Basically, if you are a salaried employee- then extra visits that "fit in" to your schedule are within your already salaried week.
I work in home health Pediatrics. It takes me longer to write up an eval using the computer but that's because we still have a third of the paperwork that we used to have before, plus new forms that JCAHO decided we needed because it wasn't in a form, even though the information needed is in 2-3 places in the typed and computerized versions of our evals. Although what takes me the longest in the eval is typing in all the medications!
When I started here 10 yrs ago, I was told that because of the paperwork and meetings that we were supposed to see 16-20 visits a week . The higher ups keep trying to increase that and I've heard a minimum of 25 visits a week tossed in. I can do 25 visits a week if all my kids are healthy and live in a relatively small area and if I can schedule them geographically close together. However, that leaves me no time for evals, paperwork, meetings, phone calls, or to come into the office to sign all the generated paperwork.
I am sure that my laptop would help speed things up once someone writes an excellent pediatric home health program so I can pick and choose, re enter the same thing I wrote last visit and make small adjustments as needed. If I didn't like playing with my kiddoes, I'd go beg for a job at a software company and develop one.
Thanks for letting me vent. I hope the question about getting paid prn on top of salaried was answered.