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I feel back to square 1 here

Naureen mohammed posted a link to a place that must have been just a one

time special offer for her that electmer.com I think it was. wants 600.00

to get a credit card terminal That is too big an expense for me thoguh I

have not yet looked on ebay for a cheap used one.

I get under 10 requetss a year for credit cards but it seemed like I was

starting to get enough i would look into it

So then I call Paypal and they want 30.00 a month . TO me that is 30.00 out

ofmy pocket every month for something i would useonly occaisionally. I was

hoping to have say a high transacation fee or a set up fee then pay as i go.

no deal.

paypal will let you invoice by email then the patietn pays by credit card

but what good is that if they don't pay me I ams till chasing them down

yes?

Pretty frustating to be a small business

One product is 50.00 amonth and thenext is 10 a month and thefollowing is 22

a month and thent his is 500 a year and that is 125 a year

for pete's sake

But everyone want me to just call in prescriptions " becasue it isn;'t like

it is a medical issue or anything doc "

I need anti- bitter pills today.

Re: MacFriendly EMRs, Vaccine ?s

Welcome, Chrissie

I had the same vaccine plan when I started last year(!), but ran into

a couple of issues. Since essentially all pediatric vaccines in North

Carolina are covered only under the state program, patients cannot get

them paid for through the pharmacy. They have to go to the health

department for that, and lots of people don't like that.

The pharmacy can't bill insurance for some vaccines, so patients will

end up paying out of pocket if they get them directly from the

pharmacy. I have a pharmacy that will store vaccines and dole them out

to me one-by-one at their cost. They bill me and I bill the patient's

insurance. I do Menactra, Gardisil, Adacel, Td, Pneumovax, and

Zostavax (non-Medicare) this way.

Zostavax is complicated since paid through Medicare Part D. It means

that the pharmacy can do the billing, but keeping it frozen until it

can get to me for administration is tricky.

I've spent a lot of time trying to make vaccines manageable for

patients. But I'm still managing to avoid the costs of keeping them

in-house.

Haresch

> I am also struggling with vaccine choices. Considering

> rx for vaccine to be picked up at pharmacy and

> administered in office, avoiding the purchasing piece.

> Has anyone tried that? What else are folks doing,

> especially in Oregon?

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