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Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This "facility fee", which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35 yearly patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

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What defines a " facility " ? Maybe I can be a facility too

 

Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This  " facility fee " , which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35  yearly  patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have  non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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But then you’d have to file claims

on a UB-92. I don’t think any of us want to go there…

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Monday, August 10, 2009 8:55

PM

To:

Subject: Re:

Yearly fees

What defines a " facility " ? Maybe I can be a

facility too

On Sun, Aug 9, 2009 at 8:24 AM, allakirsch <allakirsch> wrote:

Cleveland Clinic (CCF) may have shot itself in the

foot. Fury recently errupted in Cleveland

when CCF patients started getting bills with $55/visit fee attached.

This " facility fee " , which is not reimbursable by

insurance, is in addition to the regular co-pay. Local papers published many

articles, editorials and letters and are encouraging angry readers to switch to

private practices.

This Januaury, I adopted $35 yearly patient fee after

reading the listserv discussions at the end of last year. My patients have been

very supportive and around 350 paid the fee. A few more have

chosen to pay per service (I can't remember whom on the listserv I emulated for

this).

Is CCF unique in charging the fee? They have

non-profit status and claim that this is the only way they could remain

solvent while taking care of the indigent. As an outsider, I think CCF

makes millions by grossly overordering expensive procedures and overtaxes

our medical system. I would love to hear to hear your thoughts and personal

experiences.

Alla

Continuing to survive in private family practice

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

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what is a UB-92?

Dannielle Harwood, M.D.-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.

RE: Yearly fees

But then you’d have to file claims on a UB-92. I don’t think any of us want to go there…

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Sent: Monday, August 10, 2009 8:55 PMTo: Subject: Re: Yearly fees

What defines a "facility"? Maybe I can be a facility too

On Sun, Aug 9, 2009 at 8:24 AM, allakirsch <allakirsch> wrote:

Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This "facility fee", which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35 yearly patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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Well, now it’s called a CMS-1450 (if

you want to wait for the download, go to page 18 to see what it looks like): http://www.cms.hhs.gov/Transmittals/downloads/R1104CP.pdf

It’s basically the form that

hospitals use for billing instead of the CMS-1500 (which all of us who are a

little crusty still call a HCFA – pronounced “Hick-fuh”).

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of dannielle harwood

Sent: Tuesday, August 11, 2009

7:21 AM

To:

Subject: Re:

Yearly fees

what is a UB-92?

Dannielle Harwood, M.D.

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of the

intended recipient(s) and contains confidential information. Unauthorized use

or disclosure is prohibited. If you are not the intended recipient, you may not

use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and

destroy all copies of the original message, including attachments.

Re:

Yearly fees

What

defines a " facility " ? Maybe I can be a facility too

On Sun, Aug 9,

2009 at 8:24 AM, allakirsch <allakirsch>

wrote:

Cleveland Clinic (CCF) may have shot itself in the

foot. Fury recently errupted in Cleveland

when CCF patients started getting bills with $55/visit fee attached.

This " facility fee " , which is not reimbursable by

insurance, is in addition to the regular co-pay. Local papers published many

articles, editorials and letters and are encouraging angry readers to switch to

private practices.

This Januaury, I adopted $35 yearly patient fee after

reading the listserv discussions at the end of last year. My patients have been

very supportive and around 350 paid the fee. A few more have

chosen to pay per service (I can't remember whom on the listserv I emulated for

this).

Is CCF unique in charging the fee? They have

non-profit status and claim that this is the only way they could remain

solvent while taking care of the indigent. As an outsider, I think CCF

makes millions by grossly overordering expensive procedures and overtaxes

our medical system. I would love to hear to hear your thoughts and personal

experiences.

Alla

Continuing to survive in private family practice

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

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so if I am technically in a "hospital clinic" is this the system we use??? Sorry to sound so ignorant but am still about 8 weeks from opening and some details are still shrouded in mystery. I am trying to make a case for the clinic to allow a small ($20) monthly fee be charged to the patients mostly to pave the way for this type of fee when I own the practice.

Dannielle Harwood, M.D.-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.

RE: Yearly fees

But then you’d have to file claims on a UB-92. I don’t think any of us want to go there…

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Sent: Monday, August 10, 2009 8:55 PMTo: Subject: Re: Yearly fees

What defines a "facility"? Maybe I can be a facility too

On Sun, Aug 9, 2009 at 8:24 AM, allakirsch <allakirsch> wrote:

Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This "facility fee", which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35 yearly patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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No….it is only for hospitals and

nursing homes. You will use the CMS-1500; you are in a clinic. Are you coming

to camp this week? If so, please track me down and I’ll help you sort it

out a little.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of dannielle harwood

Sent: Tuesday, August 11, 2009

7:47 AM

To:

Subject: Re:

Yearly fees

so if I am technically in a " hospital clinic " is

this the system we use??? Sorry to sound so ignorant but am still about 8

weeks from opening and some details are still shrouded in mystery. I am

trying to make a case for the clinic to allow a small ($20) monthly fee be

charged to the patients mostly to pave the way for this type of fee when I own

the practice.

Dannielle Harwood, M.D.

-- Confidentiality Notice --

This email message, including all the attachments, is for the sole use of the

intended recipient(s) and contains confidential information. Unauthorized use

or disclosure is prohibited. If you are not the intended recipient, you may not

use, disclose, copy or disseminate this information. If you are not the

intended recipient, please contact the sender immediately by reply email and

destroy all copies of the original message, including attachments.

Re:

Yearly fees

What

defines a " facility " ? Maybe I can be a facility too

On Sun, Aug 9,

2009 at 8:24 AM, allakirsch <allakirsch>

wrote:

Cleveland Clinic (CCF) may have shot itself in the

foot. Fury recently errupted in Cleveland when CCF

patients started getting bills with $55/visit

fee attached. This " facility fee " ,

which is not reimbursable by insurance, is in addition to the regular co-pay.

Local papers published many articles, editorials and letters and are

encouraging angry readers to switch to private practices.

This Januaury, I adopted $35 yearly patient fee after

reading the listserv discussions at the end of last year. My patients have been

very supportive and around 350 paid the fee. A few more have

chosen to pay per service (I can't remember whom on the listserv I emulated for

this).

Is CCF unique in charging the fee? They have

non-profit status and claim that this is the only way they could remain

solvent while taking care of the indigent. As an outsider, I think CCF

makes millions by grossly overordering expensive procedures and overtaxes

our medical system. I would love to hear to hear your thoughts and personal

experiences.

Alla

Continuing to survive in private family practice

--

M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

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Share on other sites

wish I was going to be there but since I am only a wanna be IMP as opposed to an actual one at this point I decided that I couldn't quite justify it...hopefully next year.

Dannielle Harwood, M.D.-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.

RE: Yearly fees

But then you’d have to file claims on a UB-92. I don’t think any of us want to go there…

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Sent: Monday, August 10, 2009 8:55 PMTo: Subject: Re: Yearly fees

What defines a "facility"? Maybe I can be a facility too

On Sun, Aug 9, 2009 at 8:24 AM, allakirsch <allakirsch> wrote:

Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This "facility fee", which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35 yearly patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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What city are you in Dannielle. I think we are both in California

 

wish I was going to be there but since I am only a wanna be IMP as opposed to an actual one at this point I decided that I couldn't quite justify it...hopefully next year.

Dannielle Harwood, M.D.-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.

Re: Yearly fees

 

What defines a " facility " ? Maybe I can be a facility too

 

Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This  " facility fee " , which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35  yearly  patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have  non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above.

If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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Yes I am in CA...up in Chico...nothing too glamorous here!

Dannielle Harwood, M.D.-- Confidentiality Notice --This email message, including all the attachments, is for the sole use of the intended recipient(s) and contains confidential information. Unauthorized use or disclosure is prohibited. If you are not the intended recipient, you may not use, disclose, copy or disseminate this information. If you are not the intended recipient, please contact the sender immediately by reply email and destroy all copies of the original message, including attachments.

RE: Yearly fees

But then you’d have to file claims on a UB-92. I don’t think any of us want to go there…

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Sent: Monday, August 10, 2009 8:55 PMTo: Subject: Re: Yearly fees

What defines a "facility"? Maybe I can be a facility too

On Sun, Aug 9, 2009 at 8:24 AM, allakirsch <allakirsch> wrote:

Cleveland Clinic (CCF) may have shot itself in the foot. Fury recently errupted in Cleveland when CCF patients started getting bills with $55/visit fee attached. This "facility fee", which is not reimbursable by insurance, is in addition to the regular co-pay. Local papers published many articles, editorials and letters and are encouraging angry readers to switch to private practices.

This Januaury, I adopted $35 yearly patient fee after reading the listserv discussions at the end of last year. My patients have been very supportive and around 350 paid the fee. A few more have chosen to pay per service (I can't remember whom on the listserv I emulated for this).

Is CCF unique in charging the fee? They have non-profit status and claim that this is the only way they could remain solvent while taking care of the indigent. As an outsider, I think CCF makes millions by grossly overordering expensive procedures and overtaxes our medical system. I would love to hear to hear your thoughts and personal experiences.

Alla

Continuing to survive in private family practice

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

-- M.D.www.elainemd.comOffice: Go in the directions of your dreams and live the life you've imagined.This email transmission may contain protected and privileged, highly confidential medical, Personal and Health Information (PHI) and/or legal information. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient of this material, you may not use, publish, discuss, disseminate or otherwise distribute it. If you are not the intended recipient, or if you have received this transmission in error, please notify the sender immediately and confidentially destroy the information that email in error.

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