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The Association of Primary Care Physicians
(APCP)
APCP MISSION/VISION STATEMENT
APCP PRIMARY CARE PHYSICIAN NETWORK
APCP PREFERRED SPECIALIST NETWORK
APCP HEALTH PLAN CONTRACTS
APCP SERVICE AREA
APCP FRIDAY FAXES
APCP GROUP DISCOUNT AND PREFERRED VENDOR PROGRAMS
BENEFITS OF APCP MEMBERSHIP
CODING & DOCUMENTATION AUDITS
OIG COMPLIANCE PROGRAM
HIPAA IMPLEMENTATION
IMPORTANT LINKS AND PHYSICIAN
PRACTICE WEBSITES
JCMS
Hassle Log Information
Mission Statement top
To provide unique, innovative and value added healthcare system management
services to a community of patients, physician networks, hospitals, employers,
insurers and other healthcare organizations.
To provide unsurpassed practice management services to our physician groups.
Vision Statement
To be recognized leaders and physicians of choice for primary care services
in the communities in which we practice, distinguished by:
- Established superior quality standards and review
- Enhanced patient education
- Health plan delegation of services including claims, medical management
and credentialing
- Enhanced referral system to allow physicians knowledge of efficient
specialist physicians and facilities
- Innovation and continuous improvement in PCP practices
- Contracts including, but not limited to, risk arrangements with managed
care
- Strengthened patient-physician-IPA relationship
APCP PRIMARY CARE PHYSICIAN
NETWORK top
APCP PRIMARY CARE PHYSICIANS offers contracting through the IPA for select
health plans eliminating additional credentialing/recredentialing paperwork
and site visits since APCP is delegated for credentialing. APCP notifies
contracted health plans on your behalf of any demographic changes to your
practice including new physicians, physician terminations, address, tax
identification, and name changes
Click
here for a current list of APCP Physicians
Click here for an APCP
application.
Click
here for a current access of care survey to complete
APCP PREFERRED SPECIALIST
NETWORK top
PREFERRED SPECIALISTS WITH APCP are a select group of high quality specialists
who collaborate with APCP primary care physicians to manage the quality
and cost of patient care. Preferred Specialists are positioned as part
of a narrow network, which serves as the primary source of specialty care
services for the APCP primary care physicians.
Click here for an APCP
application.
Click
Here to see the listing of our current members.
Click
here for a current access of care survey to complete
APCP HEALTH PLAN CONTRACTS
top
APCP Service Area top
Kentucky
- Jefferson County
- Hardin County
- Henry County
- Larue County
- Oldham County
- Shelby County
Indiana
- Clark County
- Floyd County
- Scott County
APCP Friday Fax top
"Friday Fax" is the weekly communication between the physicians
and APCP. It contains time-sensitive, health plan and pharmacy information,
physician articles, coding tips, compliance guidelines, credentialing
information and so much more. The website contains about 18 months of
historic Friday Faxes for your reference.
Friday
Fax Log-In
APCP GROUP DISCOUNT AND PREFERRED
VENDOR PROGRAMS top
Participation in each APCP group discount program is entirely optional.
While APCP believes most APCP physicians will benefit from participation
in the group discount programs and hopes each physician will give the
programs a try, participation is not required. Many of the group discount
programs are 'volume driven,' meaning the more physicians who participate
(or the more products and services which are purchased), the higher the
discounts offered by the various vendors. Group purchasing discounts are
subject to vendor requirements.
Group
Purchasing and Preferred Vendor Programs
Group Purchasing is a new program that PHD has developed to assist practices
with stable, low cost on commonly ordered supplies and services. We are
currently working with 5 companies.
Childrens' Practicing Pediatricians (CPP)
was formed in 1985 by the pediatricians on the medical staff of Columbus
Children's Hospital. The organization has an all physician board of
directors that guides its purpose. True to its roots, CPP continues
to advocate for physician members through coding initiatives, interfacing
with the AAP, and pursuing legislative relief from managed care inequities.
Aventis Pasteur and Merck Vaccines are available through this program.
Mackey Printing Services offers cost savings on all of your
printing needs:Appointment/business cards, Brochures, Folders, Forms,
(carbonless sets, laser, 1-part), Labels, Letterhead/Envelopes. Contact
us for promotional product ideas - thousands of items ranging from apparel
to calendars to pens, etc. We offer design and direct mail for brochures
and postcards. Let Mackey Printing help you with your marketing.
Misys offers practices a pratice management system (Tiger) and
an Electornic Medical Record at a discount for IPA physicians. Training
and support is also available on a local basis.
Prime Office Products has been in the office products business
for over 20 years, taking care of customers at the highest level of
service available anywhere. The contract offers huge discounts on everyday
office supplies and currently has over 25,000 products available through
the catalog.
Quest Diagnostics has negotiated an agreement
with PHD to offer offices laboratory services at a reduced rate. This
pricing is good for any laboratory services that you draw blood for
in the office and for any health plan that will allow you to complete
'pass-through billing'. PHD can assist the practices in possibly increasing
income with this new program. We can complete an on-site analysis of
the existing laboratory usage to see if it would benefit the practice
financially to offer additional laboratory services in house, or to
complete pass-through billing.
Sterling Medical Consultants (SMC) is a Preferred
Vendor. SMC strives to provide superior physician practice management
services, tailored to the physician's needs. They offer an extensive
list of services that can be customized to any size practice. SMC has
personnel experienced in providing physician practices with claims filing,
financial management, operational management, information systems management,
and human resources management. Within each area of expertise they provide
an appropriate level of service for any physician practice, from consulting
and supervising projects to day-to-day operational functions.
BENEFITS OF APCP MEMBERSHIP top
- All Physician Board.
- Completely Hospital Neutral
- Simple Credentialing covers all Health Plans
- President of Management Firm is a local physician in APCP
- Contracts with most Health Plans in Louisville- Some with improved
fee schedules
- Unmatched UM Results
- Performing Internal Quality Studies
- Weekly Communication (Friday Fax)
- Pharmacist provides blended formulary for members and constant updates
on latest and best drug therapies
- Pharmacist assists members in becoming investigators on Clinical Trials
- Medical and office supply matrix showing prices by various local
vendors for finding the best buys.
CODING & DOCUMENTATION AUDITS
top
- Completed by Certified Professional Coders (CPC)
- Can be done via Fax, Mail, or On-Site
- Physicians receive:
- E & M Audit Summary with findings documented at the group
and individual level
- Executive Summary includes "official" documentation
to back findings
- Detail to reflect which of the documentation areas need additional
monitoring (HPI, Exam, MDM)
- Financial Analysis including lost revenue when compared to Medicare
fee schedule
- Interactive CD with Case Studies available
- On-Site Consultation available
- CPC rounds with Physician to determine correct coding and documentation
requirements
- Training and Q&A with physicians
- Development of practice specific documentation checklists
- Quick turn-around
- PHD's experience shows that 85% of physicians miscode at least 20%
of their office visits.
- Over 40% of physicians under-code more than 20% of their office visits
- costing them in excess of $30,000 per year.
- We have a simple program that reduces under-codes and over-codes by
over 50%.
OIG COMPLIANCE PROGRAM top
- Conducted by Certified Compliance Officers (CCO)
- Speeds and optimizes proper claims payment
- Minimizes billing errors
- Reduces chances that an audit will be conducted by CMS or the OIG
- Helps to avoid conflicts with the self-referral and anti-kickback
statutes
- Eliminates potential "Whistle Blower" or Qui Tam lawsuits
by sending an important message to a physician practice's employees
that while the practice recognizes that mistakes will occur, employees
have an affirmative, ethical duty to come forward and report erroneous
or fraudulent conduct, so that it may be corrected.
- Practices Receive:
- Customized Compliance Program with binder
- Baseline audit information
- Employee Statement
- Medicare ABN - Medicare Lab ABN
- Commercial Insurance ABN
- Internal Investigation Log
- Education/Training Log
HIPAA WORKSHOPS top
After doing extensive market research into the HIPAA products available,
PHD picked the best-of-the-best to assure the success of the practices
with the implementation and staff education of the physician offices.
The program has been reviewed for compliance with Indiana and Kentucky
law.
Our objectives for physician practices are:
- To achieve compliance in the shortest possible time
- Reduce the overall cost of compliance
- Minimize the impact of the compliance effort on day-to-day operations
Includes:
- Detailed project plan with a prioritized step-by-step approach
- Activity worksheets with specific instructions, prioritized step approachHIPAA
reference material, including Federal Regs and proposed changes
- Document templates
- Staff education materials
- Binder
- Customized forms
- Ongoing updates
Important Links and Physician
Practice Websites top
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