Patient Education

Our patient education system utilizes a patent pending process to get you paid to do group medical education that has been proven to change patient behavior and improve clinical outcomes. A groundbreaking, IRB approved, Navy Research Grant funded study of diabetic patients in a rural, mining town concluded with a mean hemoglobin A1C of 6.8 and a mean diabetic LDL of 88. Research has proven our method for chronic disease management works and creates real change unlike toll free nursing lines or patient rip sheets. Patient360’s educational programming will invigorate your practice, create more time for patient care, increase your practice revenue and simultaneously report through our Medicare Certified PQRI Registry. Improve health literacy and patient compliance with meaningful life style modification. ‘Bringing healthcare full circle’™ with Patient360™.

Physician Quality Reporting Initiative Registry: Medicare Certified

In 2010 Medicare is paying 2% for PQRI reporting and an additional 2% for e-prescribing. Patient360™ is certified to report for all PQRI metrics for 2010 including e-prescribing and was one of the 16 original PQRI Medicare Certified Registries. With clients throughout the United States, our proprietary software has been 100% successful in getting our participating providers paid. Our product walks you through step, by step and notifies you of missing elements in a HIPAA secure, web based connection. In just under an hour per provider, you can be done with 2010 PQRI reporting and simply wait on your federal payments later this year. While currently voluntary, this is anticipated to move to a mandatory program in the next 36 months. Presently this is a Pay for Reporting not a Pay for Performance program. You don’t have to do well, you simply have to participate and we can help you and your patients achieve optimal clinical outcomes in the process. Sign up today.

Sample Calculation: $100,000 in Part B Payments to an eligible provider = $4,000 in PQRI Bonus for 2010 (PQRI and e-Rx reporting)

Consulting

With over 30 years of experience in medical and legal consulting our team can reduce the headaches in your office, increase compliance, optimize reimbursement and reduce audit exposure. Most practice experience a net increase of 20-30% of monthly revenue by billing legitimately and compliantly—that’s correct, practice the same medicine, but work smarter, not harder.

Our team is used regularly by the OIG in criminal matters and has experience writing federal and private payer policies and can be found defending doctors in appellate matters all the way up to the level of administrative law judge hearings. Utilizing our five part analysis we will uniquely guide each practice and provider to practice the best possible medicine, follow the federal and private regulations and remove the ambiguity and risk to you and practice so you can go about the business of taking care of your patients. After all, that is why you went to medical school, isn’t it?

Diagnostic Equipment and Services

The practice of medicine has changed dramatically. Reimbursement for office visits and procedures have plummeted while other areas have actually increased. Utilizing our unique 5 Part Solution, our knowledgeable and skilled team will expertly analyze your practice to identify areas of potential opportunity and growth. In addition, we identify areas that may be neglected via an epidemiologic analysis to help you and your staff better identify, analyze and treat patients with chronic disease state. Furthermore, this is done within the unique practice parameters imposed by your regional Medicare contractors and private payers. We have done this successfully coast to coast in varied markets with large and small practices. Let us restructure and regain your practice by adapting to market changes and becoming a champion in this era of quality metrics and pay for performance. By increasing net revenue you regain control of your practice on your terms: remember, no margin, no mission!