I think what Sarah just said is fantastic. You know, it hasn't been around for a long time. When it first came out, I was trying to work with it and there were some glitches. We finally got it ironed out and now it's working. But just to kind of be honest with you, Sarah is further ahead than I am on the process, it sounds like. And it takes time. So, we know what the benefits are. This is what Aug says on their website and so the three key purposes for doing Acquire. We've talked a lot today about some of the value added because of how it will help us with other components to our need to report what we're doing. And beyond that, if a lot more people, I think, participate, then it starts to add value to the actual registry. And then we can start to measure things that are more of value over time because they can add those and see if they're trackable. If you don't have a measure that's measurable, then you can't actually submit it. And a lot of what we do isn't really easily measured. And that's why they're adding it. There's only one on there. I was going to ask Mike. I didn't have a chance to. There's one question that asks on everyone if we calculate their specific risk for urinary incontinence based on having prolapse before. I know Cleveland Clinic has created some of these calculators. That's one of them that they've thrown in there. And the answer to mine has always been no, but I was wondering why that was chosen. Maybe I can get an answer to that in a minute. But I'll keep talking here for a second because that's kind of side railing this whole discussion. But these are the three primary reasons. So reimbursement we've talked about, benchmarking reports, at some point that has value, but only if there's a lot of participants, right? So that benchmarking report means nothing really unless you want to compare to your partner next door or something who's also participating. And then obviously maintenance certification. But I went through the process kind of just thinking, okay, how much time do I spend on MOC for? I know most of you have done this, but there's modules just for FPMRS. Some of them are really quite good. It makes it for you to read something. You probably, oh yeah, I knew that. Or maybe I didn't know that. But truthfully, how hard it is to do is not, right? You have to pick ten patients. I actually wrote down the ten patients. I thought, okay, I'll track them and like six months later I look back, I'm like, all I had to do is say that I looked at them. There's no way to determine whether or not I did anything that they're asking me to do. But the truth is, is I was in this one module, I was already performing it 95% anyway. So at any point, I don't think that it's that time-consuming regardless. So my point is, is doing acquirers, that can take away a big chunk of your time and saving you. No. MOC for as it stands is not too difficult. But the nice thing is, is you're not going to have to worry about it either. And the worry about it is the hardest part, right? You get the end of the year and you get this little email from ABOG saying, hey, you forgot to do your MOC for. Oh, yeah. Oh, it's going to take me six months to finish this thing and, you know, you don't have to worry about it. That's to me, there's some nice things about life when you don't have to worry about things. So here's my cost analysis real briefly. So if you think about it, so I actually calculated the amount of time it takes me to enter them. And I did them in batch, just like, sounds like Sarah does them in batch at the end of the month. So I sat down and just batched through all of them and said, okay, how much time, I calculated how much time I spent, divided it by the number I did. Some are a little longer than others. But on average, I spent four and a half minutes on each one. Okay. The reason that took me longer is because that urgency question, I, you think everyone says comes to see you has urgency, but I actually have them fill out a questionnaire on every patient I see. So I had to go back into my EMR to see, did they actually click that they, or mark on there that they did have urgency incontinence before I operated on them? And ironically, so I learned something from this process that a lot of them actually didn't. And that was interesting for me to learn. But anyway, that took me a little bit of time. There's a couple other components that took me some time. So it was four and a half minutes each. Mike said it takes you a minute. It does if all you do, if you have the answers, but sometimes you have to look them up. And putting the information, for me, I had both my EMR up and that, and just clicking back and forth and putting it in. For me, if you think about your time, $300 an hour, some of you like, oh, Jerry's worth probably $500 an hour, you know, because he looks better than I do, but we all have different value. Like we all think we're worth a lot. But anyway, on average, that's probably an accurate presumption. That's why I wanted to be an attorney. If I get paid for the time I spend on things, it'd be great. But anyway, $300 an hour, and if you figure how much time it takes you, so it's about $25 an entry. Okay? If you get someone else to do it who's paid a lot less than your dollar per hour value is, it's about $1.15 for each entry they put in, which is assuming that you do 30 surgeries a month, which is about average if you're cranking through a lot in private practice. I don't always hit that mark, but somewhere close to that. And then you look at, okay, how much am I paying a year at that high rate of surgery volume? It's about $33 a month, which equates to about $405 a year if I have a staff member do it. All right? This is all silly, hand-waving stuff, I know, but you want to know, does it make sense to do this? Okay? Well, it achieves some of the PQRS measures and some of this cost analysis. Let's say that I get a 4% increase. First of all, I could break even, right? Then I just lost $400, but at least I didn't lose 4%. What if I gain 4% this next year? I thought those were good numbers that you showed earlier, they were real accurate about what you'd expect in terms of revenue and the dollars you're going to get. Well, I save $5,000, somewhere between, on average, $3,000 to $5,000, or may potentially earn that, that I wouldn't have otherwise, and I spent $400 to get it. That makes sense. So PQRS doesn't do all that for you, though. Don't get me wrong, okay? It does a big piece of it, but it doesn't do all that for you. The point being, that between your EMHR and using Acquire, if you can ... Here's a piece I don't know, how much time it takes to submit the information to Medicare, because I haven't done that yet, but assuming it doesn't take you a tremendous amount of time to do that, your ROI on here is going to be close to 10%, and I don't know how many of you out there can go right now and find an investment you can get 10% on your money, but you probably can't. I know it's not your savings account, because it's less than 1% right now. So your investment of time is worth its value. I don't know if that makes sense, but at this point, my assessment of it, it says it does. So there's my thought on it.

Acquire platform

benefits

reimbursement

benchmarking reports

maintenance certification