Many NPNs work for two or more health care providers or in an institution with patients cared for by several different physicians. The SED does not necessarily require that NP enter into several cooperation agreements in such situations. For example, NPNs may refer patients to their cooperating physicians if medically necessary, provided that the NP receives nothing in return for the referral. New York law does not require a cooperation agreement to include a payment provision. Every nurse (NP) must enter into a written cooperation agreement with a doctor in order to practice. The cooperation agreements include provisions that deal with the following provisions: nurses are required to practice in accordance with written protocols that reflect the practical (s) department (s) in which the PNP is certified. Protocols must also reflect current and recognized medical and health practices. Additional protocols in specialized areas (for example. B, hematology, orthopedics, dermatology) that are suitable for the practice of NP can be used, but should not be reflected in the cooperation agreement in practice. 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.” There are a variety of New York and federal laws that influence the financial relationship between physicians. Certain types of financial relationships between nurses and working physicians are prohibited by the Education Act or the Malpractice Provisions (cf.B.
Education Act 6513, 8 NYCRR No. 29.1) or by other national or federal laws.