The Nurse Anesthetists, NPs & PAs Fix Kit
Built for nurse anesthetists, NPs and PAs.
Advanced practice clinicians lose money in the contract, not on the shift. It goes out through a salary nobody compared to the published wage data, visits billed under someone else's number so your productivity never counts, a malpractice tail you pay on the way out the door, credential fees and education money left unused, and locums pay with no tax set aside. I wrote this kit so you can check each one against your own contract and pay records, and ask for what is yours in writing.
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The 7 leaks it covers
4 you can close it · 2 the other side owes it · 1 a pro decides
- Salary set without looking at the published wage data for your role and areaWhere to look first: Write down your full package: base, call pay, bonus, retirement match, education allowance and paid time off.Keep it from coming back: Re-check the BLS figures for your metro area every spring when new data comes out, and before you sign any renewal.You can close it
- Visits billed under the physician's number, so your productivity never countsWhere to look first: Read the bonus section of your contract. Find how productivity is measured: wRVUs, visits, collections, or a mix.Keep it from coming back: Keep your own simple log of patients seen per day so you can match it to the billing report each quarter.The other side owes it
- Malpractice tail coverage left for you to pay when you leaveWhere to look first: Find the malpractice section of your contract. Is the policy occurrence-based or claims-made?Keep it from coming back: Before signing any offer, put the tail question in writing and get the answer into the contract.You can close it
- DEA, license and certification fees paid out of pocket when the contract covers themWhere to look first: List every fee you paid in the last three years: state license, DEA registration, national certification, board fees, hospital privileges, association dues.Keep it from coming back: Keep one folder for license, DEA, certification and CME receipts, and submit each one the month you pay it.The other side owes it
- Call and extra shifts worked on a salary that never mentions themWhere to look first: Pull your schedule for the last three months. Count call nights, weekends, holidays and shifts you picked up beyond your scheduled hours.Keep it from coming back: Log every call and extra shift the day it happens, and raise call pay at each contract renewal.You can close it
- Loan forgiveness missed while working for a qualifying employerWhere to look first: Check whether your employer is a government agency or a 501(c)(3) nonprofit, which many hospitals are.Keep it from coming back: Certify employment every January and before you leave any employer.You can close it
- Locums or 1099 pay arrives with nothing set aside for taxWhere to look first: Check which pay this is. W-2 pay has tax withheld. This is about locums or independent contracts paid on a 1099.Keep it from coming back: Move the set-aside the day each payment lands, and calendar all four dates in January.A pro decides
Free: one full leak from this kit
No sign-up, no email. Here is leak 1 of 7 exactly as it appears in the kit, so you can see what you get before you buy.
Salary set without looking at the published wage data for your role and area
You can close it- Write down your full package: base, call pay, bonus, retirement match, education allowance and paid time off.
- Look up the Bureau of Labor Statistics wage figures for nurse anesthetists, nurse practitioners or physician assistants. The Occupational Employment and Wage Statistics data shows pay by state and by metro area, not only a national number (VERIFIED: BLS OEWS).
- Look at real postings near you for the same specialty and setting. Write down the rate, call load and benefits.
- Compare package to package. A higher base with no call pay can be worth less than it looks.
- Use what you find to ask for a raise where you are, or to weigh an offer elsewhere.
Your part: Collect the numbers and decide whether to ask, move or stay.
Request to your practice manager or chief: Hi [NAME], I've been with the group as a [CRNA / NP / PA] since [DATE]. I compared my package with the BLS wage data for [METRO AREA] and with current postings for [SPECIALTY] here, and my base of [AMOUNT] with [CALL TERMS] sits below that range. I want to stay. Can we meet about moving my base to [YOUR ASK], or about adding call pay at [TERMS]? Thank you, [YOUR NAME]
Re-check the BLS figures for your metro area every spring when new data comes out, and before you sign any renewal.
What this kit can't decide for you: This kit does not tell you what to charge or accept. The comparison comes from public wage data and your own local postings.
That's 1 of 7. The other 6 come the same way in the kit: steps, words to send, a habit to keep each one closed.
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What people in this work look up
When nurse anesthetists, NPs and PAs go looking for answers, they search things like “crna salary”, “nurse practitioner salary”, “physician assistant salary” and “np contract”. Those searches turn up forms, averages and other people's numbers. This kit starts from your own records instead: the 7 places money leaks in this work, where to look first and the words to send to close each one.
What you get for each leak
- Numbered steps to close each leak
- Your part, spelled out
- Words you can use: letters and scripts, ready to send (fill in the brackets)
- A habit that keeps each leak from coming back
- An honest line on what the kit can't decide for you
A page from the kit
Questions people ask
Salary set without looking at the published wage data for your role and area: where do I start?
Start here: Write down your full package: base, call pay, bonus, retirement match, education allowance and paid time off. To keep it from coming back: Re-check the BLS figures for your metro area every spring when new data comes out, and before you sign any renewal.
Visits billed under the physician's number, so your productivity never counts: where do I start?
Start here: Read the bonus section of your contract. Find how productivity is measured: wRVUs, visits, collections, or a mix. To keep it from coming back: Keep your own simple log of patients seen per day so you can match it to the billing report each quarter.
Malpractice tail coverage left for you to pay when you leave: where do I start?
Start here: Find the malpractice section of your contract. Is the policy occurrence-based or claims-made? To keep it from coming back: Before signing any offer, put the tail question in writing and get the answer into the contract.
What it can't decide for you
This kit works from your own records. It doesn't give legal, tax, licensing or financial advice, and it never tells you what to charge. Where a CPA, attorney, insurer or state board makes the call, the kit says so and gets your records ready for them.
13-page PDF · instant download after payment · Code VYR-KIT-CRNA-01
Opens secure checkout. Instant download after payment. 30 days to ask for a refund — refund policy · terms
Next step
- Run your free LeakReceipts check — it reads your own receipts and records and shows where money is leaking out, line by line.
- TrueNET — the whole-picture money truth: what you actually keep after every cost, across everything you earn and spend.
Use Jobber or Housecall Pro? Run the free leak check — it reads your job export in your browser and shows the money leaks the software doesn't flag. Nothing is uploaded.