Ancillaries: PFTs and PAD screen

[Guest guest]

I want to add some ancillary services for more income (and better care and patient convenience). 1. PFTs. What spirometers are you using? Please give general recommendations and experiences with cost and reimbursement. It seems annual spirometry is recommended for COPD patients and more screening for those at risk and with appropriate symptoms. Do patients usually accept it well?

2. PAD screening. Does anyone use a handheld u/s for ABI and charge and collect for that service with success?3. EKG. I probably should do more of them. I'm ultraconservative. What are some policies or practices you use, eg, does anyone do annual EKGs on hypertension patients? Thanks,Jacques Guillot, MDMed-PedsMandeville, LA