After the New York State Education Law 6902, a nurse (NP) diagnoses diseases and physical conditions and implements therapeutic and corrective measures in a practical specialty. This law requires the NP to practice in collaboration with a physician qualified for cooperation in the NP specialty and in accordance with a written practice agreement and written practice protocols. If the Modernization of Care Practitioners Act on issues related to community practice agreements and practice protocols can be e-mailed to the nursebd@nysed.gov Care Office or by telephone at 518-474-3817 ext. 120 or by fax at 518-474-3706. It is not the jurisdiction of the Office for the Interpretation of Financial Relations Laws between NPNs and cooperating physicians. Implementation of the Nursing Practitioner Modernization Act that allows the practice of professional care registered by a certified nurse practitioner, diagnosis and performance without the cooperation of a licensed physician to include it. A “fee split” can occur when an NP shares its income or practice expenses with a physician who is not NP`s employer. “royalty splitting,” an agreement or agreement whereby the MNP pays the cooperating physician an amount that depends on a percentage or other part of the NP`s income or income in exchange for the benefits of the cooperating physician, or otherwise dependent on it. For example, if an NP pays 20% of the NP`s professional income to the cooperating physician (who works in a separate medical practice) in exchange for the cooperating physician`s benefits, the NP and the physician are likely to practice an illegal “tariff split.” Every nurse (NP) must enter into a written cooperation agreement with a doctor in order to practice. The cooperation agreements include provisions dealing with the following provisions: a copy of the cooperation agreement must be kept within the practical parameters of the NP and made available to the New York State State Education Department (SED) for consultation. Here is a copy of an example of a cooperation agreement (20 KB) that you can use as a template. NPNs may refer patients to their cooperating physicians if medically necessary, provided that the NNP receives nothing in return for the transfer.

New York law does not require a cooperation agreement to include a payment provision.