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physician consultationServices

     Consulting
     Comprehensive Operational Assessments
     Baseline Audits for Compliance Plan Development
     In Depth Record Audits for Documentation Compliance
     Accounts Receivable Analysis
     Coding, Billing, Collection, and Fee Schedule Analysis
     Practice Start Up Services
     Completion of CMS Forms for Medicare Enrollment

HIPAA - Health Insurance Portability and Accountability Act
     HIPAA Privacy Gap Analysis
     In Depth Education Regarding Transaction Standards, Code Sets, and
          Privacy Rules
     Development of HIPAA Privacy Rule Documents and Procedural Manuals

  CDs are available to customize HIPAA Privacy Forms and Procedure
  Manual for your business - Contact Physicians First, Inc.

Education
     In depth seminars are provided by Physicians First, Inc. on all aspects of medical
practice management in group settings and personalized in office settings.
Comprehensive manuals are provided to all educational program participants.
     Manuals are also available on request by contacting Physicians First, Inc.

     Annual Healthcare Coding and Regulatory Update
     Specialty Coding and Regulatory Presentations (excluding anesthesiology and pathology)
     Documentation Guidelines for Evaluation and Management (E/M) Services
     Compliance with "Incident To" and Shared/Split Encounter Rules
     Regulatory Guidelines for Use of E/M Codes and Modifiers
     Regulatory Guidelines for Use of Surgical Codes and Modifiers
     Principles of CPT and HCPCS Coding
     Principles of ICD-9-CM Coding
     HIPAA Administrative Simplification
     Collection Procedures and A/R Management for the Medical Business
     Understanding and Utilizing RBRVS
     National Correct Coding Initiative-Its Use for Compliance and Revenue Benefit
     Tips for Completion and Processing of CMS Enrollment Forms
     Implementation of Prompt Pay Rules for Timely Cash Flow

Forms
     Customized Specialty Forms for E/M Documentation Compliance & Efficiency
     Development of Customized Forms for Physician Charge Communication
     Registration Forms
     Collection Forms
     HIPAA Privacy Rule Documents
     Criteria Based Job Description and Evaluation Forms

Representative
     Providing advice, resources, and representation for
          Payer issues and Appeals
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FYI - For Your Information

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July 18, 2010

Article: 2012 Penalties for not E-Prescribing in Medicare Would be Based On Analyzing Provider Data for the Period 1/1/2011 through 6/30/2011
   If you have not implemented E-Prescribing in your practice, you should not put it off any longer.
   As of 1/1/2012 Medicare allowed amounts for individual providers will decrease by 1% if providers are not "successfully" e-prescribing for Medicare patients. Where this may seem like a long way off, CMS recently proposed the determination of whether the penalty will be imposed would be based on analyzing provider data for the period 1/1/2011 through 6/30/2011.
   For claims based submission of the E-Prescribe measure, CMS would look at services billed by the provider. If there were 100 services billed where the E-Prescribe measure applied, 10 of those claims must have the code for E-Prescribing reported or the penalty would be imposed. For registry based or EHR reporting of E-Prescribe, these qualified registries or EHR vendors would need to download data to CMS during the period 7/1/2011 through 8/19/2011. The same 100 encounter rule with the minimum 10 reporting would be applied in these situations to avoid the penalty in 2012.
   Exemptions to the penalty would apply if:
    The provider is of a type who does not have prescribing privileges, or
    Data analysis indicates there were less than 100 applicable cases where E-Prescribe should have been reported, or
    Less than 10% of the providers Medicare allowed amounts are applicable for E-Prescribing reporting.
   Keep in mind also that penalties for not successfully e-prescribing increase as of 2013 to 1.5% and 2% as of 2014 and beyond.
   To review the E-Prescribing reporting measure specification click here
   To review all information related to the CMS E-Prescribe program click here