will be such-and-such.” Then note that and they may even want to note it in the appointment book. That way you'll know when the 30 days are up for that Medicare patient. Again that's why you have those additional codes that who knows maybe you're off by a couple of days, no big deal, just report it and then do it on the next one. Electronic health records of course, this makes it very simple because it's going to be automatic. Most electronic health record systems do this for you in the sense that they indicate when the 30 days is up and it pops up in a window and generally the patients come in and fill out on [inaudible 00:44:28]. They're going to do it the waiting room, like on an iPad or something similar, but nonetheless paper records can be easy, just I'd say sticky notes, right on the file that says, “Here's the date,” so that way when you pull that file, it's right on there and you know that it's time to do one. What I would say is if you think of the second visit, you're reporting pain, reporting a functional scale. Then on the 30th day or visit three, on the 30th day, remember we're going to do a pain scale again G8730 and then G8539 that there's a functional scale. I would think for doctors for the most part, just think of each visit you're going to have two extra codes on the claim to indicate pain or functional scale, whether one was done that visit or done within 30 days or if the patient refused or things were forgotten. I would say, “Do not panic too much.” Let's say you make mistakes on some of these, if you do, it's not a big deal, even a mistake so long as you record it, means you’ve complied. Medicare is not expecting us to be perfect on this, but to be reasonable hence the 50%. My rule would be, do every patient. That way if there's any mistakes or any other problems, it's not going to be an issue because you reported so successful on everyone that even if a few don't meet the standards, you're still okay, so make it simple, visits, each time get two extra codes, pain or function, whether it's done that day or done within 30 days. The visit at recovery, if the patient, everything is looking good, G 8731 says, “I'm negative,” and functional scale is negative with 8542, so nothing that's really overly complicated. I think what can make it seem daunting is all those extra codes, but I would say, breaking down a little simpler to say, “Okay, what do I want to report, there's pain or not pain, there's a functional deficit or not a functional deficit.” There's also a way, now that we've gone through it, there is a way and you’ll see here on the last page that if you want to check to see how you’ve been doing with it, there's a website here you can log in to check. You can actually look up yourself to see how well you are compliant or not compliant. If you have any questions about, “Hey, I thought I was compliant, I'm not,” there's an email and a phone number, what I would suggest for doctors is just say, “You know what, this is something not that hard. At the end of the day, what if you say, “You know what, I'm busy, I've got so many things to do, I'm not going to bother doing this PQRS reporting.” In my opinion, I think it's easy enough, but I would never fault the doctor that says, “You know what, I do not want to do this,” just so long as you're aware if you don't report it, you lose 2%. Right now based on a $40 reimbursement that means 80 cents. Now 80 cents probably is not to make or break the bank, but at the same token I would prefer to have that assuming if 1000 Medicare visits in a year that's fairly substantial money that I would prefer to have, but at the same token always remember it is voluntary, much like
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