the NP to enter into several cooperation agreements in such situations. For example, cost splitting may occur when a NP shares his or her office income or expenses with a physician who is not the NP`s employer. « tariff splitting » also includes agreements or arrangements in which the NP pays the cooperating physician a sum of money that represents a percentage of the income or income of the NP in exchange for, or otherwise depends on, the benefits of, the cooperating physician. For example, if a NP pays 20% of the NP`s professional income to the cooperating physician (who works in a separate medical practice) in exchange for the services of the cooperating physician, the NP and the physician likely participate in an illegal « cost-sharing. » Dears testified that « MSSNY strongly opposes the independent practice of a nurse without a cooperation agreement with a physician. » She also cited studies showing that increasing PR use does not reduce costs, as PR patients tended to have higher rates of medical service utilization.
« Given the training, training and advanced certification of PRs, written cooperation agreements no longer serve as a clinical purpose, » says a memo published on the National Assembly`s website. « Instead, this requirement is a barrier to practice and a barrier to advanced certification and limits access to health care for individuals and families in underserved areas of the state. » Newly Certified Nurses (NPs) must submit the New York State Department of Education (SED) Form 4NP to the New York State Department of Education (SED) within 90 days of the start of professional practice. The NP is not required to submit an additional form 4NP to the SED. A completed Form 4NP is not synonymous with a collaborative practice contract. Form 4NP can be downloaded from the SED website by clicking here. Questions about practical contracts and practical protocols focused on cooperation can be directed to the Nursing Board Office by email email@example.com or by phone at 518-474-3817, or by fax at 518-474-3706. It is not for the Nursing Board Office to interpret the laws governing the financial relationship between PNs and cooperating physicians. Each nurse (NP) must enter into a written cooperation agreement with a physician in order to practice. The cooperation agreements contain provisions that provide that a copy of the collaborative practices agreement must be kept in the NP`s practical environments and made available to the New York State Education Department (SED) for consultation. . . .