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Today, I want to let you know that Sam has become a good friend as well as colleague. We have a very close working relationship with H. J. Ross Seminars as well as the other consulting services that Sam has available to the doctors. One of the things that I really like about it is doctors get to utilize Sam without breaking the bank, so to speak. He has a service available that I highly recommend you check into, but when we're talking about risk because that’s what these shows are really about, most of you think of risk when you're thinking about me or ChiroSecure as the traditional type of risk, how do I avoid getting a lawsuit or maybe even a board complaint or something to that effect? That's what I’ve been spending hours and hours and hours educating doctors around the country about, but really the second type of risk is one of having your fees reduced or just not getting paid for your services or getting paid and then having a post payment review, an audit, where the insurance carrier and in this case, we're going to be more specific to Medicare requests your documentation and if it is not substantiating, the need for care, they want money back. We have an expert on this topic with us and I want to make sure that you all pay close attention because Sam is going to go into a lot of the Medicare requirements, so that you can stay in compliance. Sam, I want to welcome to you the show and let's start just talking about what PQRS even is. Well, thank you. I appreciate the introduction. PQRS for Medicare stands for Physician Quality Reporting System. Most people have been intimidated by thinking what the heck is it? It's actually been around since 2007 and has now come to the forefront because I'm sure a lot of doctors have gotten a letter from Medicare probably late last year that says, “Since you were not compliant, your Medicare fee is going to be reduced 2%.” Now, to some that may not be that big a deal, but it's about $1 per visit and so if you multiply that by thousands of visits that certainly could be substantial money. The reporting itself actually is not complicated and in my opinion, most doctors are already doing it, you simply just have to report to Medicare that you are. When it comes to Medicare itself, I find that the doctors have a lot of confusion and quite frankly some fear because you get in trouble with Medicare that sometimes means handcuffs because you're dealing with federal law. When we talk about Medicare, let's start by going into the documentation that you're referring to with the PQRS because that's the other way other than taking x-rays to be able to accept and take care of a Medicare patient chiropractically, isn’t that true? Well, PQRS actually is just the reporting of pain and function, but is definitely going to be the part that the doctors can demonstrate the effectiveness of their care. One of the best things about chiropractic is a patient gets better and it's evidenced with the reduction of pain and increasing function and so this protocol really enables a doctor, chiropractic to demonstrate that more easily. Now, you report it to the Medicare with a particular code and that way you will not get this reduction. When we talk about the reduction, I'm assuming you're referring to what Medicare originally was considering a bonus if you automated your records and went through the proper credentialing factors in order to be okay in that. Is the PQRS for those doctors that have not gone through that with their automated systems, their EMRs?

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