I will look and see if I can find the blurb sent out by AAFP when they received it from CMS. I think it was in April. Enforcement will be a nightmare and problematic.

I agree, there are a lot of problems with Allscripts. I am in rural Missouri so there are a lot of pharmacies not on the network. Allscripts answer for now is to convert these to faxes for those pharmacies. Those are often problematic.

Some of the docs around here are charging $10/script for refills when they are not done in context of a visit. Don't blame them, but it sure hurts folks on a fixed income.

Medicine is such a mess, but for me too is a happy mess. I enjoy helping pts navigate the system. I have also appreciated the support these boards have provided in starting my practice using AC.


Vicki Roberts, MD
Family Medicine of Southeast Missouri
Sikeston, MO