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RE: EHR federal money- best use- anyone qualify?

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I'm at 26% Medicaid. If I were allowed to include folks I see without insurance ( we ask for $50/ visit), I'd be at about 35%. Amazing to me that uninsured don't count and amazing that I won't qualify for money when I'm committed to this service as my responsibility. I'm making it but just barely (80K take home last year seeing patients three days a week and still not full panel but close).

You have to agree to get to meaningful use otherwise they have no time for you...

Medicare has to have at least $15,000 I believe.

If any of us take 30% Medicaid, I can't see that you can survive independently.

Matt in Western PA

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few monthsâ€â€a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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,

From what I read, you WILL BE paid a lump

sum.  The maximum incentive is 75% of allowable charges for the reporting

year.  Here’s something from the FAQ:

Incentive

payments for the Medicare EHR Incentive Program will be made approximately four

to six weeks after an eligible professional (EP), eligible hospital, or

Critical Access Hospital (CAH) successfully attests that they have demonstrated

meaningful use of certified EHR technology. Payments to Medicare providers will

be made to the taxpayer identification number (TIN) selected at the time of

registration, through the same channels their claims payments are made. The

form of payment (electronic funds transfer or check) will be the same as claims

payments. While CMS expects that Medicare incentive payments will begin in May

2011, payments will be held for EPs until the EP meets the $24,000 threshold

in allowed charges.

So, if you don’t meet the maximum

allowable of $24,000 in CY2011, you should expect to receive a check in about

April 2012 that is equivalent to 75% of your allowable charges for claims

submitted for CY2011 that were submitted prior to 2/29/12.

And let’s all not forget that the rules

will change in 2013….with Stage 2.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of ericbeeman3

Sent: Thursday, December 09, 2010

6:56 AM

To:

Subject:

Re: EHR federal money- best use- anyone qualify?

thanks

for pointing out that the incentive will be 75% percent medicare rather than a

lump sum. I didn't see that until I read the detail in the CMS

Incentive Tip Sheet . CMS curiously leaves this " minor "

detail on some of their webpages such as their payment

table for Medicare Eligible Professionals. So to get the maximum

$18000 payment in either 2011 or 2012, you must bill medicare at least

$24000. Now I need to check our medicare billing for 2010. I believe

we will be close if not slightly above as we have high volume medicare.

>

> All,

>

> For those of you waiting for the right time to join Ideal Medical

Practices, a non-profit organization, now is the time. We are running a Holiday

Half-Price Bonanza where you can join the organization at the basic membership

level for $75 or at the premium level (and enjoy monthly CME approved phone

calls) for $125. All active memberships run through 6/30/2011.

>

> Although the process has been slow at times, we are working hard behind

the scenes to make sure this organization reflects the desires of the

membership. Some big things coming in the next few months†" a new, all

inclusive IMP web site and an IMP certification process!!

>

> Also, for those of you who have been fortunate enough to have a profit in

your office this year and are looking for somewhere to donate, remember that we

are a Not For Profit Organization and remain more than willing to put your

money to good use while reducing your tax burden. J Either work through the

website link below or contact (IMP Treasurer) off list at jnantonucci@...

and she will make sure all the I’s are officially dotted and the T’s are

officially crossed. Thank you for your continued interest!

>

>

>

> IMP Secretary

>

> Chair, IMP Membership Committee

>

>

>

> CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships

>

>

>

>

>

>

> --

> M.D.

> www.elainemd.com

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We cannot respond

to email correspondence coming to this address. Please call the office at

if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> www.InfraredBreastHealth.com

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> Reply to sender | Reply to group | Reply via web post | Start a New Topic

> Messages in this topic (3)

> RECENT ACTIVITY: New Members 4

> Visit Your Group

> MARKETPLACE

> Hobbies & Activities Zone: Find others who share your passions!

Explore new interests.

>

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Elaine,

There is no minimum.  But probably not

worth it for 10 patients.  And you don’t have to be compliant as long as you’re

willing to be paid less by Medicare.  And the date is 2015, not 2020:

If an EP does not successfully demonstrate

meaningful use of certified EHR technology, the EP’s Medicare physician fee

schedule amount for covered professional services will be adjusted by the

applicable payment adjustment speci­fied in the Recovery Act beginning in 2015.

The payment adjustments will be as follows:

• 2015—99 percent of Medicare physician

fee schedule covered amount

• 2016—98 percent of Medicare physician

fee schedule covered amount

• 2017 and each subsequent year—97 percent

of Medicare physician fee schedule covered amount

If it is determined that for 2018 and

subsequent years that less than 75 percent of EPs are meaningful users then the

payment adjustment will change by one percentage point each year until the

payment adjustment reaches 95 percent.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of

Sent: Thursday, December 09, 2010

6:54 AM

To:

Subject: Re:

EHR federal money- best use- anyone qualify?

Is there a minimum that you must bill medicare before

you get the $. I only have about 10 medicare pts. Hardly worth my time to think

all of this because I won't get the bonus. Also I heard by 2020 everyone has to

be compliant. I have set that as my retirement date :)

The EHR consultant who came to my office

to do a review for organizing and Implementation of the HER component of my ASP

practice suite, reviewed all of my billing and advised me that I can initiate

the HER, but that the cost would all have to be absorbed by me. The

reason they gave was that my publically funded revenue stream – General

Medicaid and Medicare was insufficient to qualify for any EHR monies. He

did tell me that I might qualify for a small amount because I have integrated

electronic prescribing for most of my patients. One of the

recommendations made was that I should seek to merge my practice with several

other small offices in our area and that the local hospital was interested in

purchasing several of these offices in order to maximize the return on

incentive funding. The interesting thing is that this consultant

supposedly was an employee of the Department of Health & Human Services and

the forms he supplied which delineated these recommendations were all

preprinted check off sheets. When my husband asked about provisions, in

this implementation role out for the HER funds and a lot of the other things in

all these changes coming to healthcare as a result of all the new rules, in

relation to their effect on solo medical practices the agents response was that

if I didn’t consider aligning my practice with others in the area thru the

local hospital or the hospital about 40 minutes away I would probably not still

be in practice in 3-5 years. He claimed that the provisions in this law were

put in place to cut over all costs of healthcare delivery and streamline the

healthcare delivery system overall. HE claimed to have gone thru a 2 week

training program before being sent out to do these site reviews and said that

one of the main points the trainers drove home was that the small “soloâ€

practice would not survive the Impending changes and that they were instructed

to urge independent practices to join with other practices to make large groups

that could meet the PCMH tenants and to ultimately merge with hospital

healthcare systems. If, as a solo provider, I chose not to heed this

advice I should plan to seek other employment soon as he did not believe that

any solo offices would still exist in 5 years. He claimed he was aware of

the IMP grassroots movement, but that it was not feasible in the current

healthcare environment long-term. HE was rather solicitous when he left

telling me to not say he didn’t forewarn us.

Beth

Sullivan, DO

Ridgeway

Family Practice

Commerce, GA 30529

From: [mailto: ]

On Behalf Of Ellen son

Sent: Thursday, December 09, 2010

12:42 AM

To:

Subject: Re:

EHR federal money- best use- anyone qualify?

MDC? There is no floor on Medicare but there is on %

of Medicaid--must

be 30% of your practice.

Good to know that Extension Centers will help for this. They are set up

in every state to help with this whole EHR process.

>

> I believe that there is no floor for the number of MDC patients you

> need to have, but the payment is based on a percentage and may not be

> worth doing. We will qualify, we have 12% MDC. Our EHR is certified

> and they are putting all of the pieces together. The one issue for us

> was the security piece. We found that through COHIRO, there are

> " Extention agencies " in every region of the state. We have

talked to

> them and they will do the entire review of our EHR and security piece

> for free. Contact yours and see what you need to do. You can do it for

> any 90 day period next year, or even the year after, so you could

> recruit more MDC patients, it might be worth it to get up the $44k

> dollars.

> ________________________________________

> From:

> <mailto:%40yahoogroups.com>

> [

> <mailto:%40yahoogroups.com>]

On Behalf Of

> Weakland [mrweakland@...

<mailto:mrweakland%40yahoo.com>]

> Sent: Wednesday, December 08, 2010 8:36 AM

> To:

> <mailto:%40yahoogroups.com>

> Subject: EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>>

wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> email for patients would be <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska

as well

> as 9 women driving from Seattle (6 hours

one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2

fast

> cameras in the Oregon.

Most of us are at medicl schools or in research

> facilities. My colleague in Portland

does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon

has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled " Waves of

> Serenity " . It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a " yes/no " test

with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

>

************************************************************************************************************************************************************************************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>>

wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>>

wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few monthsâ€â€a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact

> (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

and she will make sure all the I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

>

>

>

>

>

>

>

>

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M.D.

www.elainemd.com

Office:

Go in the directions of your dreams and live the life you've imagined.

This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

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Catch this in a recent health care industry trade journal:It may be hard to believe, but many experts believe the days of the independent family doctor, running a small, highly personal private practice, may be coming to an end. An estimated 2,910 physicians were involved in mergers or acquisitions last year - nearly double the number

in the previous year - according to a new report from Pricewaterhouses. Mergers and acquisitions of physician practices has hit a record number this year, and this trend is expected to continued as the new health reform law is implemented.From MidCap Advisors. Read more...It is possible that hospital ownership gives you access to financing and technology that is otherwise out of reach. Affiliation may not be a choice if your practice succumbs to the toxicity level of your environment despite all your efforts. I think there is still a place in the world for independent practices and know that we can delivery very high quality of care, use information technology on behalf of our patients, coordinate care and work well with others (a.k.a. team) in this complex system.I believe the reports of our demise are premature. We have one thing going for us: our patients.Gordon

Hardly a surprise. Running upto the Health care reform battle, there was oped after oped saying that the solo and small practices were the bane of the health care system, how integrated health care systems were THINGS OF BEAUTY.

I think the demise of the solo practitioner is COOKED IN to the reform structure.Now it is upto us to defy that.

Wow, Beth. Sounds like he was working for someone else and

had an ulterior motive. Don’t you have an EMR already? I think he was saying that what you qualify for isn’t enough for

him There is no minimum amount of Medicare. It’s just that

you will get a smaller amount and then have to decide if it is “worth

it”. I don’t know why he was pushing PCMH as there is no money in that,

just cost. I am not sure about Medicare Advantage and whether it “counts”

or not. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing

From:

[mailto: ]

On Behalf Of Beth Sullivan, DO

Sent: Thursday, December 09, 2010 8:44 AM

To:

Subject: RE: EHR federal money- best use- anyone

qualify?

The EHR consultant who came to my office

to do a review for organizing and Implementation of the HER component of my ASP

practice suite, reviewed all of my billing and advised me that I can initiate

the HER, but that the cost would all have to be absorbed by me. The

reason they gave was that my publically funded revenue stream – General

Medicaid and Medicare was insufficient to qualify for any EHR monies. He

did tell me that I might qualify for a small amount because I have integrated

electronic prescribing for most of my patients. One of the

recommendations made was that I should seek to merge my practice with several

other small offices in our area and that the local hospital was interested in

purchasing several of these offices in order to maximize the return on

incentive funding. The interesting thing is that this consultant

supposedly was an employee of the Department of Health & Human Services and

the forms he supplied which delineated these recommendations were all

preprinted check off sheets. When my husband asked about provisions, in

this implementation role out for the HER funds and a lot of the other things in

all these changes coming to healthcare as a result of all the new rules, in

relation to their effect on solo medical practices the agents response was that

if I didn’t consider aligning my practice with others in the area thru the

local hospital or the hospital about 40 minutes away I would probably not still

be in practice in 3-5 years. He claimed that the provisions in this law

were put in place to cut over all costs of healthcare delivery and streamline

the healthcare delivery system overall. HE claimed to have gone thru a 2

week training program before being sent out to do these site reviews and said

that one of the main points the trainers drove home was that the small “solo”

practice would not survive the Impending changes and that they were instructed

to urge independent practices to join with other practices to make large groups

that could meet the PCMH tenants and to ultimately merge with hospital

healthcare systems. If, as a solo provider, I chose not to heed this

advice I should plan to seek other employment soon as he did not believe that

any solo offices would still exist in 5 years. He claimed he was aware of

the IMP grassroots movement, but that it was not feasible in the current

healthcare environment long-term. HE was rather solicitous when he left

telling me to not say he didn’t forewarn us.

Beth Sullivan, DORidgeway Family PracticeCommerce, GA 30529

From:

[mailto: ]

On Behalf Of Ellen son

Sent: Thursday, December 09, 2010 12:42 AM

To:

Subject: Re: EHR federal money- best use- anyone

qualify?

MDC? There is no floor on Medicare but there is on % of Medicaid--must

be 30% of your practice.

Good to know that Extension Centers will help for this. They are set up

in every state to help with this whole EHR process.

>

> I believe that there is no floor for the number of MDC patients you

> need to have, but the payment is based on a percentage and may not be

> worth doing. We will qualify, we have 12% MDC. Our EHR is certified

> and they are putting all of the pieces together. The one issue for us

> was the security piece. We found that through COHIRO, there are

> "Extention agencies" in every region of the state. We have

talked to

> them and they will do the entire review of our EHR and security piece

> for free. Contact yours and see what you need to do. You can do it for

> any 90 day period next year, or even the year after, so you could

> recruit more MDC patients, it might be worth it to get up the $44k

> dollars.

> ________________________________________

> From:

> <mailto:%40yahoogroups.com>

> [

> <mailto:%40yahoogroups.com>]

On Behalf Of

> Weakland [mrweakland@...

<mailto:mrweakland%40yahoo.com>]

> Sent: Wednesday, December 08, 2010 8:36 AM

> To:

> <mailto:%40yahoogroups.com>

> Subject: EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>>

wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> email for patients would be <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska as well

> as 9 women driving from Seattle (6 hours one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2 fast

> cameras in the Oregon. Most of us are at medicl schools or in research

> facilities. My colleague in Portland does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled "Waves of

> Serenity". It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a "yes/no" test

with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

>

************************************************************************************************************************************************************************************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>>

wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>>

wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few months—a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact

> (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

and she will make sure all the I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> Reply to sender<mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive>

> | Reply to group<mailto:

> <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive>

> | Reply via web

> post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783

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> | Start a New

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Gordon,

I agree, but hospitals in our area-they are 70 miles away-are buing practices like crazy. They see ACO's as the outcome of the health reform bill. If you have to be in a " risk pool " you will have to have sort of specialist,

hospital to " risk " with. One of our hospitals is actually offering multilevel affiliations, so that you do not have to join them fully. I think we will have to see what comes of the way the government will pay, or require insurers to pay for the care of individuals.

On the one hand this is payment reform that we all want, that is payment for well care and seamless referral (like the old HMO days). The bad news is the lack of autonomy

From: [ ] On Behalf Of L. Gordon [gmoore@...]

Sent: Thursday, December 09, 2010 10:41 AM

To:

Subject: Re: EHR federal money- best use- anyone qualify?

Catch this in a recent health care industry trade journal:

It may be hard to believe, but many experts believe the days of the independent family doctor, running a small, highly personal private practice, may be coming to an end. An estimated 2,910 physicians were involved in mergers or acquisitions

last year - nearly double the number in the previous year - according to a new report from Pricewaterhouses. Mergers and acquisitions of physician practices has hit a record number this year, and this trend is expected to continued as the new health

reform law is implemented.

From MidCap Advisors. Read more...

It is possible that hospital ownership gives you access to financing and technology that is otherwise out of reach. Affiliation may not be a choice if your practice succumbs to the toxicity level of your environment despite all your efforts.

I think there is still a place in the world for independent practices and know that we can delivery very high quality of care, use information technology on behalf of our patients, coordinate care and work well with others (a.k.a. team) in this complex

system.

I believe the reports of our demise are premature. We have one thing going for us: our patients.

Gordon

Hardly a surprise. Running upto the Health care reform battle, there was oped after oped saying that the solo and small practices were the bane of the health care system, how integrated health care systems were THINGS OF BEAUTY.

I think the demise of the solo practitioner is COOKED IN to the reform structure.

Now it is upto us to defy that.

On Thu, Dec 9, 2010 at 5:59 AM, Kathy Saradarian, MD

wrote:

Wow, Beth. Sounds like he was working for someone else and had an ulterior motive. Don’t you have an EMR already?

I think he was saying that what you qualify for isn’t enough for him There is no minimum amount of Medicare. It’s just that you will get a smaller amount and then have to decide if it is

“worth it”. I don’t know why he was pushing PCMH as there is no money in that, just cost.

I am not sure about Medicare Advantage and whether it “counts” or not.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]

On Behalf Of Beth Sullivan, DO

Sent: Thursday, December 09, 2010 8:44 AM

To:

Subject: RE: EHR federal money- best use- anyone qualify?

The EHR consultant who came to my office to do a review for organizing and Implementation of the HER component of my ASP practice suite, reviewed all of my billing and advised me that I can

initiate the HER, but that the cost would all have to be absorbed by me. The reason they gave was that my publically funded revenue stream – General Medicaid and Medicare was insufficient to qualify for any EHR monies. He did tell me that I might qualify

for a small amount because I have integrated electronic prescribing for most of my patients. One of the recommendations made was that I should seek to merge my practice with several other small offices in our area and that the local hospital was interested

in purchasing several of these offices in order to maximize the return on incentive funding. The interesting thing is that this consultant supposedly was an employee of the Department of Health & Human Services and the forms he supplied which delineated these

recommendations were all preprinted check off sheets. When my husband asked about provisions, in this implementation role out for the HER funds and a lot of the other things in all these changes coming to healthcare as a result of all the new rules, in relation

to their effect on solo medical practices the agents response was that if I didn’t consider aligning my practice with others in the area thru the local hospital or the hospital about 40 minutes away I would probably not still be in practice in 3-5 years.

He claimed that the provisions in this law were put in place to cut over all costs of healthcare delivery and streamline the healthcare delivery system overall. HE claimed to have gone thru a 2 week training program before being sent out to do these site

reviews and said that one of the main points the trainers drove home was that the small “solo” practice would not survive the Impending changes and that they were instructed to urge independent practices to join with other practices to make large groups that

could meet the PCMH tenants and to ultimately merge with hospital healthcare systems. If, as a solo provider, I chose not to heed this advice I should plan to seek other employment soon as he did not believe that any solo offices would still exist in 5 years.

He claimed he was aware of the IMP grassroots movement, but that it was not feasible in the current healthcare environment long-term. HE was rather solicitous when he left telling me to not say he didn’t forewarn us.

Beth Sullivan, DO

Ridgeway Family Practice

Commerce, GA 30529

From:

[mailto: ]

On Behalf Of Ellen son

Sent: Thursday, December 09, 2010 12:42 AM

To:

Subject: Re: EHR federal money- best use- anyone qualify?

MDC? There is no floor on Medicare but there is on % of Medicaid--must

be 30% of your practice.

Good to know that Extension Centers will help for this. They are set up

in every state to help with this whole EHR process.

>

> I believe that there is no floor for the number of MDC patients you

> need to have, but the payment is based on a percentage and may not be

> worth doing. We will qualify, we have 12% MDC. Our EHR is certified

> and they are putting all of the pieces together. The one issue for us

> was the security piece. We found that through COHIRO, there are

> " Extention agencies " in every region of the state. We have talked to

> them and they will do the entire review of our EHR and security piece

> for free. Contact yours and see what you need to do. You can do it for

> any 90 day period next year, or even the year after, so you could

> recruit more MDC patients, it might be worth it to get up the $44k

> dollars.

> ________________________________________

> From:

> <mailto:%40yahoogroups.com>

> [

> <mailto:%40yahoogroups.com>] On Behalf Of

> Weakland [mrweakland@... <mailto:mrweakland%40yahoo.com>]

> Sent: Wednesday, December 08, 2010 8:36 AM

> To:

> <mailto:%40yahoogroups.com>

> Subject: EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>> wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The

> email for patients would be <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska as well

> as 9 women driving from Seattle (6 hours one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2 fast

> cameras in the Oregon. Most of us are at medicl schools or in research

> facilities. My colleague in Portland does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled " Waves of

> Serenity " . It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a " yes/no " test with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

> ************************************************************************************************************************************************************************************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>> wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few months—a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact

> (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

>

>

>

>

>

>

>

>

>

>

>

>

>

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>

>

>

>

>

>

>

>

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>

>

> Reply to sender<mailto:ingrid.edstrom@...

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Right….only to qualify for the maximum

bonus.  You can get paid less than $24000….and still be paid 75% of allowable.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Kathy Saradarian, MD

Sent: Thursday, December 09, 2010

7:21 AM

To:

Subject: RE:

Re: EHR federal money- best use- anyone qualify?

You don’t need to bill $24000, you need to get paid

$24000. Just in case that is a point of confusion.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]

On Behalf Of ericbeeman3

Sent: Thursday, December 09, 2010

9:56 AM

To:

Subject:

Re: EHR federal money- best use- anyone qualify?

thanks

for pointing out that the incentive will be 75% percent medicare rather than a

lump sum. I didn't see that until I read the detail in the CMS

Incentive Tip Sheet . CMS curiously leaves this " minor "

detail on some of their webpages such as their payment

table for Medicare Eligible Professionals. So to get the maximum

$18000 payment in either 2011 or 2012, you must bill medicare at least

$24000. Now I need to check our medicare billing for 2010. I

believe we will be close if not slightly above as we have high volume

medicare.

>

> All,

>

> For those of you waiting for the right time to join Ideal Medical

Practices, a non-profit organization, now is the time. We are running a Holiday

Half-Price Bonanza where you can join the organization at the basic membership

level for $75 or at the premium level (and enjoy monthly CME approved phone

calls) for $125. All active memberships run through 6/30/2011.

>

> Although the process has been slow at times, we are working hard behind

the scenes to make sure this organization reflects the desires of the

membership. Some big things coming in the next few months†" a new, all

inclusive IMP web site and an IMP certification process!!

>

> Also, for those of you who have been fortunate enough to have a profit in

your office this year and are looking for somewhere to donate, remember that we

are a Not For Profit Organization and remain more than willing to put your

money to good use while reducing your tax burden. J Either work through the

website link below or contact (IMP Treasurer) off list at jnantonucci@...

and she will make sure all the I’s are officially dotted and the T’s are

officially crossed. Thank you for your continued interest!

>

>

>

> IMP Secretary

>

> Chair, IMP Membership Committee

>

>

>

> CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships

>

>

>

>

>

>

> --

> M.D.

> www.elainemd.com

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

confidential medical, Personal and Health Information (PHI) and/or legal

information. The information is intended only for the use of the individual or

entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not use,

publish, discuss, disseminate or otherwise distribute it. If you are not the

intended recipient, or if you have received this transmission in error, please

notify the sender immediately and confidentially destroy the information that

email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We cannot

respond to email correspondence coming to this address. Please call the office

at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> www.InfraredBreastHealth.com

>

>

>

>

>

>

>

>

>

>

>

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>

> Reply to sender | Reply to group | Reply via web post | Start a New Topic

> Messages in this topic (3)

> RECENT ACTIVITY: New Members 4

> Visit Your Group

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> Hobbies & Activities Zone: Find others who share your passions! Explore

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,

How much Medicare do you do?  Are you in a

HPSA?  Although the Medicare bonus isn’t as much as the Medicaid bonus, it

still might be worth doing.  If you are in a HPSA, the Medicare bonus is 10%

higher – for a maximum of $19,800 in 2011.  We estimate that we will get about

$15K.  That is enough to pay for our time figuring it all out, plus the emds

User Conference that I went to last year, plus hardware upgrades that we need

to do this year, and more.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Weakland

Sent: Thursday, December 09, 2010

7:37 AM

To:

Cc: < >

Subject: Re:

EHR federal money- best use- anyone qualify?

I'm at 26% Medicaid. If I

were allowed to include folks I see without insurance ( we ask for $50/ visit),

I'd be at about 35%. Amazing to me that uninsured don't count and amazing that

I won't qualify for money when I'm committed to this service as my responsibility.

I'm making it but just barely (80K take home last year seeing patients three

days a week and still not full panel but close).

You have to agree to get to meaningful use otherwise they

have no time for you...

Medicare has to have at least $15,000 I believe.

If any of us take 30% Medicaid, I can't see that you can

survive independently.

Matt in Western PA

EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>> wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> email for patients would be <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska

as well

> as 9 women driving from Seattle (6 hours

one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2

fast

> cameras in the Oregon.

Most of us are at medicl schools or in research

> facilities. My colleague in Portland

does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon

has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled " Waves of

> Serenity " . It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a " yes/no " test

with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

>

************************************************************************************************************************************************************************************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>> wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few monthsâ€â€a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact

> (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>> jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>> and she will make sure all the

I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> Reply to sender<mailto:ingrid.edstrom@...

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No limit for Medicare. They pay you 75% of what you've collected from

Medicare.

For Medicaid, you must have 30% of your pts in that group. You can get

reimbursement both ones--it's one or the other.

>

> You have to agree to get to meaningful use otherwise they have no time

> for you...

> Medicare has to have at least $15,000 I believe.

> If any of us take 30% Medicaid, I can't see that you can survive

> independently.

> Matt in Western PA

>

> EHR federal money- best use- anyone

> > qualify?

> >

> > We've just starting looking at how we might qualify for the federal

> > money as we have EHR. There is a local group in Seattle that was

> > awarded a grant to help practices less than 10 providers understand

> > how to qualify. So we jumped through hoops, filled out

> aplications and

> > had our first free consultation.

> >

> > Now that's another whole story. But one point was made clear- your

> > money is either based on percent Medicare ( of which we have

> about 1%

> > ) or you have to have 30% or more Medicaid per year of

> encounters. We

> > have about 37% with no insurance or Medicaid but only 26%

> looking at

> > just Medicaid visits.

> >

> > So seems we won't qualify for any money! Must say I'm amazed. And

> > curious if anyone on this list either sees enough Medicare to

> make the

> > money worth all the work to get it or qualifies based on Medicaid

> > numbers.

> >

> > Weakland

> >

> > On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom

> <ingrid.edstrom@... <mailto:ingrid.edstrom%40gmail.com>

> >

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

<mailto:ingrid.edstrom%40gmail.com>

>

> > <mailto:ingrid.edstrom%40gmail.com>>> wrote:

> >

> >

> >

> > Dear Elaine,

> >

> > I have just joined and I am trying to understand a bit about your

> > organization. I would be delighted to assist your patients. I am in

> > Eugene Oregon, but I also do phone consultations. Please see my web

> > site for an idea about my practice. You certainly can link to my

> site.

> > <http://www.InfraredBreastHealth.com>

> >

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The

> > email for patients would be

> <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>

> > <mailto:InfraredBreastHealth%40gmail.com>>

> > InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>

> >

>

<mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>

> > <mailto:InfraredBreastHealth%40gmail.com>>

> > The administrative office is PST 9-5 Mon through Friday

> >

> > I have been in a solo practice for 5 years now and the practice has

> > been growing. I have had 5 women fly in to see me from Alaska as

> well

> > as 9 women driving from Seattle (6 hours one way) , Idaho and

> northern

> > California as well as the whole state of Oregon. There are only

> 2 fast

> > cameras in the Oregon. Most of us are at medicl schools or in

> research

> > facilities. My colleague in Portland does sports medicine and he

> > travels with the Olympic team. I also have Non Profit status and I

> > have several clinical studies in process.

> >

> > My Proactive Breast Wellness Program has been reversing

> inflammatory

> > changes in the breast in 6-12 months as noted by our cutting edge

> > infrared camera as well as alterations in their saliva and serum

> > hormone levels.

> >

> > I can also put you in touch with some folks if you wish to have a

> > camera in your office also. It has a 97% sensitivity and can

> pick up

> > issues in the breast 3-8 years prior to mammograms. I have

> presented 4

> > times now to the breast cancer tumor board rounds for women who had

> > negative mammograms and ultrasounds but I picked them up with IR

> and

> > got them in for MRI and surgical biopsy which was positive. Please

> > send me an email and I can send you more information so you can

> > consider an Infrared Camera in your office.

> >

> > Using my infrared camera I was able to stop the herbicide roadside

> > spraying in Lane County Oregon by presenting a power point

> > presentation to the county commissioners and the health department.

> > The camera can detect toxic exposure by Xenoestrogens and its

> effects

> > on breast tissue.. Oregon has the second highest breast cancer rate

> > per capita in the nation. We do a lot of clear cutting and have

> large

> > tracts of agriculture that are sprayed heavily like grass seed

> growers

> > or mint production.

> >

> > The camera is also fabulous for melanoma detection as well as

> > visualizing sub clinical hypothyroidism and thyroid nodules.

> >

> > The Proactive Program is a 5 CD set with 3 1/2 hours of

> narrative and

> > a provider's professional module CD with the handouts to give to

> your

> > nurse to provide a billable visit to your office as well as to sell

> > the CD sets at retail to make some money for your office. There is

> > also a free data disc with articles and information to go with

> the 9

> > chapters. There is also a CD or DVD that I created entitled

> " Waves of

> > Serenity " . It helps to reduce anxiety, pre and post operative pain,

> > stress and insomnia. I created the set while I was training at the

> > Mind Body Medical Institute under Herbert Benson, MD. I know you

> have

> > a busy practice and do not have the time to spend 3 1/2 hours with

> > each woman to assist her with her breast health. My program can

> assist

> > you and empower your women.

> >

> > The first version will be down loadable hopefully in the next 3-4

> > months nationally. I am currently creating a customized nutritional

> > supplement line to go with the Proactive Breast Program to be

> able to

> > decrease the number of supplements needed and increase

> compliance. If

> > you go to my website in the Proactive section, there is a site

> to put

> > in your office email so I can have this available to your office

> once

> > it is launched and my staff will be able to contact you.

> >

> > I also wanted to introduce you to a breast cancer tumor marker test

> > that is newly available called the BT Test. It is a biomarker test

> > that looks at 5 tumor markers. It has a 97% sensitivity in women

> under

> > the age of 50 and 86% over the age of 50. It is a " yes/no " test

> with

> > the negative range of 1-59. Above 60 is considered positive.

> They have

> > been identifying women 2-3 years prior to mammogram detection. My

> > Infrared camera will identify a problem 3-8 years prior to

> mammogram,

> > when I then hope to be able to reverse the inflammation with the

> > Proactive Program. The interesting part is that the women that have

> > had abnormal thermograms so far have in 100% of the time have

> ALL had

> > elevated tumor markers ! I am using this test as a tie breaker.

> If the

> > woman has a negative mammo and ultrasound but she has an abnormal

> > hyper-thermic scan and I think she needs an MRI or a surgical

> > excision, if I then get a positive tumor marker, the AIMES MD

> has been

> > OKing the MRI even with previous negative structural studies. Or if

> > the marker is elevated the woman is more likely to agree to a

> surgical

> > procedure that I think she needs.

> >

> > If you would like more information, please contact me via this

> email

> > and I will send you a power point presentation that will in much

> > greater detail inform you as to how this BT Test will assist you

> and

> > your practice.

> >

> > Thank you for your interest and I hope to do more networking

> with your

> > group.

> >

> > My website is <http://www.InfraredBreastHealth.com>

> >

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The

> > administrative office is PST 9-5 Mon through Friday

> >

> >

> > My Warm Regards,

> >

> > Ingrid Edstrom

> >

> >

> >

> >

> >

>

********************************************************************************\

********************************************************************************\

********************************************************

>

> >

> >

> > On Tue, Dec 7, 2010 at 7:38 PM,

> > <<mailto:elaine2md@... <mailto:elaine2md%40gmail.com>

> > <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com>

> > <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>

> > <mailto:elaine2md%40gmail.com>>> wrote:

> >

> >

> > Just joined! I saw the HYH link. Can I put that link on my

> website and

> > direct my pt to it? Is there more to that?

> >

> >

> > On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> > <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>

> >

>

<mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...\

mail.com

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>

> >

>

<mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@thevillagedocto\

r.hrcoxmail.com

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>

> > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:

> >

> > All,

> > For those of you waiting for the right time to join Ideal Medical

> > Practices, a non-profit organization, now is the time. We are

> running

> > a Holiday Half-Price Bonanza where you can join the organization at

> > the basic membership level for $75 or at the premium level (and

> enjoy

> > monthly CME approved phone calls) for $125. All active

> memberships run

> > through 6/30/2011.

> > Although the process has been slow at times, we are working hard

> > behind the scenes to make sure this organization reflects the

> desires

> > of the membership. Some big things coming in the next few

> months—a

> > new, all inclusive IMP web site and an IMP certification process!!

> > Also, for those of you who have been fortunate enough to have a

> profit

> > in your office this year and are looking for somewhere to donate,

> > remember that we are a Not For Profit Organization and remain more

> > than willing to put your money to good use while reducing your tax

> > burden. ☺ Either work through the website link below or

> contact Jean

> > (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>

> > <mailto:jnantonucci%40gmail.com>> jnantonucci@...

> <mailto:jnantonucci%40gmail.com>

> > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>

> > <mailto:jnantonucci%40gmail.com>> and she will make sure all the

> I’s

> > are officially dotted and the T’s are officially crossed.

> Thank you

> > for your continued interest!

> >

> > IMP Secretary

> > Chair, IMP Membership Committee

> >

> > CLICK HERE TO JOIN =>

> <http://www.idealhealthnetwork.org/memberships>

> > http://www.idealhealthnetwork.org/memberships

> >

> >

> >

> >

> > --

> > M.D.

> > <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> > Office:

> > Go in the directions of your dreams and live the life you've

> imagined.

> > This email transmission may contain protected and privileged,

> highly

> > confidential medical, Personal and Health Information (PHI) and/or

> > legal information. The information is intended only for the use

> of the

> > individual or entity named above.

> >

> >

> >

> > If you are not the intended recipient of this material, you may not

> > use, publish, discuss, disseminate or otherwise distribute it.

> If you

> > are not the intended recipient, or if you have received this

> > transmission in error, please notify the sender immediately and

> > confidentially destroy the information that email in error.

> >

> >

> >

> > --

> > This is a send only email account for Infrared Breast Health. We

> > cannot respond to email correspondence coming to this address.

> Please

> > call the office at if you have questions or concerns.

> >

> > Ingrid L. Edstrom FNP, M.Ed

> > Wuthenow, Office Manager

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" Allowable charges " which means what Medicare will pay you. You can bill

as much as you want--it is not billing that counts.

>

> ,

>

> From what I read, you WILL BE paid a lump sum. The maximum incentive

> is 75% of allowable charges for the reporting year. Here’s

> something from the FAQ:

>

> Incentive payments for the Medicare EHR Incentive Program will be made

> approximately four to six weeks after an eligible professional (EP),

> eligible hospital, or Critical Access Hospital (CAH) successfully

> attests that they have demonstrated meaningful use of certified EHR

> technology. Payments to Medicare providers will be made to the

> taxpayer identification number (TIN) selected at the time of

> registration, through the same channels their claims payments are

> made. The form of payment (electronic funds transfer or check) will be

> the same as claims payments. While CMS expects that Medicare incentive

> payments will begin in May 2011, payments will be held for EPs until

> the EP meets the $24,000 threshold in allowed charges.

>

> So, if you don’t meet the maximum allowable of $24,000 in CY2011,

> you should expect to receive a check in about April 2012 that is

> equivalent to 75% of your allowable charges for claims submitted for

> CY2011 that were submitted prior to 2/29/12.

>

> And let’s all not forget that the rules will change in 2013….with

> Stage 2.

>

>

>

> ** Pratt**

>

> Office Manager

>

> Oak Tree Internal Medicine P.C

>

> www.prattmd.info <http://www.prattmd.info>

>

> ------------------------------------------------------------------------

>

> *From:*

> [mailto: ] *On Behalf Of *ericbeeman3

> *Sent:* Thursday, December 09, 2010 6:56 AM

> *To:*

> *Subject:* Re: EHR federal money- best use-

> anyone qualify?

>

> thanks for pointing out that the incentive will be 75% percent

> medicare rather than a lump sum. I didn't see that until I read the

> detail in the CMS Incentive Tip Sheet

> <http://www.cms.gov/MLNProducts/downloads/CMS_eHR_Tip_Sheet.pdf> . CMS

> curiously leaves this " minor " detail on some of their webpages such as

> their payment table for Medicare Eligible Professionals

>

<http://www.cms.gov/EHRIncentivePrograms/60_Medicare_Eligibile_Professionals.asp\

#TopOfPage>.

> So to get the maximum $18000 payment in either 2011 or 2012, you must

> bill medicare at least $24000. Now I need to check our medicare

> billing for 2010. I believe we will be close if not slightly above as

> we have high volume medicare.

>

>

>

>

>

> >

> > All,

> >

> > For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> >

> > Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few

> months†" a new, all inclusive IMP web site and an IMP certification

> process!!

> >

> > Also, for those of you who have been fortunate enough to have a

> profit in your office this year and are looking for somewhere to

> donate, remember that we are a Not For Profit Organization and remain

> more than willing to put your money to good use while reducing your

> tax burden. J Either work through the website link below or contact

> (IMP Treasurer) off list at jnantonucci@... and she will make

> sure all the I’s are officially dotted and the T’s are

> officially crossed. Thank you for your continued interest!

> >

> >

> >

> > IMP Secretary

> >

> > Chair, IMP Membership Committee

> >

> >

> >

> > CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships

> >

> >

> >

> >

> >

> >

> > --

> > M.D.

> > www.elainemd.com

> > Office:

> > Go in the directions of your dreams and live the life you've imagined.

> > This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

> >

> >

> >

> > If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

> >

> >

> >

> > --

> > This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

> >

> > Ingrid L. Edstrom FNP, M.Ed

> > Wuthenow, Office Manager

> >

> > www.InfraredBreastHealth.com

> >

> >

> >

> >

> >

> >

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> >

> > Reply to sender | Reply to group | Reply via web post | Start a New Topic

> > Messages in this topic (3)

> > RECENT ACTIVITY: New Members 4

> > Visit Your Group

> > MARKETPLACE

> > Hobbies & Activities Zone: Find others who share your passions!

> Explore new interests.

> >

>

>

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Actually “allowable charges†is what Medicare pays and the

patient’s co-pay. Which is even better! I wonder how you figure

that though.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Ellen

son

Sent: Thursday, December 09, 2010 3:41 PM

To:

Subject: Re: Re: EHR federal money- best use-

anyone qualify?

" Allowable charges " which means what Medicare will pay you. You

can bill

as much as you want--it is not billing that counts.

>

> ,

>

> From what I read, you WILL BE paid a lump sum. The maximum incentive

> is 75% of allowable charges for the reporting year. Here’s

> something from the FAQ:

>

> Incentive payments for the Medicare EHR Incentive Program will be made

> approximately four to six weeks after an eligible professional (EP),

> eligible hospital, or Critical Access Hospital (CAH) successfully

> attests that they have demonstrated meaningful use of certified EHR

> technology. Payments to Medicare providers will be made to the

> taxpayer identification number (TIN) selected at the time of

> registration, through the same channels their claims payments are

> made. The form of payment (electronic funds transfer or check) will be

> the same as claims payments. While CMS expects that Medicare incentive

> payments will begin in May 2011, payments will be held for EPs until

> the EP meets the $24,000 threshold in allowed charges.

>

> So, if you don’t meet the maximum allowable of $24,000 in CY2011,

> you should expect to receive a check in about April 2012 that is

> equivalent to 75% of your allowable charges for claims submitted for

> CY2011 that were submitted prior to 2/29/12.

>

> And let’s all not forget that the rules will change in 2013….with

> Stage 2.

>

>

>

> ** Pratt**

>

> Office Manager

>

> Oak Tree Internal Medicine P.C

>

> www.prattmd.info <http://www.prattmd.info>

>

> ----------------------------------------------------------

>

> *From:*

> [mailto: ]

*On Behalf Of *ericbeeman3

> *Sent:* Thursday, December 09, 2010 6:56 AM

> *To:*

> *Subject:* Re: EHR federal money- best use-

> anyone qualify?

>

> thanks for pointing out that the incentive will be 75% percent

> medicare rather than a lump sum. I didn't see that until I read the

> detail in the CMS Incentive Tip Sheet

> <http://www.cms.gov/MLNProducts/downloads/CMS_eHR_Tip_Sheet.pdf>

.. CMS

> curiously leaves this " minor " detail on some of their webpages

such as

> their payment table for Medicare Eligible Professionals

> <http://www.cms.gov/EHRIncentivePrograms/60_Medicare_Eligibile_Professionals.asp#TopOfPage>.

> So to get the maximum $18000 payment in either 2011 or 2012, you must

> bill medicare at least $24000. Now I need to check our medicare

> billing for 2010. I believe we will be close if not slightly above as

> we have high volume medicare.

>

>

>

>

>

> >

> > All,

> >

> > For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> >

> > Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few

> months†" a new, all inclusive IMP web site and an IMP

certification

> process!!

> >

> > Also, for those of you who have been fortunate enough to have a

> profit in your office this year and are looking for somewhere to

> donate, remember that we are a Not For Profit Organization and remain

> more than willing to put your money to good use while reducing your

> tax burden. J Either work through the website link below or contact

> (IMP Treasurer) off list at jnantonucci@... and she will make

> sure all the I’s are officially dotted and the T’s are

> officially crossed. Thank you for your continued interest!

> >

> >

> >

> > IMP Secretary

> >

> > Chair, IMP Membership Committee

> >

> >

> >

> > CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships

> >

> >

> >

> >

> >

> >

> > --

> > M.D.

> > www.elainemd.com

> > Office:

> > Go in the directions of your dreams and live the life you've

imagined.

> > This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

> >

> >

> >

> > If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

> >

> >

> >

> > --

> > This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

> >

> > Ingrid L. Edstrom FNP, M.Ed

> > Wuthenow, Office Manager

> >

> > www.InfraredBreastHealth.com

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

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> >

> >

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> >

> >

> >

> >

> > Reply to sender | Reply to group | Reply via web post | Start a New

Topic

> > Messages in this topic (3)

> > RECENT ACTIVITY: New Members 4

> > Visit Your Group

> > MARKETPLACE

> > Hobbies & Activities Zone: Find others who share your passions!

> Explore new interests.

> >

>

>

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I have a “Till Reconciliation†report that

I can run by insurance type….so I ran it for Medicare patients only for the

year so far and estimated 2011 on that.

Alternatively, you can run an RVU report

for your Medicare patients, which will show you how many of each CPT code you

have billed for the time period.  Mine also shows “collected†charges and “billedâ€

charges.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Kathy Saradarian, MD

Sent: Thursday, December 09, 2010

2:47 PM

To:

Subject: RE:

Re: EHR federal money- best use- anyone qualify?

Actually “allowable charges†is what Medicare pays and the

patient’s co-pay. Which is even better! I wonder how you figure

that though.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]

On Behalf Of Ellen son

Sent: Thursday, December 09, 2010

3:41 PM

To:

Subject: Re:

Re: EHR federal money- best use- anyone qualify?

" Allowable

charges " which means what Medicare will pay you. You can bill

as much as you want--it is not billing that counts.

>

> ,

>

> From what I read, you WILL BE paid a lump sum. The maximum incentive

> is 75% of allowable charges for the reporting year. Here’s

> something from the FAQ:

>

> Incentive payments for the Medicare EHR Incentive Program will be made

> approximately four to six weeks after an eligible professional (EP),

> eligible hospital, or Critical Access Hospital (CAH) successfully

> attests that they have demonstrated meaningful use of certified EHR

> technology. Payments to Medicare providers will be made to the

> taxpayer identification number (TIN) selected at the time of

> registration, through the same channels their claims payments are

> made. The form of payment (electronic funds transfer or check) will be

> the same as claims payments. While CMS expects that Medicare incentive

> payments will begin in May 2011, payments will be held for EPs until

> the EP meets the $24,000 threshold in allowed charges.

>

> So, if you don’t meet the maximum allowable of $24,000 in CY2011,

> you should expect to receive a check in about April 2012 that is

> equivalent to 75% of your allowable charges for claims submitted for

> CY2011 that were submitted prior to 2/29/12.

>

> And let’s all not forget that the rules will change in 2013….with

> Stage 2.

>

>

>

> ** Pratt**

>

> Office Manager

>

> Oak Tree Internal Medicine P.C

>

> www.prattmd.info <http://www.prattmd.info>

>

> ----------------------------------------------------------

>

> *From:*

> [mailto: ]

*On Behalf Of *ericbeeman3

> *Sent:* Thursday, December 09, 2010 6:56 AM

> *To:*

> *Subject:* Re: EHR federal money- best use-

> anyone qualify?

>

> thanks for pointing out that the incentive will be 75% percent

> medicare rather than a lump sum. I didn't see that until I read the

> detail in the CMS Incentive Tip Sheet

> <http://www.cms.gov/MLNProducts/downloads/CMS_eHR_Tip_Sheet.pdf>

.. CMS

> curiously leaves this " minor " detail on some of their webpages

such as

> their payment table for Medicare Eligible Professionals

> <http://www.cms.gov/EHRIncentivePrograms/60_Medicare_Eligibile_Professionals.asp#TopOfPage>.

> So to get the maximum $18000 payment in either 2011 or 2012, you must

> bill medicare at least $24000. Now I need to check our medicare

> billing for 2010. I believe we will be close if not slightly above as

> we have high volume medicare.

>

>

>

>

>

> >

> > All,

> >

> > For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> >

> > Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few

> months†" a new, all inclusive IMP web site and an IMP

certification

> process!!

> >

> > Also, for those of you who have been fortunate enough to have a

> profit in your office this year and are looking for somewhere to

> donate, remember that we are a Not For Profit Organization and remain

> more than willing to put your money to good use while reducing your

> tax burden. J Either work through the website link below or contact

> (IMP Treasurer) off list at jnantonucci@... and she will make

> sure all the I’s are officially dotted and the T’s are

> officially crossed. Thank you for your continued interest!

> >

> >

> >

> > IMP Secretary

> >

> > Chair, IMP Membership Committee

> >

> >

> >

> > CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships

> >

> >

> >

> >

> >

> >

> > --

> > M.D.

> > www.elainemd.com

> > Office:

> > Go in the directions of your dreams and live the life you've

imagined.

> > This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

> >

> >

> >

> > If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

> >

> >

> >

> > --

> > This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

> >

> > Ingrid L. Edstrom FNP, M.Ed

> > Wuthenow, Office Manager

> >

> > www.InfraredBreastHealth.com

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > Reply to sender | Reply to group | Reply via web post | Start a New

Topic

> > Messages in this topic (3)

> > RECENT ACTIVITY: New Members 4

> > Visit Your Group

> > MARKETPLACE

> > Hobbies & Activities Zone: Find others who share your passions!

> Explore new interests.

> >

>

>

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Medicare advantage does NOT count........

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few monthsâ€â€a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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RE demise of the solo

How about chain groceries vs speciality grocery stores?

Quality is the customer's choice; I suspect that costs in BIG CORPORATE medical structures will go up and up and pt will have LESS access to a physician rather than more.

IMP ongoing!

Matt solo in Western PA

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few months—a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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7830 mont Mesa Blvd #287

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www.mypcponline.com

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Very nicely said --- you should publish that somewhere as an editorial.

Deanna

To me this is like déjà-vu all over again. The hospitals just want to make sure they are part of the equation. So they are doing the same thing the did in the mid 90’s saying that solo and small practices can’t survive and our lives will be so much better if we let them handle this difficult job for our nonbusiness little brains. I was part of a successful practice in the early 90’s; before capitation fees were ratcheted down to peanuts as well as everything else. The hospital was buying up primary care practices or offering management contracts. WE knew we didn’t want to be owned but the management contract sounded too good to turn down. We were also expanding and needing to build out a new office, etc.

It was a total failure. None of the economies of scale they promised. None of the taking away management issues so we could just practice medicine. Staff were constantly being hired and leaving. We still had management meetings and would be handed 100 page reports of detailed accounting saying “see more peopleâ€. Billing dropped to poor performance. Layers of management were added to our practice that we didn’t need and all these new fees assessed. The build out probably cost twice as much as it should have and took months to make every decision.

I don’t see what is happening now as any different. The hospitals know they need to create a new profit center. They don’t want to be left out so they are trying to become the foundation. They are running around pronouncing that this will be our only hope. We don’t have to listen. I don’t see it as being any more successful today than it was 15 years ago. Just keep your fingers in your ears until they go away.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From: [mailto: ] On Behalf Of Sent: Friday, December 10, 2010 12:40 PMTo: Subject: Re: EHR federal money- best use- anyone qualify?

for what it is worth here in Maine in the last six months alone, I have seen several folks leave big practices to open their own .Heme/onc, fps , endocrine , a family NP. The desire to practice better forces people to leave the employed spots ,too bad that "employed" does not equal quality for many docs and patients.

Exactly. An unfortunate consequence of the toxic policy environment is the absorption of primary care practices into large organizations, some of which will unintentionally turn them into big-box medicine. Mom and pop shops died when Big Box came to town but we are seeing local farmer's markets and boutique food shops responding to their community's desire for something other than the big box product and service.

Gordon

RE demise of the solo

How about chain groceries vs speciality grocery stores?

Quality is the customer's choice; I suspect that costs in BIG CORPORATE medical structures will go up and up and pt will have LESS access to a physician rather than more.

IMP ongoing!

Matt solo in Western PA

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few monthsâ€â€a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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-- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org

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whoa! I forgot to add in the medicare patient due aspect to allowables .Thanks Kathy!that will bring up my totals a few thousand, I might hit 11-12k in allowable chargesHmm maybe that will be enough for me to do the work for MUdollars (dolors) I guess $8 K is not to be sneezed atsupposedly AC will be ready to meet MU criteria by the end of the yearTo: From: karen.oaktree@...Date: Thu, 9 Dec 2010 15:18:07 -0800Subject: RE: Re: EHR federal money- best use- anyone qualify?

I have a “Till Reconciliation” report that

I can run by insurance type….so I ran it for Medicare patients only for the

year so far and estimated 2011 on that.

Alternatively, you can run an RVU report

for your Medicare patients, which will show you how many of each CPT code you

have billed for the time period. Mine also shows “collected” charges and “billed”

charges.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Kathy Saradarian, MD

Sent: Thursday, December 09, 2010

2:47 PM

To:

Subject: RE:

Re: EHR federal money- best use- anyone qualify?

Actually “allowable charges” is what Medicare pays and the

patient’s co-pay. Which is even better! I wonder how you figure

that though.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]

On Behalf Of Ellen son

Sent: Thursday, December 09, 2010

3:41 PM

To:

Subject: Re:

Re: EHR federal money- best use- anyone qualify?

"Allowable

charges" which means what Medicare will pay you. You can bill

as much as you want--it is not billing that counts.

>

> ,

>

> From what I read, you WILL BE paid a lump sum. The maximum incentive

> is 75% of allowable charges for the reporting year. Here’s

> something from the FAQ:

>

> Incentive payments for the Medicare EHR Incentive Program will be made

> approximately four to six weeks after an eligible professional (EP),

> eligible hospital, or Critical Access Hospital (CAH) successfully

> attests that they have demonstrated meaningful use of certified EHR

> technology. Payments to Medicare providers will be made to the

> taxpayer identification number (TIN) selected at the time of

> registration, through the same channels their claims payments are

> made. The form of payment (electronic funds transfer or check) will be

> the same as claims payments. While CMS expects that Medicare incentive

> payments will begin in May 2011, payments will be held for EPs until

> the EP meets the $24,000 threshold in allowed charges.

>

> So, if you don’t meet the maximum allowable of $24,000 in CY2011,

> you should expect to receive a check in about April 2012 that is

> equivalent to 75% of your allowable charges for claims submitted for

> CY2011 that were submitted prior to 2/29/12.

>

> And let’s all not forget that the rules will change in 2013….with

> Stage 2.

>

>

>

> ** Pratt**

>

> Office Manager

>

> Oak Tree Internal Medicine P.C

>

> www.prattmd.info <http://www.prattmd.info>

>

> ----------------------------------------------------------

>

> *From:*

> [mailto: ]

*On Behalf Of *ericbeeman3

> *Sent:* Thursday, December 09, 2010 6:56 AM

> *To:*

> *Subject:* Re: EHR federal money- best use-

> anyone qualify?

>

> thanks for pointing out that the incentive will be 75% percent

> medicare rather than a lump sum. I didn't see that until I read the

> detail in the CMS Incentive Tip Sheet

> <http://www.cms.gov/MLNProducts/downloads/CMS_eHR_Tip_Sheet.pdf>

.. CMS

> curiously leaves this "minor" detail on some of their webpages

such as

> their payment table for Medicare Eligible Professionals

> <http://www.cms.gov/EHRIncentivePrograms/60_Medicare_Eligibile_Professionals.asp#TopOfPage>.

> So to get the maximum $18000 payment in either 2011 or 2012, you must

> bill medicare at least $24000. Now I need to check our medicare

> billing for 2010. I believe we will be close if not slightly above as

> we have high volume medicare.

>

>

>

>

>

> >

> > All,

> >

> > For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> >

> > Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few

> monthsâ€"a new, all inclusive IMP web site and an IMP

certification

> process!!

> >

> > Also, for those of you who have been fortunate enough to have a

> profit in your office this year and are looking for somewhere to

> donate, remember that we are a Not For Profit Organization and remain

> more than willing to put your money to good use while reducing your

> tax burden. J Either work through the website link below or contact

> (IMP Treasurer) off list at jnantonucci@... and she will make

> sure all the I’s are officially dotted and the T’s are

> officially crossed. Thank you for your continued interest!

> >

> >

> >

> > IMP Secretary

> >

> > Chair, IMP Membership Committee

> >

> >

> >

> > CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships

> >

> >

> >

> >

> >

> >

> > --

> > M.D.

> > www.elainemd.com

> > Office:

> > Go in the directions of your dreams and live the life you've

imagined.

> > This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

> >

> >

> >

> > If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

> >

> >

> >

> > --

> > This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

> >

> > Ingrid L. Edstrom FNP, M.Ed

> > Wuthenow, Office Manager

> >

> > www.InfraredBreastHealth.com

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> > Reply to sender | Reply to group | Reply via web post | Start a New

Topic

> > Messages in this topic (3)

> > RECENT ACTIVITY: New Members 4

> > Visit Your Group

> > MARKETPLACE

> > Hobbies & Activities Zone: Find others who share your passions!

> Explore new interests.

> >

>

>

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Lynn and others,

remember only the first year is 18,000, and second 12,000, and thrird 8,000 and fourth 4,000. You would still stand to clear $28,000 for your efforts.

Also, if you recruit new patients like medicare with diabetes or heart disease. Only 250 patients are needed for 1000 visits for good care for these people. Even if just 99213 of $50 that is $50,000 per year. Low estimate. Go find them and give them better care.

To: practiceimprovement1 Sent: Fri, December 10, 2010 7:54:49 AMSubject: RE: Re: EHR federal money- best use- anyone qualify?

whoa! I forgot to add in the medicare patient due aspect to allowables .Thanks Kathy!that will bring up my totals a few thousand, I might hit 11-12k in allowable chargesHmm maybe that will be enough for me to do the work for MUdollars (dolors) I guess $8 K is not to be sneezed atsupposedly AC will be ready to meet MU criteria by the end of the year

To: From: karen.oaktree@...Date: Thu, 9 Dec 2010 15:18:07 -0800Subject: RE: Re: EHR federal money- best use- anyone qualify?

I have a “Till Reconciliation†report that I can run by insurance type….so I ran it for Medicare patients only for the year so far and estimated 2011 on that.

Alternatively, you can run an RVU report for your Medicare patients, which will show you how many of each CPT code you have billed for the time period. Mine also shows “collected†charges and “billed†charges.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Kathy Saradarian, MDSent: Thursday, December 09, 2010 2:47 PMTo: Subject: RE: Re: EHR federal money- best use- anyone qualify?

Actually “allowable charges†is what Medicare pays and the patient’s co-pay. Which is even better! I wonder how you figure that though.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From: [mailto: ] On Behalf Of Ellen sonSent: Thursday, December 09, 2010 3:41 PMTo: Subject: Re: Re: EHR federal money- best use- anyone qualify?

"Allowable charges" which means what Medicare will pay you. You can bill as much as you want--it is not billing that counts.>> ,>> From what I read, you WILL BE paid a lump sum. The maximum incentive > is 75% of allowable charges for the reporting year. Here’s > something from the FAQ:>> Incentive payments for the Medicare EHR Incentive Program will be made > approximately four to six weeks after an eligible professional (EP), > eligible hospital, or Critical Access Hospital (CAH) successfully > attests that they have demonstrated meaningful use of certified EHR > technology. Payments to Medicare providers will be made to the > taxpayer identification number (TIN) selected at the time of > registration,

through the same channels their claims payments are > made. The form of payment (electronic funds transfer or check) will be > the same as claims payments. While CMS expects that Medicare incentive > payments will begin in May 2011, payments will be held for EPs until > the EP meets the $24,000 threshold in allowed charges.>> So, if you don’t meet the maximum allowable of $24,000 in CY2011, > you should expect to receive a check in about April 2012 that is > equivalent to 75% of your allowable charges for claims submitted for > CY2011 that were submitted prior to 2/29/12.>> And let’s all not forget that the rules will change in 2013….with > Stage 2.>> >> ** Pratt**>> Office Manager>> Oak Tree Internal Medicine P.C>> www.prattmd.info <http://www.prattmd.info>>> ---------------------------------------------------------->> *From:* > [mailto: ] *On Behalf Of *ericbeeman3> *Sent:* Thursday, December 09, 2010 6:56 AM> *To:* > *Subject:* Re: EHR federal money- best use- > anyone qualify?>> thanks for pointing out that the incentive will be

75% percent > medicare rather than a lump sum. I didn't see that until I read the > detail in the CMS Incentive Tip Sheet > <http://www.cms.gov/MLNProducts/downloads/CMS_eHR_Tip_Sheet.pdf> . CMS > curiously leaves this "minor" detail on some of their webpages such as > their payment table for Medicare Eligible Professionals > <http://www.cms.gov/EHRIncentivePrograms/60_Medicare_Eligibile_Professionals.asp#TopOfPage>. > So to get the maximum $18000 payment in either 2011 or 2012, you must > bill medicare at least $24000. Now I need to check our medicare > billing for 2010. I believe we will be close if not slightly above as > we have high

volume medicare.>> >>> > >> > All,> >> > For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active

memberships run > through 6/30/2011.> >> > Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few > monthsâ€"a new, all inclusive IMP web site and an IMP certification > process!!> >> > Also, for those of you who have been fortunate enough to have a > profit in your office this year and are looking for somewhere to > donate, remember that we are a Not For Profit Organization and remain > more than willing to put your money to good use while reducing your > tax burden. J Either work through the website link below or contact > (IMP Treasurer) off list at jnantonucci@... and she will make > sure all the I’s are officially dotted and the T’s are >

officially crossed. Thank you for your continued interest!> >> > > >> > IMP Secretary> >> > Chair, IMP Membership Committee> >> >> >> > CLICK HERE TO JOIN => http://www.idealhealthnetwork.org/memberships> >> >> >> >> >> >> > --> > M.D.> > www.elainemd.com> > Office: > > Go in the directions of your dreams and live the life you've imagined.> > This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>

>> >> >> > If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.> >> >> >> > --> > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.> >> > Ingrid L. Edstrom FNP, M.Ed> > Wuthenow, Office Manager> >> > www.InfraredBreastHealth.com> >> >> >> >> >> >> >> >>

>> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> >> > Reply to sender | Reply to group | Reply via web post | Start a New Topic> > Messages in this topic (3)> > RECENT ACTIVITY: New Members 4> > Visit Your Group> > MARKETPLACE> > Hobbies & Activities Zone: Find others who share your passions! > Explore new interests.> >>>

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Exactly. An unfortunate consequence of the toxic policy environment is the absorption of primary care practices into large organizations, some of which will unintentionally turn them into big-box medicine. Mom and pop shops died when Big Box came to town but we are seeing local farmer's markets and boutique food shops responding to their community's desire for something other than the big box product and service.Gordon

RE demise of the solo

How about chain groceries vs speciality grocery stores?

Quality is the customer's choice; I suspect that costs in BIG CORPORATE medical structures will go up and up and pt will have LESS access to a physician rather than more.

IMP ongoing!

Matt solo in Western PA

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few months—a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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-- Sangeetha Murthy M.D

7830 mont Mesa Blvd #287

San Diego, CA 92111

www.mypcponline.com

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for what it is  worth here in Maine in the  last six months alone,  I have seen several  folks  leave big practices to open their own .Heme/onc, fps , endocrine ,  a family NP. The desire to practice better forces people to leave the employed spots ,too bad that " employed " does not equal quality for many docs and patients.

 

Exactly.  An unfortunate consequence of the toxic policy environment is the absorption of primary care practices into large organizations, some of which will unintentionally turn them into big-box medicine.  Mom and pop shops died when Big Box came to town but we are seeing local farmer's markets and boutique food shops responding to their community's desire for something other than the big box product and service.

Gordon

 

RE demise of the solo

 

How about chain groceries vs speciality grocery stores?

 

Quality is the customer's choice; I suspect that costs in BIG CORPORATE medical structures will go up and up and pt will have LESS access to a physician rather than more.

 

IMP ongoing!

 

Matt solo in Western PA

 

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The

> email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled " Waves of > Serenity " . It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a " yes/no " test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The

> administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few months—a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>

>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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-- Sangeetha Murthy M.D

7830 mont Mesa Blvd #287

San Diego, CA 92111

www.mypcponline.com

-- PATIENTS-please remember  that email may not be entirely secure, and that Email is part of the medical  record and is placed into your  chart ( be careful what you say!)

Email is best used for appointment making and  brief  questionsEmail replies can be expected within 24 hours-Please CALL  if the  matter is more urgent .     MD    

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To me this is like déjà-vu all over again. The hospitals

just want to make sure they are part of the equation. So they are doing

the same thing the did in the mid 90’s saying that solo and small practices

can’t survive and our lives will be so much better if we let them handle this

difficult job for our nonbusiness little brains. I was part of a

successful practice in the early 90’s; before capitation fees were ratcheted

down to peanuts as well as everything else. The hospital was buying up

primary care practices or offering management contracts. WE knew we didn’t

want to be owned but the management contract sounded too good to turn

down. We were also expanding and needing to build out a new office,

etc.

It was a total failure. None of the economies of scale

they promised. None of the taking away management issues so we could just

practice medicine. Staff were constantly being hired and leaving.

We still had management meetings and would be handed 100 page reports of

detailed accounting saying “see more peopleâ€. Billing dropped to poor performance.

Layers of management were added to our practice that we didn’t need and all

these new fees assessed. The build out probably cost twice as much as it

should have and took months to make every decision.

I don’t see what is happening now as any different. The hospitals

know they need to create a new profit center. They don’t want to be left

out so they are trying to become the foundation. They are running around

pronouncing that this will be our only hope. We don’t have to

listen. I don’t see it as being any more successful today than it was 15

years ago. Just keep your fingers in your ears until they go away.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Jean

Antonucci

Sent: Friday, December 10, 2010 12:40 PM

To:

Subject: Re: EHR federal money- best use- anyone

qualify?

for what it is worth here in Maine in

the last six months alone, I have seen several folks

leave big practices to open their own .Heme/onc, fps , endocrine , a

family NP.

The desire to practice better forces people to leave the employed spots

,too bad that " employed " does not equal quality for many docs and

patients.

On Fri, Dec 10, 2010 at 10:31 AM, L. Gordon

wrote:

Exactly. An unfortunate consequence of the

toxic policy environment is the absorption of primary care practices into large

organizations, some of which will unintentionally turn them into big-box

medicine. Mom and pop shops died when Big Box came to town but we are

seeing local farmer's markets and boutique food shops responding to their

community's desire for something other than the big box product and service.

Gordon

On Dec 10, 2010, at 4:56 AM, Dr

Levin wrote:

RE demise of the solo

How about chain groceries vs speciality

grocery stores?

Quality is the customer's choice; I suspect

that costs in BIG CORPORATE medical structures will go up and up and pt will

have LESS access to a physician rather than more.

IMP ongoing!

Matt solo in Western PA

EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>>

wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> email for patients would be <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska as well

> as 9 women driving from Seattle (6 hours one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2 fast

> cameras in the Oregon. Most of us are at medicl schools or in research

> facilities. My colleague in Portland does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled " Waves of

> Serenity " . It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a " yes/no " test

with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

>

************************************************************************************************************************************************************************************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>>

wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>>

wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few monthsâ€â€a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact

> (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

and she will make sure all the I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

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>

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>

>

> Reply to sender<mailto:ingrid.edstrom@...

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La, La, La, La, La!!!!!!!!!!!! I Can't Hear Yoooouuuuuuu! :)

To: Sent: Fri, December 10, 2010 1:35:08 PMSubject: RE: EHR federal money- best use- anyone qualify?

To me this is like déjà-vu all over again. The hospitals just want to make sure they are part of the equation. So they are doing the same thing the did in the mid 90’s saying that solo and small practices can’t survive and our lives will be so much better if we let them handle this difficult job for our nonbusiness little brains. I was part of a successful practice in the early 90’s; before capitation fees were ratcheted down to peanuts as well as everything else. The hospital was buying up primary care practices or offering management contracts. WE knew we didn’t want to be owned but the management contract sounded too good to turn down. We were also expanding and needing to build out a new office, etc.

It was a total failure. None of the economies of scale they promised. None of the taking away management issues so we could just practice medicine. Staff were constantly being hired and leaving. We still had management meetings and would be handed 100 page reports of detailed accounting saying “see more peopleâ€. Billing dropped to poor performance. Layers of management were added to our practice that we didn’t need and all these new fees assessed. The build out probably cost twice as much as it should have and took months to make every decision.

I don’t see what is happening now as any different. The hospitals know they need to create a new profit center. They don’t want to be left out so they are trying to become the foundation. They are running around pronouncing that this will be our only hope. We don’t have to listen. I don’t see it as being any more successful today than it was 15 years ago. Just keep your fingers in your ears until they go away.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From: [mailto: ] On Behalf Of Sent: Friday, December 10, 2010 12:40 PMTo: Subject: Re: EHR federal money- best use- anyone qualify?

for what it is worth here in Maine in the last six months alone, I have seen several folks leave big practices to open their own .Heme/onc, fps , endocrine , a family NP. The desire to practice better forces people to leave the employed spots ,too bad that "employed" does not equal quality for many docs and patients.

Exactly. An unfortunate consequence of the toxic policy environment is the absorption of primary care practices into large organizations, some of which will unintentionally turn them into big-box medicine. Mom and pop shops died when Big Box came to town but we are seeing local farmer's markets and boutique food shops responding to their community's desire for something other than the big box product and service.

Gordon

RE demise of the solo

How about chain groceries vs speciality grocery stores?

Quality is the customer's choice; I suspect that costs in BIG CORPORATE medical structures will go up and up and pt will have LESS access to a physician rather than more.

IMP ongoing!

Matt solo in Western PA

EHR federal money- best use- anyone >

qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid >

numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9

women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer

tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your

women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been

identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>>

************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join

the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few monthsâ€â€a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are

officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've

imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L.

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Thanks all. I had an inspired moment. It passed

quickly. Fortunate to get the whole thing written ;-)

’s technique works also as long as you stick your tongue out

as your are singing the “Lalalalalalaâ€

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of tolpeople@...

Sent: Friday, December 10, 2010 1:53 PM

To:

Subject: Re: EHR federal money- best use- anyone

qualify?

Very nicely said --- you should publish that somewhere as an

editorial.

Deanna

In a message dated 12/10/2010 11:35:14 A.M. Mountain Standard Time,

qualityfp@... writes:

To me this is like déjà-vu all over

again. The hospitals just want to make sure they are part of the

equation. So they are doing the same thing the did in the mid 90’s saying

that solo and small practices can’t survive and our lives will be so much

better if we let them handle this difficult job for our nonbusiness little

brains. I was part of a successful practice in the early 90’s; before

capitation fees were ratcheted down to peanuts as well as everything else.

The hospital was buying up primary care practices or offering management

contracts. WE knew we didn’t want to be owned but the management contract

sounded too good to turn down. We were also expanding and needing to

build out a new office, etc.

It was a total failure. None of

the economies of scale they promised. None of the taking away management

issues so we could just practice medicine. Staff were constantly being

hired and leaving. We still had management meetings and would be handed

100 page reports of detailed accounting saying “see more peopleâ€. Billing

dropped to poor performance. Layers of management were added to our

practice that we didn’t need and all these new fees assessed. The build

out probably cost twice as much as it should have and took months to make every

decision.

I don’t see what is happening now as any

different. The hospitals know they need to create a new profit

center. They don’t want to be left out so they are trying to become the

foundation. They are running around pronouncing that this will be our

only hope. We don’t have to listen. I don’t see it as being any

more successful today than it was 15 years ago. Just keep your fingers in

your ears until they go away.

Kathy

Saradarian, MD

Branchville,

NJ

www.qualityfamilypractice.com

Solo 4/03,

Practicing since 9/90

Practice

Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of Jean

Antonucci

Sent: Friday, December 10, 2010 12:40 PM

To:

Subject: Re: EHR federal money- best use- anyone

qualify?

for

what it is worth here in Maine in the last six months alone,

I have seen several folks leave big practices to open their own

..Heme/onc, fps , endocrine , a family NP.

The desire to practice better forces people to leave the employed spots

,too bad that " employed " does not equal quality for many docs and

patients.

On Fri, Dec 10, 2010 at 10:31 AM, L. Gordon

wrote:

Exactly. An unfortunate consequence of the toxic policy

environment is the absorption of primary care practices into large organizations,

some of which will unintentionally turn them into big-box medicine. Mom

and pop shops died when Big Box came to town but we are seeing local farmer's

markets and boutique food shops responding to their community's desire for

something other than the big box product and service.

Gordon

On Dec 10, 2010, at 4:56 AM, Dr

Levin wrote:

RE demise of the

solo

How about chain

groceries vs speciality grocery stores?

Quality is the

customer's choice; I suspect that costs in BIG CORPORATE medical structures

will go up and up and pt will have LESS access to a physician rather than more.

IMP ongoing!

Matt solo in

Western PA

----- Original

Message -----

From: L. Gordon

To:

Sent: Thursday, December 09, 2010 12:41 PM

Subject: Re: EHR federal

money- best use- anyone qualify?

Catch this in a recent health care industry trade journal:

It may be hard to believe, but many

experts believe the days of the independent family doctor, running a small,

highly personal private practice, may be coming to an end. An estimated 2,910

physicians were involved in mergers or acquisitions last year - nearly double

the number in the previous year - according to a new report from

Pricewaterhouses. Mergers and acquisitions of physician practices has hit

a record number this year, and this trend is expected to continued as the

new health reform law is implemented.

From MidCap Advisors. Read

more...

It is possible that hospital

ownership gives you access to financing and technology that is otherwise out of

reach. Affiliation may not be a choice if your practice succumbs to the

toxicity level of your environment despite all your efforts.

I think there is still a place in

the world for independent practices and know that we can delivery very high

quality of care, use information technology on behalf of our patients,

coordinate care and work well with others (a.k.a. team) in this complex

system.

I believe the reports of our demise

are premature. We have one thing going for us: our patients.

Gordon

On Dec 9, 2010, at 7:17 AM,

Sangeetha Murthy wrote:

Hardly a surprise. Running upto the Health care reform battle,

there was oped after oped saying that the solo and small practices were the

bane of the health care system, how integrated health care systems were THINGS

OF BEAUTY.

I think the demise of the solo

practitioner is COOKED IN to the reform structure.

Now it is upto us to defy that.

On Thu, Dec 9, 2010 at 5:59 AM,

Kathy Saradarian, MD

wrote:

Wow, Beth.

Sounds like he was working for someone else and had an ulterior

motive. Don’t you have an EMR already?

I think he was

saying that what you qualify for isn’t enough for him There is no

minimum amount of Medicare. It’s just that you will get a smaller amount

and then have to decide if it is “worth itâ€. I don’t know why he was

pushing PCMH as there is no money in that, just cost.

I am not sure

about Medicare Advantage and whether it “counts†or not.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ]

On Behalf Of Beth Sullivan, DO

Sent: Thursday, December 09, 2010 8:44 AM

To:

Subject: RE: EHR federal money- best use- anyone

qualify?

The EHR consultant

who came to my office to do a review for organizing and Implementation of the

HER component of my ASP practice suite, reviewed all of my billing and advised

me that I can initiate the HER, but that the cost would all have to be absorbed

by me. The reason they gave was that my publically funded revenue stream

– General Medicaid and Medicare was insufficient to qualify for any EHR

monies. He did tell me that I might qualify for a small amount because I

have integrated electronic prescribing for most of my patients. One of

the recommendations made was that I should seek to merge my practice with

several other small offices in our area and that the local hospital was

interested in purchasing several of these offices in order to maximize the return

on incentive funding. The interesting thing is that this consultant

supposedly was an employee of the Department of Health & Human Services and

the forms he supplied which delineated these recommendations were all

preprinted check off sheets. When my husband asked about provisions, in

this implementation role out for the HER funds and a lot of the other things in

all these changes coming to healthcare as a result of all the new rules, in

relation to their effect on solo medical practices the agents response was that

if I didn’t consider aligning my practice with others in the area thru the

local hospital or the hospital about 40 minutes away I would probably not still

be in practice in 3-5 years. He claimed that the provisions in this law

were put in place to cut over all costs of healthcare delivery and streamline

the healthcare delivery system overall. HE claimed to have gone thru a 2

week training program before being sent out to do these site reviews and said

that one of the main points the trainers drove home was that the small “soloâ€

practice would not survive the Impending changes and that they were instructed

to urge independent practices to join with other practices to make large groups

that could meet the PCMH tenants and to ultimately merge with hospital

healthcare systems. If, as a solo provider, I chose not to heed this

advice I should plan to seek other employment soon as he did not believe that

any solo offices would still exist in 5 years. He claimed he was aware of

the IMP grassroots movement, but that it was not feasible in the current

healthcare environment long-term. HE was rather solicitous when he left

telling me to not say he didn’t forewarn us.

Beth

Sullivan, DO

Ridgeway

Family Practice

Commerce,

GA 30529

From:

[mailto: ]

On Behalf Of Ellen son

Sent: Thursday, December 09, 2010 12:42 AM

To:

Subject: Re: EHR federal money- best use- anyone

qualify?

MDC? There is no floor on Medicare but there is on % of

Medicaid--must

be 30% of your practice.

Good to know that Extension Centers will help for this. They are set up

in every state to help with this whole EHR process.

>

> I believe that there is no floor for the number of MDC patients you

> need to have, but the payment is based on a percentage and may not be

> worth doing. We will qualify, we have 12% MDC. Our EHR is certified

> and they are putting all of the pieces together. The one issue for us

> was the security piece. We found that through COHIRO, there are

> " Extention agencies " in every region of the state. We have

talked to

> them and they will do the entire review of our EHR and security piece

> for free. Contact yours and see what you need to do. You can do it for

> any 90 day period next year, or even the year after, so you could

> recruit more MDC patients, it might be worth it to get up the $44k

> dollars.

> ________________________________________

> From:

> <mailto:%40yahoogroups.com>

> [

> <mailto:%40yahoogroups.com>]

On Behalf Of

> Weakland [mrweakland@... <mailto:mrweakland%40yahoo.com>]

> Sent: Wednesday, December 08, 2010 8:36 AM

> To:

> <mailto:%40yahoogroups.com>

> Subject: EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...

> <mailto:ingrid.edstrom%40gmail.com>>>

wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> email for patients would be <mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska as well

> as 9 women driving from Seattle (6 hours one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2 fast

> cameras in the Oregon. Most of us are at medicl schools or in research

> facilities. My colleague in Portland does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled " Waves of

> Serenity " . It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a " yes/no " test

with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is <http://www.InfraredBreastHealth.com>

> www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

> ************************************************************************************************************************************************************************************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>elaine2md@...

> <mailto:elaine2md%40gmail.com><mailto:elaine2md@...

> <mailto:elaine2md%40gmail.com>>>

wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

> <<mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@...

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>>

wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few monthsâ€â€a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact

> (IMP Treasurer) off list at <mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

jnantonucci@...

> <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...

> <mailto:jnantonucci%40gmail.com>>

and she will make sure all the I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

> Reply to sender<mailto:ingrid.edstrom@...

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Sounds like my teenager.........

EHR federal money- best use- anyone > qualify?>> We've just starting looking at how we might qualify for the federal > money as we have EHR. There is a local group in Seattle that was > awarded a grant to help practices less than 10 providers understand > how to qualify. So we jumped through hoops, filled out aplications and > had our first free consultation.>> Now that's another whole story. But one point was made clear- your > money is either based on percent Medicare ( of which we have about 1% > ) or you have to have 30% or more Medicaid per year of encounters. We > have about 37% with no insurance or Medicaid but only 26% looking at > just Medicaid visits.>> So seems we won't qualify for any money! Must say I'm amazed. And > curious if anyone on this list either sees enough Medicare to make the > money worth all the work to get it or qualifies based on Medicaid > numbers.>> Weakland>> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom <ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>>> wrote:>>>> Dear Elaine,>> I have just joined and I am trying to understand a bit about your > organization. I would be delighted to assist your patients. I am in > Eugene Oregon, but I also do phone consultations. Please see my web > site for an idea about my practice. You certainly can link to my site. > <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > email for patients would be <mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>> > InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@... > <mailto:InfraredBreastHealth%40gmail.com>>> The administrative office is PST 9-5 Mon through Friday>> I have been in a solo practice for 5 years now and the practice has > been growing. I have had 5 women fly in to see me from Alaska as well > as 9 women driving from Seattle (6 hours one way) , Idaho and northern > California as well as the whole state of Oregon. There are only 2 fast > cameras in the Oregon. Most of us are at medicl schools or in research > facilities. My colleague in Portland does sports medicine and he > travels with the Olympic team. I also have Non Profit status and I > have several clinical studies in process.>> My Proactive Breast Wellness Program has been reversing inflammatory > changes in the breast in 6-12 months as noted by our cutting edge > infrared camera as well as alterations in their saliva and serum > hormone levels.>> I can also put you in touch with some folks if you wish to have a > camera in your office also. It has a 97% sensitivity and can pick up > issues in the breast 3-8 years prior to mammograms. I have presented 4 > times now to the breast cancer tumor board rounds for women who had > negative mammograms and ultrasounds but I picked them up with IR and > got them in for MRI and surgical biopsy which was positive. Please > send me an email and I can send you more information so you can > consider an Infrared Camera in your office.>> Using my infrared camera I was able to stop the herbicide roadside > spraying in Lane County Oregon by presenting a power point > presentation to the county commissioners and the health department. > The camera can detect toxic exposure by Xenoestrogens and its effects > on breast tissue.. Oregon has the second highest breast cancer rate > per capita in the nation. We do a lot of clear cutting and have large > tracts of agriculture that are sprayed heavily like grass seed growers > or mint production.>> The camera is also fabulous for melanoma detection as well as > visualizing sub clinical hypothyroidism and thyroid nodules.>> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and > a provider's professional module CD with the handouts to give to your > nurse to provide a billable visit to your office as well as to sell > the CD sets at retail to make some money for your office. There is > also a free data disc with articles and information to go with the 9 > chapters. There is also a CD or DVD that I created entitled "Waves of > Serenity". It helps to reduce anxiety, pre and post operative pain, > stress and insomnia. I created the set while I was training at the > Mind Body Medical Institute under Herbert Benson, MD. I know you have > a busy practice and do not have the time to spend 3 1/2 hours with > each woman to assist her with her breast health. My program can assist > you and empower your women.>> The first version will be down loadable hopefully in the next 3-4 > months nationally. I am currently creating a customized nutritional > supplement line to go with the Proactive Breast Program to be able to > decrease the number of supplements needed and increase compliance. If > you go to my website in the Proactive section, there is a site to put > in your office email so I can have this available to your office once > it is launched and my staff will be able to contact you.>> I also wanted to introduce you to a breast cancer tumor marker test > that is newly available called the BT Test. It is a biomarker test > that looks at 5 tumor markers. It has a 97% sensitivity in women under > the age of 50 and 86% over the age of 50. It is a "yes/no" test with > the negative range of 1-59. Above 60 is considered positive. They have > been identifying women 2-3 years prior to mammogram detection. My > Infrared camera will identify a problem 3-8 years prior to mammogram, > when I then hope to be able to reverse the inflammation with the > Proactive Program. The interesting part is that the women that have > had abnormal thermograms so far have in 100% of the time have ALL had > elevated tumor markers ! I am using this test as a tie breaker. If the > woman has a negative mammo and ultrasound but she has an abnormal > hyper-thermic scan and I think she needs an MRI or a surgical > excision, if I then get a positive tumor marker, the AIMES MD has been > OKing the MRI even with previous negative structural studies. Or if > the marker is elevated the woman is more likely to agree to a surgical > procedure that I think she needs.>> If you would like more information, please contact me via this email > and I will send you a power point presentation that will in much > greater detail inform you as to how this BT Test will assist you and > your practice.>> Thank you for your interest and I hope to do more networking with your > group.>> My website is <http://www.InfraredBreastHealth.com> > www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> The > administrative office is PST 9-5 Mon through Friday>>> My Warm Regards,>> Ingrid Edstrom>>>>> ************************************************************************************************************************************************************************************************************************ >>> On Tue, Dec 7, 2010 at 7:38 PM, > <<mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>elaine2md@... > <mailto:elaine2md%40gmail.com><mailto:elaine2md@... > <mailto:elaine2md%40gmail.com>>> wrote:>>> Just joined! I saw the HYH link. Can I put that link on my website and > direct my pt to it? Is there more to that?>>> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady > <<mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@... > <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:>> All,> For those of you waiting for the right time to join Ideal Medical > Practices, a non-profit organization, now is the time. We are running > a Holiday Half-Price Bonanza where you can join the organization at > the basic membership level for $75 or at the premium level (and enjoy > monthly CME approved phone calls) for $125. All active memberships run > through 6/30/2011.> Although the process has been slow at times, we are working hard > behind the scenes to make sure this organization reflects the desires > of the membership. Some big things coming in the next few monthsâ€â€a > new, all inclusive IMP web site and an IMP certification process!!> Also, for those of you who have been fortunate enough to have a profit > in your office this year and are looking for somewhere to donate, > remember that we are a Not For Profit Organization and remain more > than willing to put your money to good use while reducing your tax > burden. ☺ Either work through the website link below or contact > (IMP Treasurer) off list at <mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> jnantonucci@... > <mailto:jnantonucci%40gmail.com><mailto:jnantonucci@... > <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s > are officially dotted and the T’s are officially crossed. Thank you > for your continued interest!> > IMP Secretary> Chair, IMP Membership Committee>> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships> > http://www.idealhealthnetwork.org/memberships>>>>> -- > M.D.> <http://www.elainemd.com>www.elainemd.com<http://www.elainemd.com>> Office: > Go in the directions of your dreams and live the life you've imagined.> This email transmission may contain protected and privileged, highly > confidential medical, Personal and Health Information (PHI) and/or > legal information. The information is intended only for the use of the > individual or entity named above.>>>> If you are not the intended recipient of this material, you may not > use, publish, discuss, disseminate or otherwise distribute it. If you > are not the intended recipient, or if you have received this > transmission in error, please notify the sender immediately and > confidentially destroy the information that email in error.>>>> -- > This is a send only email account for Infrared Breast Health. We > cannot respond to email correspondence coming to this address. Please > call the office at if you have questions or concerns.>> Ingrid L. Edstrom FNP, M.Ed> Wuthenow, Office Manager>> <http://www.InfraredBreastHealth.com>www.InfraredBreastHealth.com<http://www.InfraredBreastHealth.com> >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> Reply to sender<mailto:ingrid.edstrom@... > <mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply to group<mailto: > <mailto:%40yahoogroups.com>?subject=Re%3A%20%5B%5D%20IMP%20Membership%20Drive> > | Reply via web > post<http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783 > <http://groups.yahoo.com/group//post;_ylc=X3oDMTJxMGwwYTN0BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3JwbHkEc3RpbWUDMTI5MTc4NTUxMQ--?act=reply & messageNum=49783>> > | Start a New > Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkNWhqBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwNmdHIEc2xrA250cGMEc3RpbWUDMTI5MTc4NTUxMQ--> >> Messages in this > topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oDMTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lkAzQ5NzgzBHNlYwNmdHIEc2xrA3Z0cGMEc3RpbWUDMTI5MTc4NTUxMQR0cGNJZAM0OTc0NQ--> > (3)> Recent Activity:>> * New > Members<http://groups.yahoo.com/group//members;_ylc=X3oDMTJmaDVnZDRpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZtYnJzBHN0aW1lAzEyOTE3ODU1MTE-?o=6> > 4>> Visit Your > Group<http://groups.yahoo.com/group/;_ylc=X3oDMTJldGo0aXJpBF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BHNlYwN2dGwEc2xrA3ZnaHAEc3RpbWUDMTI5MTc4NTUxMQ--> >> MARKETPLACE>> Hobbies & Activities Zone: Find others who share your passions! > Explore new > interests.<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.13298430/D=grphealth/S=1705061327:MKP1/Y=YAHOO/EXP=1291792711/L=98e6dd70-028a-11e0-a7ee-5bfdeed946a3/B=rcaJBEoGYzY-/J=1291785511531502/K=OgVlTc5Up6zbBU41fAQZDg/A=6015306/R=0/SIG=11vlkvigg/*http://advision.webevents.yahoo.com/hobbiesandactivitieszone/> >>>>>

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-- Sangeetha Murthy M.D

7830 mont Mesa Blvd #287

San Diego, CA 92111

www.mypcponline.com

-- PATIENTS-please remember that email may not be entirely secure, and that Email is part of the medical record and is placed into your chart ( be careful what you say!)Email is best used for appointment making and brief questionsEmail replies can be expected within 24 hours-Please CALL if the matter is more urgent . MD ph fax impcenter.org

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I agree with you, but the ACO language is coming from the health bill, not the

hospitals. They are looking for a way to make it work, but we can't be left in

the dust either. I am hoping this doesn't happen until I reitre. Been there done

that!

________________________________________

From:

[ ] On Behalf Of Kathy Saradarian, MD

[qualityfp@...]

Sent: Friday, December 10, 2010 4:19 PM

To:

Subject: RE: EHR federal money- best use- anyone qualify?

Thanks all. I had an inspired moment. It passed quickly. Fortunate to get the

whole thing written ;-)

’s technique works also as long as you stick your tongue out as your are

singing the “Lalalalalala”

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of tolpeople@...

Sent: Friday, December 10, 2010 1:53 PM

To:

Subject: Re: EHR federal money- best use- anyone qualify?

Very nicely said --- you should publish that somewhere as an editorial.

Deanna

In a message dated 12/10/2010 11:35:14 A.M. Mountain Standard Time,

qualityfp@... writes:

To me this is like déjà-vu all over again. The hospitals just want to make sure

they are part of the equation. So they are doing the same thing the did in the

mid 90’s saying that solo and small practices can’t survive and our lives will

be so much better if we let them handle this difficult job for our nonbusiness

little brains. I was part of a successful practice in the early 90’s; before

capitation fees were ratcheted down to peanuts as well as everything else. The

hospital was buying up primary care practices or offering management contracts.

WE knew we didn’t want to be owned but the management contract sounded too good

to turn down. We were also expanding and needing to build out a new office,

etc.

It was a total failure. None of the economies of scale they promised. None of

the taking away management issues so we could just practice medicine. Staff

were constantly being hired and leaving. We still had management meetings and

would be handed 100 page reports of detailed accounting saying “see more

people”. Billing dropped to poor performance. Layers of management were added

to our practice that we didn’t need and all these new fees assessed. The build

out probably cost twice as much as it should have and took months to make every

decision.

I don’t see what is happening now as any different. The hospitals know they

need to create a new profit center. They don’t want to be left out so they are

trying to become the foundation. They are running around pronouncing that this

will be our only hope. We don’t have to listen. I don’t see it as being any

more successful today than it was 15 years ago. Just keep your fingers in your

ears until they go away.

Kathy Saradarian, MD

Branchville, NJ

www.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing

From:

[mailto: ] On Behalf Of

Sent: Friday, December 10, 2010 12:40 PM

To:

Subject: Re: EHR federal money- best use- anyone qualify?

for what it is worth here in Maine in the last six months alone, I have seen

several folks leave big practices to open their own .Heme/onc, fps , endocrine

, a family NP.

The desire to practice better forces people to leave the employed spots ,too

bad that " employed " does not equal quality for many docs and patients.

On Fri, Dec 10, 2010 at 10:31 AM, L. Gordon

> wrote:

Exactly. An unfortunate consequence of the toxic policy environment is the

absorption of primary care practices into large organizations, some of which

will unintentionally turn them into big-box medicine. Mom and pop shops died

when Big Box came to town but we are seeing local farmer's markets and boutique

food shops responding to their community's desire for something other than the

big box product and service.

Gordon

RE demise of the solo

How about chain groceries vs speciality grocery stores?

Quality is the customer's choice; I suspect that costs in BIG CORPORATE medical

structures will go up and up and pt will have LESS access to a physician rather

than more.

IMP ongoing!

Matt solo in Western PA

EHR federal money- best use- anyone

> qualify?

>

> We've just starting looking at how we might qualify for the federal

> money as we have EHR. There is a local group in Seattle that was

> awarded a grant to help practices less than 10 providers understand

> how to qualify. So we jumped through hoops, filled out aplications and

> had our first free consultation.

>

> Now that's another whole story. But one point was made clear- your

> money is either based on percent Medicare ( of which we have about 1%

> ) or you have to have 30% or more Medicaid per year of encounters. We

> have about 37% with no insurance or Medicaid but only 26% looking at

> just Medicaid visits.

>

> So seems we won't qualify for any money! Must say I'm amazed. And

> curious if anyone on this list either sees enough Medicare to make the

> money worth all the work to get it or qualifies based on Medicaid

> numbers.

>

> Weakland

>

> On Dec 7, 2010, at 9:18 PM, Ingrid Edstrom

<ingrid.edstrom@...<mailto:ingrid.edstrom%40gmail.com>

>

<mailto:ingrid.edstrom%40gmail.com><mailto:ingrid.edstrom@...<mailto:ingri\

d.edstrom%40gmail.com>

> <mailto:ingrid.edstrom%40gmail.com>>> wrote:

>

>

>

> Dear Elaine,

>

> I have just joined and I am trying to understand a bit about your

> organization. I would be delighted to assist your patients. I am in

> Eugene Oregon, but I also do phone consultations. Please see my web

> site for an idea about my practice. You certainly can link to my site.

> <http://www.InfraredBreastHealth.com<http://www.infraredbreasthealth.com/>>

>

www.InfraredBreastHealth.com<http://www.infraredbreasthealth.com/><http://www.In\

fraredBreastHealth.com<http://www.infraredbreasthealth.com/>> The

> email for patients would be

<mailto:InfraredBreastHealth@...<mailto:InfraredBreastHealth%40gmail.com>

> <mailto:InfraredBreastHealth%40gmail.com>>

> InfraredBreastHealth@...<mailto:InfraredBreastHealth%40gmail.com>

>

<mailto:InfraredBreastHealth%40gmail.com><mailto:InfraredBreastHealth@...<\

mailto:InfraredBreastHealth%40gmail.com>

> <mailto:InfraredBreastHealth%40gmail.com>>

> The administrative office is PST 9-5 Mon through Friday

>

> I have been in a solo practice for 5 years now and the practice has

> been growing. I have had 5 women fly in to see me from Alaska as well

> as 9 women driving from Seattle (6 hours one way) , Idaho and northern

> California as well as the whole state of Oregon. There are only 2 fast

> cameras in the Oregon. Most of us are at medicl schools or in research

> facilities. My colleague in Portland does sports medicine and he

> travels with the Olympic team. I also have Non Profit status and I

> have several clinical studies in process.

>

> My Proactive Breast Wellness Program has been reversing inflammatory

> changes in the breast in 6-12 months as noted by our cutting edge

> infrared camera as well as alterations in their saliva and serum

> hormone levels.

>

> I can also put you in touch with some folks if you wish to have a

> camera in your office also. It has a 97% sensitivity and can pick up

> issues in the breast 3-8 years prior to mammograms. I have presented 4

> times now to the breast cancer tumor board rounds for women who had

> negative mammograms and ultrasounds but I picked them up with IR and

> got them in for MRI and surgical biopsy which was positive. Please

> send me an email and I can send you more information so you can

> consider an Infrared Camera in your office.

>

> Using my infrared camera I was able to stop the herbicide roadside

> spraying in Lane County Oregon by presenting a power point

> presentation to the county commissioners and the health department.

> The camera can detect toxic exposure by Xenoestrogens and its effects

> on breast tissue.. Oregon has the second highest breast cancer rate

> per capita in the nation. We do a lot of clear cutting and have large

> tracts of agriculture that are sprayed heavily like grass seed growers

> or mint production.

>

> The camera is also fabulous for melanoma detection as well as

> visualizing sub clinical hypothyroidism and thyroid nodules.

>

> The Proactive Program is a 5 CD set with 3 1/2 hours of narrative and

> a provider's professional module CD with the handouts to give to your

> nurse to provide a billable visit to your office as well as to sell

> the CD sets at retail to make some money for your office. There is

> also a free data disc with articles and information to go with the 9

> chapters. There is also a CD or DVD that I created entitled " Waves of

> Serenity " . It helps to reduce anxiety, pre and post operative pain,

> stress and insomnia. I created the set while I was training at the

> Mind Body Medical Institute under Herbert Benson, MD. I know you have

> a busy practice and do not have the time to spend 3 1/2 hours with

> each woman to assist her with her breast health. My program can assist

> you and empower your women.

>

> The first version will be down loadable hopefully in the next 3-4

> months nationally. I am currently creating a customized nutritional

> supplement line to go with the Proactive Breast Program to be able to

> decrease the number of supplements needed and increase compliance. If

> you go to my website in the Proactive section, there is a site to put

> in your office email so I can have this available to your office once

> it is launched and my staff will be able to contact you.

>

> I also wanted to introduce you to a breast cancer tumor marker test

> that is newly available called the BT Test. It is a biomarker test

> that looks at 5 tumor markers. It has a 97% sensitivity in women under

> the age of 50 and 86% over the age of 50. It is a " yes/no " test with

> the negative range of 1-59. Above 60 is considered positive. They have

> been identifying women 2-3 years prior to mammogram detection. My

> Infrared camera will identify a problem 3-8 years prior to mammogram,

> when I then hope to be able to reverse the inflammation with the

> Proactive Program. The interesting part is that the women that have

> had abnormal thermograms so far have in 100% of the time have ALL had

> elevated tumor markers ! I am using this test as a tie breaker. If the

> woman has a negative mammo and ultrasound but she has an abnormal

> hyper-thermic scan and I think she needs an MRI or a surgical

> excision, if I then get a positive tumor marker, the AIMES MD has been

> OKing the MRI even with previous negative structural studies. Or if

> the marker is elevated the woman is more likely to agree to a surgical

> procedure that I think she needs.

>

> If you would like more information, please contact me via this email

> and I will send you a power point presentation that will in much

> greater detail inform you as to how this BT Test will assist you and

> your practice.

>

> Thank you for your interest and I hope to do more networking with your

> group.

>

> My website is

<http://www.InfraredBreastHealth.com<http://www.infraredbreasthealth.com/>>

>

www.InfraredBreastHealth.com<http://www.infraredbreasthealth.com/><http://www.In\

fraredBreastHealth.com<http://www.infraredbreasthealth.com/>> The

> administrative office is PST 9-5 Mon through Friday

>

>

> My Warm Regards,

>

> Ingrid Edstrom

>

>

>

>

>

********************************************************************************\

********************************************************************************\

********************************************************

>

>

> On Tue, Dec 7, 2010 at 7:38 PM,

> <<mailto:elaine2md@...<mailto:elaine2md%40gmail.com>

>

<mailto:elaine2md%40gmail.com>>elaine2md@...<mailto:elaine2md%40gmail.com>

>

<mailto:elaine2md%40gmail.com><mailto:elaine2md@...<mailto:elaine2md%40gma\

il.com>

> <mailto:elaine2md%40gmail.com>>> wrote:

>

>

> Just joined! I saw the HYH link. Can I put that link on my website and

> direct my pt to it? Is there more to that?

>

>

> On Tue, Dec 7, 2010 at 7:56 AM, Dr. Brady

>

<<mailto:drbrady@...<mailto:drbrady%40thevillagedocto\

r.hrcoxmail.com>

>

<mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>drbrady@...\

mail.com<mailto:drbrady%40thevillagedoctor.hrcoxmail.com>

>

<mailto:drbrady%40thevillagedoctor.hrcoxmail.com><mailto:drbrady@thevillagedocto\

r.hrcoxmail.com<mailto:drbrady%40thevillagedoctor.hrcoxmail.com>

> <mailto:drbrady%40thevillagedoctor.hrcoxmail.com>>> wrote:

>

> All,

> For those of you waiting for the right time to join Ideal Medical

> Practices, a non-profit organization, now is the time. We are running

> a Holiday Half-Price Bonanza where you can join the organization at

> the basic membership level for $75 or at the premium level (and enjoy

> monthly CME approved phone calls) for $125. All active memberships run

> through 6/30/2011.

> Although the process has been slow at times, we are working hard

> behind the scenes to make sure this organization reflects the desires

> of the membership. Some big things coming in the next few months—a

> new, all inclusive IMP web site and an IMP certification process!!

> Also, for those of you who have been fortunate enough to have a profit

> in your office this year and are looking for somewhere to donate,

> remember that we are a Not For Profit Organization and remain more

> than willing to put your money to good use while reducing your tax

> burden. ☺ Either work through the website link below or contact Jean

> (IMP Treasurer) off list at

<mailto:jnantonucci@...<mailto:jnantonucci%40gmail.com>

> <mailto:jnantonucci%40gmail.com>>

jnantonucci@...<mailto:jnantonucci%40gmail.com>

>

<mailto:jnantonucci%40gmail.com><mailto:jnantonucci@...<mailto:jnantonucci\

%40gmail.com>

> <mailto:jnantonucci%40gmail.com>> and she will make sure all the I’s

> are officially dotted and the T’s are officially crossed. Thank you

> for your continued interest!

>

> IMP Secretary

> Chair, IMP Membership Committee

>

> CLICK HERE TO JOIN => <http://www.idealhealthnetwork.org/memberships>

> http://www.idealhealthnetwork.org/memberships

>

>

>

>

> --

> M.D.

>

<http://www.elainemd.com<http://www.elainemd.com/>>www.elainemd.com<http://www.e\

lainemd.com/><http://www.elainemd.com<http://www.elainemd.com/>>

> Office:

> Go in the directions of your dreams and live the life you've imagined.

> This email transmission may contain protected and privileged, highly

> confidential medical, Personal and Health Information (PHI) and/or

> legal information. The information is intended only for the use of the

> individual or entity named above.

>

>

>

> If you are not the intended recipient of this material, you may not

> use, publish, discuss, disseminate or otherwise distribute it. If you

> are not the intended recipient, or if you have received this

> transmission in error, please notify the sender immediately and

> confidentially destroy the information that email in error.

>

>

>

> --

> This is a send only email account for Infrared Breast Health. We

> cannot respond to email correspondence coming to this address. Please

> call the office at if you have questions or concerns.

>

> Ingrid L. Edstrom FNP, M.Ed

> Wuthenow, Office Manager

>

>

<http://www.InfraredBreastHealth.com<http://www.infraredbreasthealth.com/>>www.I\

nfraredBreastHealth.com<http://www.infraredbreasthealth.com/><http://www.Infrare\

dBreastHealth.com<http://www.infraredbreasthealth.com/>>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

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>

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>

>

> Reply to

sender<mailto:ingrid.edstrom@...<mailto:ingrid.edstrom%40gmail.com>

>

<mailto:ingrid.edstrom%40gmail.com>?subject=Re%3A%20%5B%5D%2\

0IMP%20Membership%20Drive>

> | Reply to

group<mailto: <mailto:%40\

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> | Reply via web

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Topic<http://groups.yahoo.com/group//post;_ylc=X3oDMTJlMHRkN\

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topic<http://groups.yahoo.com/group//message/49745;_ylc=X3oD\

MTM2MGxrOWs3BF9TAzk3MzU5NzE0BGdycElkAzkzNjA5MTQEZ3Jwc3BJZAMxNzA1MDYxMzI3BG1zZ0lk\

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itieszone/<http://global.ard.yahoo.com/SIG=15r5hbesr/M=493064.14012770.13963757.\

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--

Sangeetha Murthy M.D

7830 mont Mesa Blvd #287

San Diego, CA 92111

www.mypcponline.com<http://www.mypcponline.com/>

--

PATIENTS-please remember that email may not be entirely secure, and that Email

is part of the medical record and is placed into your chart ( be careful what

you say!)

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Email replies can be expected within 24 hours-Please CALL if the matter is

more urgent .

MD

ph fax

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