SUGGESTED MODIFICATIONS TO FEE FOR NON-COVERED SERVICES – CONCIERGE PRACTICES AS A RESULT OF NEW HEALTHCARE ACT

By John R. Marquis (jmarquis@wnj.com)
Warner Norcross & Judd LLP – www.wnj.com

I. Introduction
After the publication of my recent articlei about the new Patient Protection and
Affordable Care Act (the “Act”), some concierge physician clients have discussed with me how
best to handle the new annual Personalized Prevention Planning Services (“3P Services”)
created by the Act. I suggested in that article one method (which I will explain in more detail
below) to accommodate these new wellness/preventive services within the normal structure of a
“fee-for-non-covered-services” (“FNCS”)ii practice, but it would require a fundamental change
in the financial structure of these practices.iii   [Entire Article]

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Medicare Internet-Based PECOS Enrollment Guide for Individuals

California Medical Association

Physicians face the possibility of having their claims or orders for Medicare services rejected if they are not enrolled in Medicare’s Provider Enrollment, Chain and Ownership System (PECOS).  If you are not in PECOS, you can add or revalidate your enrollment with the CMS 855I enrollment form submitted to Palmetto GBA, or utilize the Internet-based PECOS enrollment system. The California Medical Association has developed this document to guide you through the process, from determining if you are in PECOS, to accessing the Internet–based PECOS enrollment system.  Click here to view the document.

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CMS intends to streamline PECOS enrollment process

July 02, 2010 | Richard Pizzi, Editor Healthcare Finance News

WASHINGTON – The Centers for Medicare & Medicaid Services plans to work with providers to address concerns about enrollment in Medicare’s Provider Enrollment, Chain and Ownership System. [...]