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EKGs- do you do them in your office?

  • 1.  EKGs- do you do them in your office?

    Posted 11-01-2017 09:00
    No?  How does that work out then for your patients?

    Yes? What is your flow to make this work?
    And what equipment/technology do you use?
    Does billing work out for the time?

    We have one room per provider and no medical staff.
    I haven't been able to see how we can do them but its gotten a bit silly that we don't.

    I'm hopeful this group has good solutions to help me see outside the box.

    thanks
    Melissa

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    Melissa Weakland MD
    Ballard Neighborhood Doctors
    Seattle WA
    IMP since 2007
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  • 2.  RE: EKGs- do you do them in your office?

    Posted 11-01-2017 09:35
    Hi Melissa
    I'm in a similar practice situation (one room/no clinical staff) and I do EKG's myself.  We have a MAC 1200 machine--it's pretty old but it works. I think we bought it used from Seattle Surgical Supply.  It probably takes me 8-10 min from set up to print. We charge $35 and get paid around $24 per EKG.

    In the end after buying a machine, the lead stickers, and your time it's probably not worth it financially but I do feel I need to have the capacity to perform EKG's for patient care.

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    Jessica Rongitsch MD, FACP
    Capitol Hill Medical
    Seattle, WA
    98104
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  • 3.  RE: EKGs- do you do them in your office?

    Posted 11-02-2017 06:53
    I found a very old HP (1980s) on Craigslist for $100. There a few used medical supply stores. It still works. I do not do much inhouse testing; however, determining ED now versus other plan would be difficult otherwise. Also, for QTC monitoring for potential medication interactions for needed medications-for patients with severe depression-risk/benefit analysis would be difficult without it. I am solo (no front desk or MA).

    Marie

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    Marie Amina Aryan, NP-C
    FNP
    Lakewood Family Health Clinic
    303-578-8191
    Lakewood, Colorado
    Empathetic Family Healthcare clinic
    Lakewood CO
    303-981-1902Empathetic Family Healthcare clinicEmpathetic Family Healthcare clinicEmpathetic Family Healthcare clinic
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  • 4.  RE: EKGs- do you do them in your office?

    Posted 11-02-2017 06:50
    We bought one from the start more as a service to the patients.  We have been able to avoid ER referrals for things like atypical chest pain and hypertensive urgency. We also get $20-30.  We used to do them in the exam room.  Then we got a cheap old massage table and put it in our lab/vitals room/ekg room.  There are some that will beam it to your EHR and are the size of a tablet, but they are more expensive and you have to have a good EHR (we don't). We used to upload from a USB, but with staff we found it easier to just print and scan.

    As payment models shift to cost of care to your patient you may need to look beyond the $20 payment and the cost sharing savings of avoiding ER visits.  I hated doing them when I had no staff so I completely sympathize with you.  If you ever hire a smart receptionist or MA that can do them, it definitely becomes at the very least cost neutral.

    Thomas





  • 5.  RE: EKGs- do you do them in your office?

    Posted 11-02-2017 14:29

    I'm in the same situation: bought an old machine, I do them myself, not worth it financially, but seems like a good capability.  I'd hate to send someone with a STEMI to the ED rather than directly to the cath lab.  We also have some folks that need it for pre-op clearance.

    Mike





  • 6.  RE: EKGs- do you do them in your office?

    Posted 11-02-2017 17:49
    My partner and I bought a Bionet CardioCare machine online about 5 years ago, from Allheart.  I think it cost $600.00.  It's handy, portable (I've taken it on home visits) and pretty easy to use.  We each do our own EKG's; it takes about 5 minutes.  We charge $35.00 and get paid anywhere from $0.00 to about $18.00.  Whatever.  We use it to find out what we want to know, not to provide a billable service.  I don't see not having one.

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    Vahe Keukjian
    Your Family Doc PC
    Ghent NY
    5183140889
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  • 7.  RE: EKGs- do you do them in your office?

    Posted 11-03-2017 06:31
    hospital is across the streetDeliberatley
     ekgs are done stat if needed and faxed back they sit there like a wet read XR  that way  cards will also read them later too

    same for XR  hold and call wet read

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    Jean Antonucci
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