RE: Thanks for the input, Keep it coming.

[Guest guest]

Re proving competency

1) Yes, added cost to " do unknowns " at so many per testor per quarter

2) Cost of any competency testing program

Perhaps this is the " dividing line " of hospitals vs physician practices, ie,

hospital labs (or commercial labs for that matter) should do a majority of

testing, AND docs should run a majority of outpt office practices?????

Dr Matt Levin

FP, Solo since Dec 2004

Worked for others (HMO, hospital) from July 1988 to above

30 miles east of Pittsburgh, PA

Re: Thanks for the input, Keep it coming.

>

>

>> Hello (this is my first post to this group). If I understand it

>> correctly, according to

>> (www.cms.hhs.gov/CLIA/11_CLIA_Certificate_Fee_Schedule.asp#TopOfPage)

>> it only costs an extra $25 per year to do microscopic exams

>> (www.cms.hhs.gov/CLIA/downloads/ppmp.list.pdf).

>>

>> Dan

>>

>>

>>>

>>> Microscopic exam is not a CLIA-waived lab, so beware of the

>> increased cost

>>> of the license to do that in office. (unless there is a change that

>> I am

>>> unaware of since one year ago.) I use clinical history, exam and pH

>> paper

>>> (with an occasional send-out of a swab for lab to do a culture or micro

>>> exam) for vaginitis for the reason of cost and " complexity " of non-CLIA

>>> waived labs in office.

>>>

>>>

>>> Ramona

>>

>>

>>

>>

>>

>>

[Guest guest]

I think the significant extra cost of using the scope comes with the

$125 annual fee for quarterly proficiency testing

- , MD

Virginia Beach

> >

> > Microscopic exam is not a CLIA-waived lab, so beware of the

> increased cost

> > of the license to do that in office. (unless there is a change

that

> I am

> > unaware of since one year ago.) I use clinical history, exam

and pH

> paper

> > (with an occasional send-out of a swab for lab to do a culture

or micro

> > exam) for vaginitis for the reason of cost and " complexity " of

non-CLIA

> > waived labs in office.

> >

> >

> > Ramona

>

[Guest guest]

I think the significant extra cost of using the scope comes with the

$125 annual fee for quarterly proficiency testing

- , MD

Virginia Beach

> >

> > Microscopic exam is not a CLIA-waived lab, so beware of the

> increased cost

> > of the license to do that in office. (unless there is a change

that

> I am

> > unaware of since one year ago.) I use clinical history, exam

and pH

> paper

> > (with an occasional send-out of a swab for lab to do a culture

or micro

> > exam) for vaginitis for the reason of cost and " complexity " of

non-CLIA

> > waived labs in office.

> >

> >

> > Ramona

>

[Guest guest]

You've got it! The proficiency testing subscription is the thing that is so

costly.

Ramona

Ramona Seidel, MD

Re: Thanks for the input, Keep it coming.

I think the significant extra cost of using the scope comes with the

$125 annual fee for quarterly proficiency testing

- , MD

Virginia Beach

> >

> > Microscopic exam is not a CLIA-waived lab, so beware of the

> increased cost

> > of the license to do that in office. (unless there is a change

that

> I am

> > unaware of since one year ago.) I use clinical history, exam

and pH

> paper

> > (with an occasional send-out of a swab for lab to do a culture

or micro

> > exam) for vaginitis for the reason of cost and " complexity " of

non-CLIA

> > waived labs in office.

> >

> >

> > Ramona

>

[Guest guest]

You've got it! The proficiency testing subscription is the thing that is so

costly.

Ramona

Ramona Seidel, MD

Re: Thanks for the input, Keep it coming.

I think the significant extra cost of using the scope comes with the

$125 annual fee for quarterly proficiency testing

- , MD

Virginia Beach

> >

> > Microscopic exam is not a CLIA-waived lab, so beware of the

> increased cost

> > of the license to do that in office. (unless there is a change

that

> I am

> > unaware of since one year ago.) I use clinical history, exam

and pH

> paper

> > (with an occasional send-out of a swab for lab to do a culture

or micro

> > exam) for vaginitis for the reason of cost and " complexity " of

non-CLIA

> > waived labs in office.

> >

> >

> > Ramona

>