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All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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and the usual answer for me - I got a few on ebay, even my peak flow meter whiich is a nice oneare you thiniking about PFT machines? those are expensive,\I did get one of those on ebay for a low price, but it was not helpful because it takes time to do the testing and the one I got does not print the output so you can't charge for it so I don't do them.To: From: qualityfp@...Date: Fri, 9 Dec 2011 17:32:54 -0500Subject: RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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I will check into de peak flows. No , I am not thinking in PFTs.

I was thinking a nice way to eval a asthma patient to walk in my office .

adolfo

To: practiceimprovement1 Sent: Saturday, December 10, 2011 10:20 AMSubject: RE: Re: peak flow

and the usual answer for me - I got a few on ebay, even my peak flow meter whiich is a nice oneare you thiniking about PFT machines? those are expensive,\I did get one of those on ebay for a low price, but it was not helpful because it takes time to do the testing and the one I got does not print the output so you can't charge for it so I don't do them.

To: From: qualityfp@...Date: Fri, 9 Dec 2011 17:32:54 -0500Subject: RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Pulse ox

Machines are cheaper every day.

Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done.

Dr Levin

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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not paid, and takes me 8-15 minutes only do if severely in needbut am getting a "free" spirometer soon through enrolling in a study, apparently quite a nice one, with netbook for printing, YAY!To: From: dr_levin@...Date: Sat, 10 Dec 2011 10:58:31 -0500Subject: Re: Re: peak flow Pulse oxMachines are cheaper every day. Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done. Dr Levin RE: Re: peak flow All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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I got my pulse ox at costco 30-40 dollars, it works fine.

To: Sent: Saturday, December 10, 2011 10:58 AMSubject: Re: Re: peak flow

 Pulse ox

Machines are cheaper every day.

Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done.

Dr Levin

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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ooh nice

 

I got my pulse ox at costco 30-40 dollars, it works fine.

To: Sent: Saturday, December 10, 2011 10:58 AM

Subject: Re: Re: peak flow

 

 Pulse ox

Machines are cheaper every day.

 

Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done.

 

Dr Levin

RE: Re: peak flow 

All peak flow meters are pretty cheap.  You get the disposable mouth pieces.  Can even get them at a local pharmacy.

 

 

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 sharkinn

Sent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

 

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene

>> any idea where can I get a cheap peak flow meter for my office?.

> thanks, adolfo>

--      MD          ph    fax

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To: Sent: Saturday, December 10, 2011 11:21 AMSubject: Re: Re: peak flow

ooh nice

I got my pulse ox at costco 30-40 dollars, it works fine.

To: Sent: Saturday, December 10, 2011 10:58 AMSubject: Re: Re: peak flow

 Pulse ox

Machines are cheaper every day.

Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done.

Dr Levin

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

-- MD ph fax

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46 dollars including the S & H.

somebody was trying to sell me one for 200's dollars

To: Sent: Saturday, December 10, 2011 11:21 AMSubject: Re: Re: peak flow

ooh nice

I got my pulse ox at costco 30-40 dollars, it works fine.

To: Sent: Saturday, December 10, 2011 10:58 AMSubject: Re: Re: peak flow

 Pulse ox

Machines are cheaper every day.

Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done.

Dr Levin

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

-- MD ph fax

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Lynn,What takes you 8-15 minutes?  Pulse ox takes me 10 seconds and peak flow about the same. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Lynn HoSent: Saturday, December 10, 2011 11:17 AMTo: practiceimprovement1 Subject: RE: Re: peak flow not paid, and takes me 8-15 minutes only do if severely in needbut am getting a " free " spirometer soon through enrolling in a study, apparently quite a nice one, with netbook for printing, YAY!To: From: dr_levin@...Date: Sat, 10 Dec 2011 10:58:31 -0500Subject: Re: Re: peak flow  Pulse oxMachines are cheaper every day. Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done. Dr Levin RE: Re: peak flow All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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I can do PFT's but have yet to figure out how to get paid for it and mine does do a print out. Agree with you time consuming. Same for EKG's until I started doing them myself I didn't appreciate how much time they take and how little is reimbursement.

To: Sent: Saturday, December 10, 2011 12:17 PMSubject: RE: Re: peak flow

Lynn,

What takes you 8-15 minutes? Pulse ox takes me 10 seconds and peak flow about the same.

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 Lynn HoSent: Saturday, December 10, 2011 11:17 AMTo: practiceimprovement1 Subject: RE: Re: peak flow

not paid, and takes me 8-15 minutes only do if severely in needbut am getting a "free" spirometer soon through enrolling in a study, apparently quite a nice one, with netbook for printing, YAY!

To: From: dr_levin@...Date: Sat, 10 Dec 2011 10:58:31 -0500Subject: Re: Re: peak flow



Pulse ox

Machines are cheaper every day.

Would consider spirometry with printout as it really does help esp easier to get pt to come to office to get it done.

Dr Levin

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Will your local oxygen company give you one with some disposable mouth pieces? Mine did. As well as givng me a total of 4 Nebs machines since I started. I loan them out (sign a index card) for folks with pnuemonia who only needs short term Nebs.

To: practiceimprovement1 Sent: Saturday, December 10, 2011 10:20 AMSubject: RE: Re: peak flow

and the usual answer for me - I got a few on ebay, even my peak flow meter whiich is a nice oneare you thiniking about PFT machines? those are expensive,\I did get one of those on ebay for a low price, but it was not helpful because it takes time to do the testing and the one I got does not print the output so you can't charge for it so I don't do them.

To: From: qualityfp@...Date: Fri, 9 Dec 2011 17:32:54 -0500Subject: RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Spirometry --> you could even do pre and post albuterol neb Rxs.

Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient.

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Thank you!

To: Sent: Saturday, December 10, 2011 7:30 PMSubject: Re: Re: peak flow

 Spirometry --> you could even do pre and post albuterol neb Rxs.

Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient.

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Matt ( and Kathy?)what codes are you using?when I look up 94010 which is the minimum for spirometry, you need graphical record, FEV1 and FVCI have to get full pulmonary function tests for that which requires graphical recordI don't know about a code for just peak flows, but would like to!Which btw only take me me a minute ( I usually go for average of 3, as one try seems suspect in these lazy blowers!) but not 8 minutes nor 10 seconds .Thanks ! LynnTo: From: dr_levin@...Date: Sat, 10 Dec 2011 19:30:13 -0500Subject: Re: Re: peak flow Spirometry --> you could even do pre and post albuterol neb Rxs. Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient. RE: Re: peak flow All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Peak flow is not Spirometry.  Spirometry does give you a graphical read out and FEV1 and FVC.  Peak flow is neither of those measurements. Peak flow has a code but is no longer reimbursed.  I could look it up for you.  Considered a vital pretty much like pulse ox.  Also peak flows are not diagnostic.  I use them in known asthmatics to determine how bad the asthma is. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Lynn HoSent: Sunday, December 11, 2011 7:31 AMTo: practiceimprovement1 Subject: RE: Re: peak flow Matt ( and Kathy?)what codes are you using?when I look up 94010 which is the minimum for spirometry, you need graphical record, FEV1 and FVCI have to get full pulmonary function tests for that which requires graphical recordI don't know about a code for just peak flows, but would like to!Which btw only take me me a minute ( I usually go for average of 3, as one try seems suspect in these lazy blowers!) but not 8 minutes nor 10 seconds .Thanks ! LynnTo: From: dr_levin@...Date: Sat, 10 Dec 2011 19:30:13 -0500Subject: Re: Re: peak flow  Spirometry --> you could even do pre and post albuterol neb Rxs. Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient. RE: Re: peak flow All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Yes - thanks Kathy, that's what I've been doing. thank goodness there's no reimbursable codeI don't want to think that I've missed out on a reimbusrable $.73 cents per peak flow encounter all these years. according to MGMA that's how doctors go broke! :-)LynnTo: From: qualityfp@...Date: Sun, 11 Dec 2011 07:35:54 -0500Subject: RE: Re: peak flow Peak flow is not Spirometry. Spirometry does give you a graphical read out and FEV1 and FVC. Peak flow is neither of those measurements. Peak flow has a code but is no longer reimbursed. I could look it up for you. Considered a vital pretty much like pulse ox. Also peak flows are not diagnostic. I use them in known asthmatics to determine how bad the asthma is. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Lynn HoSent: Sunday, December 11, 2011 7:31 AMTo: practiceimprovement1 Subject: RE: Re: peak flow Matt ( and Kathy?)what codes are you using?when I look up 94010 which is the minimum for spirometry, you need graphical record, FEV1 and FVCI have to get full pulmonary function tests for that which requires graphical recordI don't know about a code for just peak flows, but would like to!Which btw only take me me a minute ( I usually go for average of 3, as one try seems suspect in these lazy blowers!) but not 8 minutes nor 10 seconds .Thanks ! LynnTo: From: dr_levin@...Date: Sat, 10 Dec 2011 19:30:13 -0500Subject: Re: Re: peak flow  Spirometry --> you could even do pre and post albuterol neb Rxs. Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient. RE: Re: peak flow All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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;-D From: [mailto: ] On Behalf Of Lynn HoSent: Sunday, December 11, 2011 7:44 AMTo: practiceimprovement1 Subject: RE: Re: peak flow Yes - thanks Kathy, that's what I've been doing. thank goodness there's no reimbursable codeI don't want to think that I've missed out on a reimbusrable $.73 cents per peak flow encounter all these years. according to MGMA that's how doctors go broke! :-)LynnTo: From: qualityfp@...Date: Sun, 11 Dec 2011 07:35:54 -0500Subject: RE: Re: peak flow Peak flow is not Spirometry. Spirometry does give you a graphical read out and FEV1 and FVC. Peak flow is neither of those measurements. Peak flow has a code but is no longer reimbursed. I could look it up for you. Considered a vital pretty much like pulse ox. Also peak flows are not diagnostic. I use them in known asthmatics to determine how bad the asthma is. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of Lynn HoSent: Sunday, December 11, 2011 7:31 AMTo: practiceimprovement1 Subject: RE: Re: peak flow Matt ( and Kathy?)what codes are you using?when I look up 94010 which is the minimum for spirometry, you need graphical record, FEV1 and FVCI have to get full pulmonary function tests for that which requires graphical recordI don't know about a code for just peak flows, but would like to!Which btw only take me me a minute ( I usually go for average of 3, as one try seems suspect in these lazy blowers!) but not 8 minutes nor 10 seconds .Thanks ! LynnTo: From: dr_levin@...Date: Sat, 10 Dec 2011 19:30:13 -0500Subject: Re: Re: peak flow  Spirometry --> you could even do pre and post albuterol neb Rxs. Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient. RE: Re: peak flow All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy. Kathy Saradarian, MDBranchville, NJwww.qualityfamilypractice.comSolo 4/03, Practicing since 9/90Practice Partner 5/03Low staffing From: [mailto: ] On Behalf Of sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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No pay for peak flows.

I do print out a graphic, you may be right about that.

Matt

RE: Re: peak flow

All peak flow meters are pretty cheap. You get the disposable mouth pieces. Can even get them at a local pharmacy.

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 sharkinnSent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene>> any idea where can I get a cheap peak flow meter for my office?.> thanks, adolfo>

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Oh Come on Ho Il OVE those .24 checks. They  add up Sometimes all this stuff means the patient  is ah  sick! peak flows pulse ox  Then you UP code.Don;t worry in 3 weeks that will DOWNn grade your income if they  are o nMedicare

I am sure there is a formula for all  this In the  Journal of Irreproducible resultsYou c an;t make this stuff upJean

 

Yes -  thanks Kathy, that's what I've been doing. thank goodness there's no reimbursable codeI don't want to think that I've missed out on a reimbusrable $.73 cents per peak flow encounter all these years.

according to MGMA that's how doctors go broke!  :-)LynnTo: From: qualityfp@...

Date: Sun, 11 Dec 2011 07:35:54 -0500Subject: RE: Re: peak flow

 

Peak flow is not Spirometry.  Spirometry does give you a graphical read out and FEV1 and FVC.  Peak flow is neither of those measurements.

 Peak flow has a code but is no longer reimbursed.  I could look it up for you.  Considered a vital pretty much like pulse ox.  Also peak flows are not diagnostic.  I use them in known asthmatics to determine how bad the asthma is.

  Kathy Saradarian, MD

Branchville, NJwww.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90Practice Partner 5/03

Low staffing  

 From: [mailto: ] On Behalf Of Lynn Ho

Sent: Sunday, December 11, 2011 7:31 AMTo: practiceimprovement1 Subject: RE: Re: peak flow

   Matt ( and Kathy?)what codes are you using?when I look up 94010 which is the minimum for spirometry, you need graphical record, FEV1 and FVCI have to get full pulmonary function tests for that which requires graphical record

I don't know about a code for just peak flows, but would like to!Which btw only take me me a minute ( I usually go for average of 3, as one try seems suspect in these lazy blowers!)  but not 8 minutes nor 10 seconds .

Thanks ! LynnTo:

From: dr_levin@...Date: Sat, 10 Dec 2011 19:30:13 -0500Subject: Re: Re: peak flow  

Spirometry --> you could even do pre and post albuterol neb Rxs. Don't bill as PFTs; bill as spirometry, write down FVC and FeV1 that should be sufficient.

  RE: Re: peak flow   

All peak flow meters are pretty cheap.  You get the disposable mouth pieces.  Can even get them at a local pharmacy.

  

Kathy Saradarian, MD

Branchville, NJwww.qualityfamilypractice.com

Solo 4/03, Practicing since 9/90

Practice Partner 5/03

Low staffing 

  

From: [mailto: ] On Behalf Of sharkinn

Sent: Friday, December 09, 2011 5:24 PMTo: Subject: Re: peak flow

 Any general medical supply place should have them, like www.mooremedical.com. I have 1 adult, 1 pediatric, and disposable mouthpieces. ---Sharlene

>> any idea where can I get a cheap peak flow meter for my office?.

> thanks, adolfo> 

  

 

   

--      MD          ph    fax

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