my IMP less than 1 week old, and need your help please

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Dear all,Thank you for the great support and kind help from so many of you, I finally made the leap.My IMP opened on Jan 6!We saw 8 (1/2 day), 12 (full day). 7 (1/2 day) first three days. 2-3 brand-new patients a day and others came from my previous practice. 12 so far on schedule for tomorrow. All new systems, pretty hectic for me and 2 my assistants - one admin + billing (learning to bill); the other is a pre-medical intern- a new CNA graduate who wants to apply for med school later. No pay position, more like work study, so I teach her medical skills and knowledge and she helps with clinical side-working out well for both of us.Busy, but really happy to have the freedom. Still a lot catch up work to do since we took a week off to spend with our children without doing any work at all during Christmas-it was great!Please help me with two urgent issues1. billing- when patients have Medicare as primary and BCBS as secondary which I participate in both, should we charge just the BCBS copay amount, or should we charge the patient directly up to $135 deductible before the secondary will kick in?2. supplies- Where is the best (cheapest) place to buy standard battery for the portable handheld WelchAllyn otoscope? Where is the cheapest place to buy CardioSense electrode for EKG and to buy UA dip sticks?Thank you very much for your kind help.Helen Hotmail: Trusted email with Microsoft’s powerful SPAM protection. Sign up now.