Two comments. First to Bert. I assume you mean a PROVIDER not a patient with the period trick. Second, regarding letters for consults. I have many consultants who simply send me an augmented progress note with or without a standard cover letter rather than a dedicated letter. With the disappearance of Medicare consult codes, all I send out is a complete office note ending with full recommendations and verbage like "thank you for this consult". I have my staff fax the above to the hospital and elsewhere required and save the paper and postage. I have requested the same of my colleagues and most are helpful in returning the favor. 'Marlon
