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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Physicians First
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FYI - For Your Information

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March 15, 2010

Article: CMS Clarifies Signature Requirements - "Legible", "Illegible", and Electronic
   In October, 2009 (see FYI article below dated 10/8/09) the Centers for Medicare and Medicaid Services (CMS) and the Office of Inspector General (OIG) clarified that providers of Medicare services must comply with signature legibility requirements outlined in the Medicare Carrier Internet-only manual, Publication 100-08, Chapter 3, Section 3.4.1.1 B. This section stipulates and CMS has stated that "Medicare requires a legible identifier for services provided/ordered. The method used shall be hand written or an electronic signature (stamp signatures are not acceptable) to sign an order or other medical record documentation for medical review purposes. (The only exception is that facsimiles of original written or electronic signatures are acceptable for the certifications of terminal illness for hospice.)The legible identifier (signature) requirement applies to documentation for any service performed and billed to Medicare. The purpose of a rendering/treating/ordering practitioner’s signature in patients’ medical records, operative reports, orders, test findings, etc., is to support that the services have been accurately and completely documented, reviewed and authenticated."
   On 3/9/10, an article was posted to the Florida Medicare contractor website outlining clarifications from CMS regarding "legible", "illegible", and electronic signatures. It is very important for you to read and comply with these requirements. Record reviews by contractors or other entities, are being very strict in enforcement; AND money will be recouped if signature requirements are not followed.
   Click Here to Read the Recent CMS Clarifications