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I'm a new family med graduate-just opened my new solo clinic last month. I have tons of small factories around me and some other clinics that are not too far away from me that do work comp. Is this a good way to get patient flow? I would then have set up drug testing, etc. for the clinic, correct? Currently, my only staff member is me, and not sure how much extra work this would be. Any advice? wrote: 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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