I must ask, how do you document the Allen's test, are you using PVR testing?
________________________________
From: UVM Flownet [[log in to unmask]] On Behalf Of Rita Zeak [[log in to unmask]]
Sent: Thursday, May 14, 2009 8:57 AM
To: [log in to unmask]
Subject: Re: AVF's post op

Denise, So you chg 93971, use the g code and chg for the Allens what code do you use for that ? Do you eval all fingers or the first and third ? Waveforms and pressures ? Thanks, Rita


-----Original Message-----
From: Denise Levy <[log in to unmask]>
To: [log in to unmask]
Sent: Thu, 14 May 2009 7:19 am
Subject: Re: AVF's post op

Matt, You can bill for arterial and venous on the same day. You just need to have symptoms listed as appropriate for each study... arterial claudication,, venous pain and swelling.
For vein mapping we charge for the Allen's testing. Did I answer the question or what more would you do for this fistula, end stage renal failure. I know they may pay for a scan prior to the surgeon bringing the graft more anterior for dialysis use.
Denise Levy, RVT, RDMS
San Jose, CA

On Thu, May 7, 2009 at 6:12 PM, Jodi Zannino <[log in to unmask]<mailto:[log in to unmask]>> wrote:
Never has gotten paid that I know of. They used to pay for Fistulagram over duplex.
JZ


-----Original Message-----
From: Rita Zeak <[log in to unmask]<mailto:[log in to unmask]>>
To: [log in to unmask]<mailto:[log in to unmask]>
Sent: Mon, 4 May 2009 8:31 am
Subject: AVF's post op

Sorry changing the subject. Does anyone do 6 week post op follow up for dialysis grafts, does medicare pay for this ? Any info ? Thank you Rita


-----Original Message-----
From: Wally Prado <[log in to unmask]<mailto:[log in to unmask]>>
To: [log in to unmask]<mailto:[log in to unmask]>
Sent: Mon, 4 May 2009 8:21 am
Subject: Re: Proposal to cut Healthcare costs!

I need too make a clarification. I was informed that the profit was due with two employees (who are selling), paying building off and machines, so this will give approximately 200,000.00 profit a year, which loan will be approximately 100.000.00 a year too pay back for 10 years. Sorry for the error.
Wally Prado RVT

W. Prado, Inc
Vascular Ultrasound Consultant Services of South Texas
2400 Heron Ave
McAllen, Tx 78504
(956) 827-9500



-----Original Message-----
From: ROBERT KANE <[log in to unmask]<mailto:[log in to unmask]>>
To: [log in to unmask]<mailto:[log in to unmask]>
Sent: Sun, 3 May 2009 9:11 pm
Subject: Re: Proposal to cut Healthcare costs!

Fortunately or unfortunately this is far to much for a lab making only $25,000 per year. It is also a very dangerous time to risk $700,000. Given this economic environment, finding the financing for this kind of aciqusition would be most difficult.

There are formula's that use a method of multiples based on EBITDA. This is Earnings Before Interest Taxes Depreciation and Amortization. The going rate is three to four times EBITDA. A good accountant can give you a true estimate based on EBITDA.

Hope this was helpful.

Bob Kane
Sr. VP Business and Clinical Development
Navix Diagnostix Inc
Taunton, Mass.

________________________________
Date: Sun, 3 May 2009 16:43:10 -0400
From: [log in to unmask]<mailto:[log in to unmask]>
Subject: Proposal to cut Healthcare costs!
To: [log in to unmask]<mailto:[log in to unmask]>

First of all, I would like to thank those who replied on my info on making the lab digital (paperless), got lots of very good information, but now I'm growing a new concern. We are in the process of purchasing an existing lab, my colleague who wishes too partner with me is worried about the President Obama proposal to cut healthcare costs and the debt we might be taking in? Another question is the cost of a lab, example: Lab is around doing business for 20 years, accredited, two toshiba Xarios (2007), one Ge Logic 7 or 9 (2006), two Parks 2100 (approximately 5 years old), furniture, tables (5 which are 5 or more years), lab is appraisal at 92,000.00, building space (3500 sqft) at 450,000.00. Owner wants 700,000.00, profits is mostly less than 25,000.00 a year. Are we getting in over our heads, specially with new proposed cuts and should we offer something less? I would like too hear from persons that have gone through this, can somebody send me an example of a proposal ! ! ! ! for a lab. Any other things we need to consider before going into this venture? You can reply back to my personal email: [log in to unmask]<mailto:[log in to unmask]>. Thanks again for the great colleagues out there who share there wise wisdom and knowledge with us!

Wally Prado RVT

W. Prado, Inc
Vascular Ultrasound Consultant Services of South Texas
2400 Heron Ave
McAllen, Tx 78504
(956) 827-9500

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--
Denise Levy
Great job... and you did it with vigor and grace and a smile on your face


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