The written cooperation agreement applies to the services that the cooperating physician or podiatrist usually provides to his or her patients in the course of clinical practice. Every nurse (NP) must enter into a written cooperation agreement with a physician to practice. Cooperative practice agreements contain provisions that address the following: “fee-splitting” may occur when a N.S. shares its income or practice fees with a physician who is not the NP`s employer. “Fee splitting” also includes agreements or arrangements in which the PI pays the cooperating physician a sum of money that represents or otherwise depends on a percentage of the PI`s income or income in exchange for the services of the cooperating physician. For example, if an NP pays 20% of the NP`s professional income to the cooperating physician (who works in a separate physician`s office) in exchange for the services of the cooperating physician, the NP and the physician are likely to participate in an illegal “fee-splitting.” Newly Certified Nurses (NPs) must file the New York State Department of Education (SED) Form 4NP “Verification of Collaborative Agreement and Practice Protocol” with the New York State Department of Education (SED) within 90 days of the commencement of professional practice. The NP is not required to submit additional 4NP forms to the EDS. A completed Form 4NP is not synonymous with a collaborative practice contract. The 4NPs form can be downloaded from the SED website by clicking here. A copy of the Collaborative Practice Agreement must be kept in the NP practice environment(s) and made available for inspection by the New York State Department of Education (SED). Here is a copy of a sample cooperation agreement (20 KB) that you can use as a template. The Advanced Practice Nurse will inform each cooperating physician/podiatrist of any written cooperation agreement they have signed with other physicians/podiatrists and provide a copy to any cooperating physician/podiatrist upon request.
According to the New York State Education Act § 6902, a nurse (NP) diagnoses diseases and physical conditions and performs therapeutic and corrective measures in a special area of practice. .