Physicians First, Inc. - Medicare Enrollment Medicare Enrollment  

Leslie Witkin Consulting Management Menu

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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February 26, 2010

Article: Medicare Contractors to Hold Claims for Ten Business Days Starting 3/1/10
   Congress has failed to stave off the 21.2% decrease to Medicare reimbursements slated, by law, to take effect 3/1/10. The Senate will not reconvene again until Tuesday, March 2nd. It is hoped that some temporary fix to eliminate the Medicare cut will be approved next week. In anticipation of a fix, CMS has instructed Medicare contractors to hold payment for claims with dates of service 3/1/10 and after for 10 business days. Since electronic claims are currently held for payment for 14 calendar days, it is hoped that cash flow issues to providers will be minimized.
   Below is the actual text from an email sent by CMS to the provider community.
   "The Centers for Medicare & Medicaid Services (CMS) is working with Congress, health care providers, and the beneficiary community to avoid disruption in the delivery of health care services and payment of claims for physicians, non-physician practitioners, and other providers of services paid under the Medicare physician fee schedule. As you are aware, the Department of Defense Appropriations Act of 2010 provided a zero percent (0%) update to the 2010 MPFS effective for dates of service January 1, 2010, through February 28, 2010.
   We believe Congress is working to avoid the negative update that will take effect March 1. Consequently, CMS has instructed its contractors to hold claims containing services paid under the MPFS for the first 10 business days of March. The holding of MPFS claims will only affect claims with dates of service March 1, 2010, and forward. This hold should have a minimum impact on provider cash flow because, under current law, clean electronic claims are not paid any sooner than 14 calendar days (29 for paper claims) after the date of receipt. Be on the alert for more information about the 2010 Medicare Physician Fee Schedule Update."