Primary Care Physicians (PCPs)
Primary care physicians (PCP) are the first physician that patients would see if they think they have a problem with their body. PCP are trained for and skilled in comprehensive, first contact, and continuing care for persons with any undiagnosed sign, symptom, or health concern (the “undifferentiated” patient) not limited by problem origin (biological, behavioral, or social), organ system, or diagnosis. They also help patients by promoting a healthy lifestyle, teaching them how to avoid contracting diseases, treating chronic illnesses, and aid their patients in a bunch of other ways.
Why it’s important
Voluntary alignment is the process that lets Medicare FFS beneficiaries select, or “voluntarily align” with, a primary clinician. ACOs must notify beneficiaries of their ability to, and the process by which, he or she may identify or change the person he or she chose for the purposes of voluntary alignment.
When you are part of an ACO and enrolled in the Medicare Shared Savings Program (MSSP), Medicare will only accept billing and savings reports from their beneficiaries’ primary care physician. This is because Medicare wants to get the complete report of their beneficiaries’ care plan and that is usually with the physician that takes care of them the most. As a physician, it’s important to show extra care and attention to your patients so that they won’t have to continuously shop around for the right doctor. If they feel that you aren’t helping them enough, you will lose out on a patient, and you will lose out on those generated savings.
Also, even though non-primary care physicians can give out primary care services to your patient, it is still you job to input the information into your Medicare billing software. With Synergy Infoconnect, we have a trained team ready for you. If you choose to use them, they will make sure all the necessary information is inputted correctly and completely so that you can receive your Medicare savings money on time.
For more information on PCPs, please refer to these sources: