Lessons Learned From Nurse Practitioner Independent Practice

A Conversation With a Nurse Practitioner Entrepreneur

Joyce A. Hahn, PhD, RN, NEA-BC, FNAP; Wesley Cook, APRN, FNP-BC, CPSN


Nurs Econ. 2018;36(1):18-22. 

In This Article

Lesson 5: Manage Credentialing Information With a System and a Team

Each payer has its own timeline for recredentialing as well as differing requirements for peer review, quality assurance, and prior authorization. A recordkeeping system like a spreadsheet or customized database is the best approach for both the requisite tasks of maintaining good standing and pushing the policy envelope. You need a workable plan in place to address reimbursement bumps in the road, but you cannot address them if information is here and there and everywhere. Payers require quick turnarounds in response to their inquiries. It is also important not to lose income-producing time dealing with cumbersome claim denials or credentialing maintenance activities. DPC now has a practice manager and a biller who deftly manage this process.

JH: That was a helpful information for NPs establishing a business practice. Would you say DPC is now successful?

WC: While DPC remains a fledgling business, it is indeed quite viable and growing. My modus operendi is that the reward of the work is the work itself. I certainly have found reward, even in the frustrations. Caring for people is a gift. We are invited into people's lives, often in the height of vulnerability when they would eschew the presence of many. My patients teach me what it means to be human in every encounter. I am certainly in this for an income; I find no reason to hide any pride taken in being paid well for good work. But I do this work for more than the income. So even if the business proves financially unviable in the years to come, it will be a success because every day is an adventure at the moment, and that is what I'm really looking for in my career.