Guest guest Posted May 1, 2006 Report Posted May 1, 2006 I am setting up a new practice and am wondering about office design for this type of practice. Ideally, I would like to have a combo office/exam room with sliding doors for privacy but that would involve significant renovation in the spaces I have to pick from. I can get cheap space at a local podiatrist’s office, but the exam room is too small to keep the office stuff. I really hate the keyboard on a laptop and would strongly prefer a real keyboard. But then how do you get around having your computer in the exam room (HIPPA issues) when you step out to give someone privacy to change? I could set up a separate office for recording histories, etc, but then will have to have the patient move back and forth across the hallway to the exam room…..Any thoughts? Kerry Graff MD From: [mailto: ] On Behalf Of Brock DO Sent: Monday, May 01, 2006 12:31 PM To: Subject: RE: who's responsible for cytology/path fees? No, the lab should be billing the patient or their insurance for those. Also, what do you mean when you say you are " interpreting PAP smears and punch biopsies " ? I assume you meant that you are just looking over the typed path/cytology report? I would not have really called that " interpreting " but rather " reviewing " the results. The pathologist actually interprets them, doesn't he/she? who's responsible for cytology/path fees? I've been trying to figure out how much to charge for collecting and interpreting PAP smears and punch biopsies. Medicare pays $47 and $102 respectively. That seemed high to me until someone told me that the bill is the responsibility of the physician. But I talked to my local lab and they told me they bill the patient's insurance or the patient. I'm curious to know, when others collect cytology/path specimens in their office, do you end up with the bill? Thanks, Quote
Guest guest Posted May 2, 2006 Report Posted May 2, 2006 I can't comment on the overall design for your office, but in terms of computer in the exam room, I keep my laptop in the exam room, but it has a short lock-up time, if I don't type anything then in about 2 minutes it goes to screensaver and I have to type in my password to go back to Soapware, Midmark EKG, or whatever program I was using. There's a large precendent for this - I used to work at Kaiser and they have a terminal in every exam room, with same time-out feature. Rancho Mirage, CA --- Graffs wrote: > I am setting up a new practice and am wondering > about office design for this > type of practice. Ideally, I would like to have a > combo office/exam room > with sliding doors for privacy but that would > involve significant renovation > in the spaces I have to pick from. I can get cheap > space at a local > podiatrist's office, but the exam room is too small > to keep the office > stuff. I really hate the keyboard on a laptop and > would strongly prefer a > real keyboard. But then how do you get around > having your computer in the > exam room (HIPPA issues) when you step out to give > someone privacy to > change? I could set up a separate office for > recording histories, etc, but > then will have to have the patient move back and > forth across the hallway to > the exam room...Any thoughts? > > > > Kerry Graff MD > > > > _____ > > From: > [mailto: ] On > Behalf Of Brock DO > Sent: Monday, May 01, 2006 12:31 PM > To: > Subject: RE: who's > responsible for cytology/path > fees? > > > > No, the lab should be billing the patient or their > insurance for those. > Also, what do you mean when you say you are > " interpreting PAP smears and > punch biopsies " ? I assume you meant that you are > just looking over the > typed path/cytology report? I would not have really > called that > " interpreting " but rather " reviewing " the results. > The pathologist actually > interprets them, doesn't he/she? > > > > who's responsible > for cytology/path fees? > > I've been trying to figure out how much to charge > for collecting and > interpreting PAP smears and punch biopsies. > Medicare pays $47 and > $102 respectively. That seemed high to me until > someone told me that > the bill is the responsibility of the physician. > But I talked to my > local lab and they told me they bill the patient's > insurance or the > patient. I'm curious to know, when others collect > cytology/path > specimens in their office, do you end up with the > bill? Thanks, > > > > > > > > Quote
Guest guest Posted May 2, 2006 Report Posted May 2, 2006 I can't comment on the overall design for your office, but in terms of computer in the exam room, I keep my laptop in the exam room, but it has a short lock-up time, if I don't type anything then in about 2 minutes it goes to screensaver and I have to type in my password to go back to Soapware, Midmark EKG, or whatever program I was using. There's a large precendent for this - I used to work at Kaiser and they have a terminal in every exam room, with same time-out feature. Rancho Mirage, CA --- Graffs wrote: > I am setting up a new practice and am wondering > about office design for this > type of practice. Ideally, I would like to have a > combo office/exam room > with sliding doors for privacy but that would > involve significant renovation > in the spaces I have to pick from. I can get cheap > space at a local > podiatrist's office, but the exam room is too small > to keep the office > stuff. I really hate the keyboard on a laptop and > would strongly prefer a > real keyboard. But then how do you get around > having your computer in the > exam room (HIPPA issues) when you step out to give > someone privacy to > change? I could set up a separate office for > recording histories, etc, but > then will have to have the patient move back and > forth across the hallway to > the exam room...Any thoughts? > > > > Kerry Graff MD > > > > _____ > > From: > [mailto: ] On > Behalf Of Brock DO > Sent: Monday, May 01, 2006 12:31 PM > To: > Subject: RE: who's > responsible for cytology/path > fees? > > > > No, the lab should be billing the patient or their > insurance for those. > Also, what do you mean when you say you are > " interpreting PAP smears and > punch biopsies " ? I assume you meant that you are > just looking over the > typed path/cytology report? I would not have really > called that > " interpreting " but rather " reviewing " the results. > The pathologist actually > interprets them, doesn't he/she? > > > > who's responsible > for cytology/path fees? > > I've been trying to figure out how much to charge > for collecting and > interpreting PAP smears and punch biopsies. > Medicare pays $47 and > $102 respectively. That seemed high to me until > someone told me that > the bill is the responsibility of the physician. > But I talked to my > local lab and they told me they bill the patient's > insurance or the > patient. I'm curious to know, when others collect > cytology/path > specimens in their office, do you end up with the > bill? Thanks, > > > > > > > > Quote
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