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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. 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. 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: questions about collaborative practice contracts and practical protocols can be forwarded to the Nursing Board Office by email nursebd@nysed.gov or by phone at 518-474-3817 Number 120 or by fax 518-474-3706.

It is not for the Nursing Board Office to interpret the laws governing the financial relationship between PNs and cooperating physicians. „Fee splitting” can occur when a NP shares their 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.” Under the new rules, how will you deal with the prescription and dispensing of drugs and products that are not included in the Common Practice Agreement under Rule 21 NVC36.0809(b)(3)(A)(B) and 21 NVC32M.0109(b)(3)(A)(B)? No common practice agreement can effectively cover any clinical situation. Therefore, the collaborative practice agreement should not and should not replace the exercise of professional judgment by nurse`s Practitioner. There are situations that concern patient care, both frequent and unusual, that require the individual exercise of the clinical judgment of the Practitioner De Nurse. 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 Department of Education (SED). Here is a copy of a cooperation agreement for example (20 KB) that you can use as a template. According to New York State Education Law § 6902, a nurse (NP) diagnoses diseases and physical conditions and implements therapeutic and corrective measures in a specialty of practice. This law requires the NP to practice in collaboration with a physician qualified for cooperation in the field of NP and in accordance with a written practice contract and written practice protocols. .

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