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I have used the Zung Depression Scale in the past. Here's a link to a

pdf version you can print out.

http://healthnet.umassmed.edu/mhealth/ZungSelfRatedDepressionScale.pdf

Seto

> Anybody know where to find a good depression scale. I'm finding

> infopoems less and less usefull as I already have 5mcc on my palm and

> thats what info it pulls up 90% of the time.ThanksĀ 

> Patin in Reno

>

>

>

>

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For a good book (and quick read) on building a practice try - it has lots of good and easy to implement creative ideas.

Mike Cafferky Patients Build Your Practice.

http://www.amazon.com/exec/obidos/tg/detail/-/007600676X/qid=1075996981/sr=1-4/ref=sr_1_4/002-9146787-3324039?v=glance & s=books

Hope this is helpful,

P. Malone, MS, JD Executive Director, Consulting Services Press Ganey Associates, Inc. 404 Columbia Place South Bend, IN 46601 ext. 112 (South Bend office) (Cell Phone) (South Bend fax) mmalone@... www.pressganey.com

Stay Sharp!

Attend one of Press Ganey's 2004 Regional Workshops.

Go to: <https://www.pressganey.com/conferences/2k4/regional/default.php>to view a brochure and register on-line. Don't miss the opportunity to discover new strategies for improving your scores and techniques to maximize your use of Press Ganey's tools and services.

Join a learning and sharing community of more than 2,500 clients! Register for the Client Resources On-line Forum for the opportunity to network with other client facilities. It's free! <http://www.pressganey.com/services/cab/forum.php>

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It sounds as though you've thought things out well. I second the e-mail you received from LL. I have made sure that my billed rates are higher than my top insurance reimbursement, and then have a set discount for cash. (I figured that out by calculating out what I needed to earn per half hour to pay for myself, my family and my business, absed on seeingeach patient for one half hour, longer for physicals).

You are doing well if you're seeing 6 patients a day one month after you opened. I'm in an area where most provider panels are closed and patients are always trying to find a good primary, where I was already known in the community and it still has taken 6 months to come close to filling my panel. I wasn't really busy on an everyday until 3-4 months after I went fulltime. Word of mouth takes a while, and getting around to seeing a doctor, even a good one, isn't always high on people's lists.

Good luck,

Guinn

Albuquerque

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> how did yiu create a fee schedule?

>

I just did this for 2004. Here is what I did.

1. got the 2004 REVISED Medicare schedule. I got mine from Alteer.

2. Identified CPT codes I used which Medicare does not use.

(preventive medicine, etc)

3. Calculated what Medicare WOULD have reimbursed if they offered

the services. To do this I got the RBRVS values (free from the

AMA web site) and my local geographical values (CPCI's =free

from CMS) and this year's medical CONVERSION FACTOR (free on the

internet) I set up simple formula's in excel to do it.

4. Copied the Medicare Fee schedule into a fee schedule I call

Medicare PLUS, to which I added the missing CPT codes and their

reimbursement.

5. Figured out what each of my major insurace plans reimburse. (I

sent each provider rep a spreadsheet with common CPT codes). I

then calculated what each plan reimbursed expressed as a

multiplier of Medicare PLUS, and automatically generated a

complete Fee schedule for that plan (e.g. Xbrand PPO 2004 = 126%

of MC Plus)

There may be an easier way to do this, but after the learning curve

about how to calculate RBRVS prices and where to get various pieces

of information, the whole process took only about 2 hours.

Jim in KC

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thank you

>

>> how did yiu create a fee schedule?

>>

>

> I just did this for 2004. Here is what I did.

>

> 1. got the 2004 REVISED Medicare schedule. I got mine from Alteer.

>

> 2. Identified CPT codes I used which Medicare does not use.

> (preventive medicine, etc)

> 3. Calculated what Medicare WOULD have reimbursed if they offered

> the services. To do this I got the RBRVS values (free from the AMA

> web site) and my local geographical values (CPCI's =free

> from CMS) and this year's medical CONVERSION FACTOR (free on the

> internet) I set up simple formula's in excel to do it.

> 4. Copied the Medicare Fee schedule into a fee schedule I call

> Medicare PLUS, to which I added the missing CPT codes and their

> reimbursement.

> 5. Figured out what each of my major insurace plans reimburse. (I

> sent each provider rep a spreadsheet with common CPT codes). I then

> calculated what each plan reimbursed expressed as a

> multiplier of Medicare PLUS, and automatically generated a

> complete Fee schedule for that plan (e.g. Xbrand PPO 2004 = 126% of

> MC Plus)

>

> There may be an easier way to do this, but after the learning curve

> about how to calculate RBRVS prices and where to get various pieces of

> information, the whole process took only about 2 hours.

>

> Jim in KC

>

>

>

>

>

>

>

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