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Oh we are so proud of you! And it does get better. Once you get

your systems down and get in the flow of things you'll find that

things will be easier. I often feel my life " is " a vacation, plus I get

real vacations too!

I'm reminded of this quote:

A zen poet said, " A person who is a master in the art of living

makes little distinction between their work and their play, their

labor and their leisure, their mind and their body, their education

and their recreation, their love and their religion. They hardly

know which is which and simply pursue their vision of excellence

and grace, whatever they do, leaving others to decide whether

they are working or playing. To them they are always doing both.

I have some great ideas to help you if you ever want to talk.

Please feel free to call me. Our support system here is really

a career saver.

As shined the way for you, you are shining light for

other physicians.

Blessings ~

~ Pamela

Pamela Wible, MD

3575 St. #220

Eugene, OR 97405

roxywible@...

www.idealmedicalcare.org

>

> So, officially my partner and I have been open for 3 months. Seeing

> lots of patients because I only moved 8 miles away. Not getting paid,

> because of screw ups with credentialing that we started over 6 months

> ago because I only moved 8 miles away. But I am happy

>

> Struggling financially, and with volume. Partly it is just such a huge

> learning curve, referals, prior auths, billing, coding, etc. But I have

> a college student on break right now helping with some of the busy work,

> and I feel like each day I gain slightly in my efficiencies. And I

> believe that the financial piece will come.

>

> And many wondeful patients, so grateful to have a differnet model of

> care. Plus I've gotten several beautiful plants and some amazing peanut

> butter balls at Christmas.

>

> But I could use a little help. Basic coding, not to bad. Using Office

> Ally for both EMR and the billing piece, not great training from them

> but the system is user friendly and I find pretty intuitive to use.

> However, for not straight forward things I can't find an easy way to

> determine what to charge and how to code. Two examples, when it comes

> to meds, do people in general just mark up the cost of the medication?

> Or like a mirena IUD, do I charge 10% more than what it cost me? Second

> example, I have started doing more and more dry needling, advice on

> coding that?

>

> Anyway, had a melt down today because I can't imagine actually ever

> going on vacation again. But then I snapped out of it and (honestly my

> PMS got better) and I reminded myself how grateful I am for the

> opportunity to not be at my old job seeing 22 patnet in 6 hours, and

> watching the moral of the staff get worse daily

>

> Thanks for all those that have done this before me, to keep me dreaming

> about this so that I finally did it. Just the other day, a wonderful

> couple of mine were leaving my office, and said, " hey isn't there some

> doctor in Farmington that does this kind of thing, like answer her own

> phone? " . Yup, I said, she has been a great inspiration for people like

> me, burned out by the bigger systems that just put more barriers between

> patinets and their providers. They left my office, grateful for people

> like Jean!

>

>

> Jenn

>

>

>

>

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