Re: (unknown)

[Guest guest]

HI Marie! I got a lot of ideas at first reading posts on The Nook, so you might

read there under " unchosen Relationships "

Do these people ever use physical

> ailments to " get attention " ? -------- Yes, hypochondria

The other

> thing she does is use me to replace whoever she

> lost ie my dad died a little over a year ago,----------- Yes, you have become

her " attachment object "

she started

> treating me like a counselor----------- Inappropriate boundaries, yes.

> Ideas anyone else with similar experiences.------- Read UBM!!

- -jana

__________________________________________________

[Guest guest]

HI Marie! I got a lot of ideas at first reading posts on The Nook, so you might

read there under " unchosen Relationships "

Do these people ever use physical

> ailments to " get attention " ? -------- Yes, hypochondria

The other

> thing she does is use me to replace whoever she

> lost ie my dad died a little over a year ago,----------- Yes, you have become

her " attachment object "

she started

> treating me like a counselor----------- Inappropriate boundaries, yes.

> Ideas anyone else with similar experiences.------- Read UBM!!

- -jana

__________________________________________________

[Guest guest]

Hello....I know this kind of family problem all too well.......I learned

that in this situation they have a lot to learn and you'll have to

understand that others will do what they are going to do no matter

what......I've given up personally trying to explain needs and the

conditions of Mom or Dad(before he died of Cancer and Parkinson's early this

year) to even close family.....they want to be blissfully ignorant of

certain things and that's sadly the way they deal with things like

this......an attorney and good friend, as well as our parish priest (he does

this for his own family) have suggested mailing out a newsletter type thing

to immediate family periodically briefly and bluntly letting everyone know

what's going on with the LO's condition and and current capabilities...and

if you are the POA...let them know how care is being provided and by who and

without mentioning numbers specifically how care is being paid for.....I

know, I know, one more thing to do but it shows anyone later that you made

all aware and you save yourself a lot of frustration on the phone or in

person trying to get a point across the family member probably does not want

to face or accept anyway....sometimes sickness does not make a family

closer..........Tom Guggenbiller

(unknown)

>

>

>

> Hello All. I could use some advise. As Christimas is approaching my

family

> is trying to make a decision about where we should hold it. We usually

have

> it at my Aunt's (grandpas daughter) who lives 100 miles away from my

> grandparents home. Right now my grandpa (LO w/ LBD) is completely

immobile,

> he is probably in his last stages of LBD. He has lost feeling in different

> areas of his body and is having a really hard time right now. There house

is

> completely handicap accessible and their hospice care and aides are

willing

> to help them on Christmas, but his daughter is insisting on holding the

> holiday at her house. It is not at all handicap accesible and there will

be

> no one there to help with my grandpa besides the family members. I spend

> every day with him and can see that this situation will not be possible

for

> him, but my grandma has given into the pressure of her daughter and thinks

> that we will bring him down there for Christmas. This is so frustrating

> because no one really has any idea how bad he has gotten. I am not sure

what

> to do. I just want my grandpa to have an enjoyable Christmas surrounded by

> loved ones and can't understand why it should be so hard. When he has a

> clarity moment he tells me all he wants is for everyone to come see him

for

> Christmas, he knows as well that it is not really possible for him to go

> down there with no help at all.

>

> Adelle

>

> _________________________________________________________________

> Don't just search. Find. Check out the new MSN Search!

> http://search.msn.click-url.com/go/onm00200636ave/direct/01/

>

>

>

>

> Welcome to LBDcaregivers.

>

>

>

[Guest guest]

Adelle,

When Mom was even a year from her death, I just explained I could not

attend a family gathering. I cried for a week as I had always been with

my children and grandchildren for Christmas.

The in laws stepped in and sent my children without everyone else as I

had said it was to much for Mom to be with everyone without being upset

with the crowd.

I know this is not your exact position, but I did not think my childrens

spouses would be that sensitive, let me tell you!!!

You may be surprised what they do if you simply let people know you and

your grandpa are not attending and why. I really thought I would

totally miss Christmas that year and I did not and felt very good that

my children took a little time and came and spent it with Mom and I and

she could handle that.

Holidays are so hard!!

Donna R

Do you want to read more about Lewy Body? You can also read the

Thistle, the LBD Newsletter. Just click on:

http://www.lbda.org

[Guest guest]

Hi Doris,

I'd say what your describing is DEFINITELY related to LBD.......that could have

been my dad you were talking about.

We'd take him to the mall, get a wheelchair and walk around, he loved to be out

and about whenever possible but something simple like some teens shouting to

each other would make him imagine straight-away that a fight was about to break

out and that we were all in danger and have to go..!!

If it wasn't so difficult dealing with Lewy Body we could laugh at it, my dad

was totally freaked by ANY loud noise. A car accident in the road outside his

flat one day had him imagine that the Police sirens were coming to get him for

something. Another day when he was in his sick bed and some removal men were

moving a neighbour and he could hear their loud voices and a door slam he

imagined he was about to be put in prison. In his long term care unit in

hospital the nurses would call from one end of the corridor to the other - it

completely freaked him EVERY TIME it happened - and it happened often..! Loud

noise was his worse enemy.....I thought this was peculiar to my dad at first as

he always was a jumpy kind of person, but as you correctly said in LBD it

becomes way out of proportion to the situation.

I'm so glad having gone through the hell that we've done over the last few years

I can actually HELP anyone in any wee way talking about this disease, it somehow

makes the knowledge we've gathered worth while. I knew absolutely nothing about

Lewy Body Dementia when my dad was first diagnosed, it's still pretty unknown

here in Scotland, but we became fast learners..!

Kathleen.

(unknown)

Hello to All,

My name is Wanda and my mother was recently diagnosed with LBD.

I am a long distance caregiver....although I do have FMLA approved for

another year. I guess I just want to hear others experiences and

thoughts. Any help, ideas or suggestions to deal with how to talk about

and handle my emotions. Thanks for listening....Wanda Hopper

Welcome to LBDcaregivers.

------------------------------------------------------------------------------

[Guest guest]

Dear Anita, My heart aches for you. Thank you for sharing your pain so we can

be with you during this difficult time. I will pray for you and your family.

(unknown)

Hi to everyone,

I know I haven't communicated much but have been busy with my work and my

father who was diagnosed with LBD. Just wanted everyone to know that he passed

away last Thursday. He slipped into a coma or had a stroke last Tuesday night,

the 20th. He then died on Thursday. He never regained consciousness. We were

afraid that he might stay comatose for a prolonged period of time but God

answered our prayers even though I almost wish He hadn't. I miss my dad so much

but I really haven't had him whole for a long time. Please keep us in your

thoughts and prayers and I appreciate being a member of such a great group of

people. I know I didn't communicate much but I learned so much about this

disease from you. It helps to know that others have gone through what we have,

also.

God bless you all,

Anita Corbin

__________________________________________________

[Guest guest]

I haven't been here long so don't know your story, but my dad also passed away

just over 4 weeks ago - it is the most heart-breaking time.

It's a double edged sword, yes he's free of his disease and we are all free of

the 'care regime' but boy it's sad and difficult to start to live life without

them.

Will most certainly be thinking about you in the days to come, our hearts go out

to you.

Much love & prayers for strength for you all.

Kathleen - Scotland.

(unknown)

Hi to everyone,

I know I haven't communicated much but have been busy with my work and my

father who was diagnosed with LBD. Just wanted everyone to know that he passed

away last Thursday. He slipped into a coma or had a stroke last Tuesday night,

the 20th. He then died on Thursday. He never regained consciousness. We were

afraid that he might stay comatose for a prolonged period of time but God

answered our prayers even though I almost wish He hadn't. I miss my dad so much

but I really haven't had him whole for a long time. Please keep us in your

thoughts and prayers and I appreciate being a member of such a great group of

people. I know I didn't communicate much but I learned so much about this

disease from you. It helps to know that others have gone through what we have,

also.

God bless you all,

Anita Corbin

__________________________________________________

[Guest guest]

Thanks very much Kathleen. Sometimes I wonder if I'm overreacting and reading

LBD into everything that my mom does. That's why it's so good to be able to talk

to people like you who have gone through the whole thing before us. Now I know

that I was probably interpreting it right. Doris

Kathleen and McElroy wrote:

Hi Doris,

I'd say what your describing is DEFINITELY related to LBD.......that could have

been my dad you were talking about.

We'd take him to the mall, get a wheelchair and walk around, he loved to be out

and about whenever possible but something simple like some teens shouting to

each other would make him imagine straight-away that a fight was about to break

out and that we were all in danger and have to go..!!

If it wasn't so difficult dealing with Lewy Body we could laugh at it, my dad

was totally freaked by ANY loud noise. A car accident in the road outside his

flat one day had him imagine that the Police sirens were coming to get him for

something. Another day when he was in his sick bed and some removal men were

moving a neighbour and he could hear their loud voices and a door slam he

imagined he was about to be put in prison. In his long term care unit in

hospital the nurses would call from one end of the corridor to the other - it

completely freaked him EVERY TIME it happened - and it happened often..! Loud

noise was his worse enemy.....I thought this was peculiar to my dad at first as

he always was a jumpy kind of person, but as you correctly said in LBD it

becomes way out of proportion to the situation.

I'm so glad having gone through the hell that we've done over the last few years

I can actually HELP anyone in any wee way talking about this disease, it somehow

makes the knowledge we've gathered worth while. I knew absolutely nothing about

Lewy Body Dementia when my dad was first diagnosed, it's still pretty unknown

here in Scotland, but we became fast learners..!

Kathleen.

(unknown)

Hello to All,

My name is Wanda and my mother was recently diagnosed with LBD.

I am a long distance caregiver....although I do have FMLA approved for

another year. I guess I just want to hear others experiences and

thoughts. Any help, ideas or suggestions to deal with how to talk about

and handle my emotions. Thanks for listening....Wanda Hopper

Welcome to LBDcaregivers.

------------------------------------------------------------------------------

[Guest guest]

Dear Anita,

I am so sorry about your Dad's passing. It is a blessing he did not linger,

but I know it has to be so hard losing him. Please know you are in my

thoughts and prayers.

Much love,

Piper

[Guest guest]

Hi Bobby,

I've had EN Since I was 12 (now 28)and it hasn't really changed much.

I also believe mine is triggered by stress and my husband is always

telling me not to worry about things so much but that is easier said

than done! My last bad flare up was at Christmas and I had them all

over my legs and even one on my back (first time). I really suffered

with the fevers too and felt just awful. Couldn't get out of bed for

a few days! I have been to lots of doctors (all which find me very

interesting but can't shed any light on the matter!)

I'm originally from New Zealand but have been living here in

Parramatta, Sydney for the past six years

steph x

[Guest guest]

My dad too got to this 'disconnected' stage, but as he got there other things

also followed. At around about the same time his appetite decreased, well his

interest in eating really, we still fed him a little picnic every day we visited

but had to actually FEED it to him or he forgot it was there.

His ability to eat well had also slowed right down, he laboured through food,

had some choking problems and therefore feeding him tiny pieces of sandwich

became our only way. His conversation too got less and less, he could usually

manage the odd sentence, but generally when we were with him in the day we'd

just talk and potter around sorting out his clothes, room, and other bits &

bobs.....we always kept soft music on in the background.....something that was

familiar and comforting to him.

He started to sleep a lot and doze through his days about 3 - 4 months before he

died. His energy levels got less and less. But again when we got to this stage

my dad was also completely incontinent, unable to perform any tasks for himself,

was unable to even walk from sitting room to his own wee bedroom, and was

generally just being 'processed' through his day. He could seem happy and

bright enough and would always always recognise us and be happy that we were

with him, he just got very lethargic and everything seemed to pack up a stage at

a time. He got repeated infections then because of the inactivity and

eventually the neurological damage was just too much for his brain to overcome

what was going on with the body.

Thing is it creeps up on you a tiny bit at a time and you don't really notice

the full package of what they are unable to do till one day it sort of hits you

in the eye.

I think we all balk at the thought of our loved ones having to go into care. My

dad was in a hospital unit specialising in Dementia where his care was good and

he had his own private little room furnished with his home things, he had the

attention of a wonderful consultant in Lewy Body, he had a general medical ward

doctor to see to his every-day ailments & infections, and he had trained

Physciatric nursing staff - it was not a care home staffed by 'care

workers'.......and yet we STILL were heartbroken when he had to go there. But

his illness just got beyond what we could cope with at home my mum beng the main

caregiver at 77......we went to his unit every single day and took him out etc.

and lunches & car drives and lots of other things till it got too much for him,

but every day we had to leave him there was a sad one for us. We chose

carefully and interviewed many establishments before making our choice - our

Consultant was also very very helpful......but as I say none of that really

helps, it's still the worst decision we all have to make.

Many times when I watched my dad suffer in his illness I wished that he would

pass away peacefully in his sleep, yet when the end comes it is still

devastating and the loss of him is immense, there's no real easy answers with

this disease. Good luck Grazia, be assured you are doing your best and that is

all anyone can ever ask of yu.

Kathleen - Scotland.

(unknown)

I wonder if something new is happening...: lately my father is

simply vegetating. His days are all equals, all the same, just

sleeping and eating are the only actions he can now perform...I have

posted about incontinence and drinking, because these too are

troubles we deal with, but mainly, what I notice is this increasing

lack of interest in anything, no tv, no more reading, no talking,

when i say soemthing to him he hears the sound of the word but always

mistakes the meaning of it...This more and more often. Can this be

the beginning of the end? What was the symptoms that preceeded yr LOs

end? I dont think my father is close to it, as he still is hungry and

eats with pleasure, but many things are worsening. By now we are not

able anymore to entertain a simple conversation with him, he just is

disconnected. There s a thing to say: about 3 weeks ago, his

neurologist started to decrease his Nopar (dopaminoagonist) to see if

the dementia could be improved, this has worsened definitely his

mobility and has not improved any other thing. But maybe this has

nothing to do with this vegetative state..I see him mostly dozing, or

staring at a far point, or just mumbling nonsense ....This is not

life anymore: for him and for us. Last Saturday I visited a nursing

home, just to have a glance, I came home very sad, thinking that i

wanted to keep my dad at home, rather than in that place but....then

it is so hard....seeing him like that all the time...being totally

burdened by his illness...I think I talked alot, this was mainly a

vent but also a seek for advice if you think these symptoms are

showing a complete decline...I dont want my father to " live " in this

miserable way, I am maybe cruel but sometimes I think living is just

a torture for old people with this terrible thing. Thank you to all

and a big hug

Welcome to LBDcaregivers.

------------------------------------------------------------------------------

[Guest guest]

In a message dated 7/10/2005 10:04:48 P.M. Pacific Standard Time,

broderick782003@... writes:

She has been in the hospital this time with the bruising and lumps on her

face. Is this common???

On her face?! How horrible!! Well, they are horrible anywhere, but I think

it's pretty uncommon for them to occur on the face. I surely hope she will

be feeling better soon. Hope the trigger for her condition is quickly

discovered!

lie

[Guest guest]

In a message dated 7/10/2005 10:04:48 P.M. Pacific Standard Time,

broderick782003@... writes:

She has been in the hospital this time with the bruising and lumps on her

face. Is this common???

On her face?! How horrible!! Well, they are horrible anywhere, but I think

it's pretty uncommon for them to occur on the face. I surely hope she will

be feeling better soon. Hope the trigger for her condition is quickly

discovered!

lie

[Guest guest]

In a message dated 7/10/2005 10:04:48 P.M. Pacific Standard Time,

broderick782003@... writes:

She has been in the hospital this time with the bruising and lumps on her

face. Is this common???

On her face?! How horrible!! Well, they are horrible anywhere, but I think

it's pretty uncommon for them to occur on the face. I surely hope she will

be feeling better soon. Hope the trigger for her condition is quickly

discovered!

lie

[Guest guest]

Hi Bob,

The general DAN recommendations may help.

The general DAN recommendations are:

Use a brand that requires refrigeration. And if it doesn't require

refrigeration, refrigerate it anyway.

You need to supplement 25-50 billion organisms daily to see benefit.

Given the typical issues ASD kids have with casein, it is better to

avoid dairy derived organisms.

The main probiotics organisms that DAN recommends are:

Saccharomyces Boulardii, which will help get rid of yeast, but does not

colonize itself.

Lactobacillus rhamnosis (10-20 billion organism daily)

Lactobacillus acidophilus (watch that it is dairy free)

Bifidobacter bifidum (also called Bifidobacter lactis - check that it

is dairy free)

Streptococcus thermophilus

Have you been giving Saccharomyces Boulardii? It may help create more

favorable conditions in the gut for the Lactobacillus to thrive.

Cheers

bob meyer wrote:

Hi dear listmates,

our son has been tested the CDSA and with the following

results:

Bacterial dysbosis:

6/2000 : tested "severe"

9/2000 "very severe

Tryglycerides

6/2000, 9/2000 tested below detectible levels,

9/2002, 7/2004 tested High

Gut flora:

"All tests indicated imbalanced gut flora. Increasing Lactobacillus

was problematic. I was giving Probiotics with Lactobacillous

in it (along with several other strains of bacteria, but when we got

tested the Lactobacillus level tended to be low. "

Parasite evaluation via microscopic evaluation Parasite: Rare

Blstocystis hominis was detected and sucessfully treated in 2000.

My question here is this: Does anyone have any ideas on how to

increase the Lactobacillus levels? We have consisently had trouble

in this area.

thanks,

reply to mtbike4114 @ yahoo.com

mtbike4114 "at" yahoo.com

[Guest guest]

Dear Myria,

This is par for the course when you start with Mediare: that is why I use a billing clearinghouse, so I can check for the tiny things they are looking for, changing them on line immedicately and having some expert I can check with for specific claims. I use Zirmed, but there are others. However, prior to my using the clearing house this happened to me too. Then suddenly they started paying some, and each person they started paying for, they continued to pay for (mostly). Medicare just refuses most of your bills to start with. You need to figure which little bit they don't like and fix that; like, is one number touching another number on the line, and do all your identification numbers match and do you have yourself twice in the right place on the form with exactly the same number of spaces between the words. I doubt any Medicare expert will be in your

office soon to help you, but maybe it is different in your state. Here, before we saw anyone from Medicare it would be a cold day in...well you know.

Joanne

Subject: (unknown)To: practiceimprovement1 Date: Tuesday, February 3, 2009, 5:32 PM

To my shock I have received a tax statement that I've received over 1,000 dollars from Medicare when I've not received any payment (except 68 dollars that I think was a fluke because it seems to have come from an office that says I don't exist!) This came from the company that no longer processes claims for New York State! Where do I start? And I'm not sure how my accountant is going to handle this!

Medicare has started processing my claims but is rejecting them all for various reasons. My girlfriend has come down sick. I seem to remember someone saying that someone from Medicare would come to my office to instruct. Is that correct?

Thank you all. Myria

[Guest guest]

Myria, Medicare has processed about $50K in claims for me since August without paying any of them. But they send out EOBs and crossover to secondaries implying if not outright saying that they have paid me. I panicked about this when I realized that it is past the end of 2008; I feared I would owe taxes on the money I have never gotten. My accountant tells me, however, that because my books are on a cash basis (as opposed to an accrual basis--whatever that is) I don't owe tax on the money until it hits my bank. I sure hope she knows what she's talking about, but at least I breathed a little easier after that.

Annie

To my shock I have received a tax statement that I've received over 1,000 dollars from Medicare when I've not received any payment (except 68 dollars that I think was a fluke because it seems to have come from an office that says I don't exist!) This came from the company that no longer processes claims for New York State! Where do I start? And I'm not sure how my accountant is going to handle this!

Medicare has started processing my claims but is rejecting them all for various reasons. My girlfriend has come down sick. I seem to remember someone saying that someone from Medicare would come to my office to instruct. Is that correct?

Thank you all. Myria

-- Annie SkaggsLexington, KY

[Guest guest]

THANK YOU ANNIE! You are right, my accountant did say I only pay taxes on what I actually get! Thank you!

To my shock I have received a tax statement that I've received over 1,000 dollars from Medicare when I've not received any payment (except 68 dollars that I think was a fluke because it seems to have come from an office that says I don't exist!) This came from the company that no longer processes claims for New York State! Where do I start? And I'm not sure how my accountant is going to handle this!

Medicare has started processing my claims but is rejecting them all for various reasons. My girlfriend has come down sick. I seem to remember someone saying that someone from Medicare would come to my office to instruct. Is that correct?

Thank you all. Myria-- Annie SkaggsLexington, KY

[Guest guest]

my billing person has always had some luck with just calling 1800 medicare for claims questions, not necess getting paid, but for the tax statement, they might be able to help.

we're in nj tho, maybe w/ ny carrier it's different.

good luck

tac

To my shock I have received a tax statement that I've received over 1,000 dollars from Medicare when I've not received any payment (except 68 dollars that I think was a fluke because it seems to have come from an office that says I don't exist!) This came from the company that no longer processes claims for New York State! Where do I start? And I'm not sure how my accountant is going to handle this!

Medicare has started processing my claims but is rejecting them all for various reasons. My girlfriend has come down sick. I seem to remember someone saying that someone from Medicare would come to my office to instruct. Is that correct?

Thank you all. Myria -- Crowley, MD

Family MedicineCape May Courthouse NJPatients, please allow up to 48 hours for response. If you are having an urgent problem please go to the emergency department or call 911. If you have a problem or question that can't wait 48 hours, or you have not received a timely response, just call the office at 465-0882.

[Guest guest]

While what you say about cash basis accounting is true,

receiving a 1099 indicates to the IRS that the payer is telling them that you

were paid that money during this tax year. 1099’s are sent out when

a payer, usually a business, pays an amount of money to an independent

contractor or another business for services rendered. The 1099 is

required to be issued to any person or business to which payments of more than

$600 has been made. Another instance where a 1099 can be issued is in the

case where funds are paid to one person for the services of someone else.

For example, you see a patient who has insurance but with a plan with which you

do not participate. The patient does not pay you at the time of service,

but you assist them by filing a claim with their insurer. The patient

receives the payment directly from the insurer related to your services to

them. As far as the insurer is concerned, the patient paid you at the

time of service and the insurer paid the patient therefore they indirectly paid

you. If the patient, after receiving the insurance funds chooses to use

the funds received from the insurer for something other than your fees and you

don’t end up getting paid as a result, you can choose to issue a 1099 to

the patient for the unpaid professional fees. The insurer is supposed to

issue their 1099 to the doctor who provided the services despite the money

going to the patient. The insurer and the IRS consider the insurer

payment to have been a payment for your services. If you never receive payment

for the services, you have unrealized income even though you are on a cash

accounting basis. This is not acceptable to the small or large medical

practice. According to tax law if the amount of money received by the

patient is greater than $600 and a reasonable amount of time has gone by since

patient received the payment without paying you, then the doctor can issue a

1099 to the patient for the amount of income they received from the insurance

company. The IRS considers this money to be income to the patient if they

don’t do what they are supposed to do and pay you with the money.

Beth

Sullivan, DO

Clinical

Administrator

Ridgeway

Family Practice

Commerce,

GA 30529

From:

[mailto: ] On Behalf Of Skaggs

Sent: Tuesday, February 03, 2009 11:08 PM

To:

Subject: Re: (unknown)

Myria,

Medicare has processed about $50K in claims for me since August without paying

any of them. But they send out EOBs and crossover to secondary’s implying

if not outright saying that they have paid me. I panicked about this when

I realized that it is past the end of 2008; I feared I would owe taxes on the

money I have never gotten. My accountant tells me, however, that because

my books are on a cash basis (as opposed to an accrual basis--whatever that is)

I don't owe tax on the money until it hits my bank. I sure hope she knows

what she's talking about, but at least I breathed a little easier after that.

Annie

To my shock I

have received a tax statement that I've received over 1,000 dollars from

Medicare when I've not received any payment (except 68 dollars that I think

was a fluke because it seems to have come from an office that says I don't

exist!) This came from the company that no longer processes claims for

New York State! Where do I start? And I'm not sure how my accountant is

going to handle this!

Medicare has

started processing my claims but is rejecting them all for various

reasons. My girlfriend has come down sick. I seem to remember

someone saying that someone from Medicare would come to my office to

instruct. Is that correct?

Thank you all.

Myria

--

Annie Skaggs

Lexington, KY

[Guest guest]

Thank you for explaining.

To my shock I have received a tax statement that I've received over 1,000 dollars from Medicare when I've not received any payment (except 68 dollars that I think was a fluke because it seems to have come from an office that says I don't exist!) This came from the company that no longer processes claims for New York State! Where do I start? And I'm not sure how my accountant is going to handle this!

Medicare has started processing my claims but is rejecting them all for various reasons. My girlfriend has come down sick. I seem to remember someone saying that someone from Medicare would come to my office to instruct. Is that correct?

Thank you all. Myria

-- Annie SkaggsLexington, KY

[Guest guest]

I used an UPS mailing address. I still use it now. it is very helpful. All my packages are sent there and the guy signs for it and hold for mr until i get a chance to pick up. They have a regualr mail box there too.

I am currently working as urgent care doc..but look forwards to open IMP. My question is do I have to have a leased office space to get myself enrolled in various insurances as primary care physician ? or

can I start the process without it or with a virtual office space?thanks

-- 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.

[Guest guest]

Some ins cos require an office inspection, others could care less.

Re: (unknown)

I used an UPS mailing address. I still use it now. it is very helpful. All my packages are sent there and the guy signs for it and hold for mr until i get a chance to pick up. They have a regualr mail box there too.

I am currently working as urgent care doc..but look forwards to open IMP. My question is do I have to have a leased office space to get myself enrolled in various insurances as primary care physician ? or can I start the process without it or with a virtual office space?thanks

-- 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.

[Guest guest]

Most insurance companies require you have

your ‘place of business’ or office physical address on their

application form for you to contract with them.

A. Eads, M.D.

Pinnacle Family Medicine, PLLC

phone fax

P.O.

Box 7275

Woodland

Park, CO 80863

www.PinnacleFamilyMedicine.com

From: [mailto: ] On Behalf Of Mark Levine, D.C.

Sent: Friday, February 13, 2009

8:35 AM

To:

Subject: Re:

(unknown)

Some ins cos require an office inspection, others could care

less.

Re:

(unknown)

I used an UPS mailing

address. I still use it now. it is very helpful. All my packages are sent there

and the guy signs for it and hold for mr until i get a chance to pick up. They

have a regualr mail box there too.

On Thu, Feb 12, 2009 at 10:13 AM, roopamshyam <roopamshyam> wrote:

I am currently working as

urgent care doc..but look forwards to open

IMP. My question is do I have to have a leased office space to get

myself enrolled in various insurances as primary care physician ? or

can I start the process without it or with a virtual office space?

thanks

--

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.

[Guest guest]

Use a temp mail drop? Pak-mail et al? Hospital address?

Re: (unknown)

I used an UPS mailing address. I still use it now. it is very helpful. All my packages are sent there and the guy signs for it and hold for mr until i get a chance to pick up. They have a regualr mail box there too.

On Thu, Feb 12, 2009 at 10:13 AM, roopamshyam <roopamshyam> wrote:

I am currently working as urgent care doc..but look forwards to open IMP. My question is do I have to have a leased office space to get myself enrolled in various insurances as primary care physician ? or can I start the process without it or with a virtual office space?thanks

-- 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.