code for irritated skin tag

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I remember this being discussed before and thought I saved that code but can someone remind me of the code that seems to help reimburse for skin tags - the one that talks about irritation or something??Thanks!Neva Re: [Practiceimprovemen t1] number of patients to be > seen/ Ideal insurance mix> > > Hi ,> Welcome.> I'm a new IMP. Started July 15th.> I am doing solo-solo without staff.> I hear you about the secretary. How else to manage 50 calls and > still see patients? Since I don't have a full panel like you do > I'm not entirely sure. Some of it is training patients. Some > of those 50 calls were people who weren't used to the answering > machine as the previous doc had a secretary and so some of them > were repeats. Some of those calls were sales pitches, etc. etc. > But for what it's worth I'm using a digital phone that I set to > "Do Not Disturb" while with patients. Fifteen minutes of every > hour is to return calls. One thing the answering machine does --> makes some people come to the point. My fax is on the same > line and if a fax tone is heard the fax machine will pick it up > instead of that answering machine. And it's saving it digitally > so I can import it to my computer. Others in the IMP Community > are using internet faxing or services like One Box and Up Dox. I > am using Amazing Charts and find it much easier to use than eCW> and certainly love the price. I will be doing in house > billing. The folks on this list serve have been giving feedback > to help me with that. I agree with Tim that I work just as hard > and maybe longer hours ( to be expected as a newbie) but it is > not as stressful as working at seeing more and more patients to > pay for overhead. (Some of the reason it's not as stressful is > my daughter can be with me when we are printing up business > cards or new patient packets, etc. So spending time with her > makes less stress for me as a mom and makes me a better doctor, > mom, person.) But also remember solo-solo is not the only way to > go --- lots of folks here are IMP and have support staff. > Others here are morphing into IMP by cutting out lowest paying > or big hassle factor insurances and/or cutting staff to 3/4 and > gradually phasing out. It takes time. I've been following the > list serv and hooking up with mentors for a year. I also took a > business course> and currently have a friend teaching me billing/coding and > another teaching me phlebotomy. I'll be doing my first order of > immunizations next week (there goes the rest of the start up > money). It's a very steep learning curve for doing all the > stuff I had support staff doing for me all these years. It > takes big energy and committment to do this but clearly it's > doable with lots of individuals making it work "their way" from > cash only to specialty care (endo, neuro, optho and I think we > have an ortho IMP too), to adding asthetics from city to rural > with some working part time and others full time. Were you > comfortable that first year when you were seeing 10-12 patients > a day during your first year? Were you stable financially? Were > you happy? What would have been your salary if you weren't > paying the front desk person? Was Medicaid the tipping point > that started making the need for more and more visits? Is it > time to say good by to> Medicaid? As to Open Access I've lost track of the > original formula but I plan on capping my panel at 800 because > the figures seem to indicate that will be about 8 calls per day > for same day access and my schedule allows for 12 visit per day > at full capacity. I hope the sharing of my new practice gives > you encouragement to find what will work for you to get off the > hamster wheel that only leads to burnout and frustration. Pick > one change at a time -- eliminate an insurance, start using EMR, > cross train staff and don't replace if one leaves, etc. etc. I > have never been happier. Myria (family practice, upstate new > york, Amazing Charts)> > > > > Equipment rental ( a CBC machine that gives me nightmares > every time I have> > to pay for the CLIA permits): 300> >> > Insurances (malpractice, liability, health for employees): 4000> >> > Billing company: 8% of collected: 3000-4500> >> > Licenses and permits: 400> >> > Rent: 3200> >> > Salaries: excluding the doctors: 16178> >> > Vaccines 14000> >> > Payroll taxes: 1370> >> > -- > Graham Chiu> http://www.synapsed irect.com> Synapse - the use from anywhere EMR.> > > > > > > -- > If you are a patient please allow up to 12 hours for a reply by email/> please note the new email address.> Remember that e-mail may not be entirely secure/> MD> > > ph fax > > > > > >