The Physician Advisor Handbook

The American College of Physician Advisors is pleased to announce the publication of "The Physician Advisor Handbook", co-authored by Dr. Pooja Nagpal and Dr. Ven Mothkur and edited by Dr. Daniel Zirkman and Dr. Steve Meyerson. This handbook offers a comprehensive review of the multiple areas of influence and levels of expertise that are within the scope of a well-versed physician advisor as a valued member of the hospital's leadership team and is now available for purchase at Amazon Books.

Current ACPA members can read an online version of the book free of charge.

Click Here.

This is a must read for physician advisors at any level of experience and is a useful tool to share with other members of your organization's leadership including care managers, utilization team members, compliance officers, quality and patient safety experts and the entire administrative leadership team.

Online Course


Our Mission

To promote and expand the prominent role of the Physician Advisor in today's rapidly changing healthcare environment through education, certification, mentorship, and collaboration.

Our Vision

Provide the necessary resources to enable the Physician Advisor to assume a leadership role in assisting organizations to successfully navigate the healthcare system now and in the future.

   
  

PRESS RELEASE...

The Board of Directors of the American College of Physician Advisors (ACPA) and the American Society of Medical Advisors (ASMA) are pleased to announce a merging of the mission and vision of the two corporations for the mutual benefit of the physician advisor profession. 
 
Effective October 16, 2016, the two organizations have combined their respective memberships under the banner of ACPA to include joint participation on ACPA committees and other leadership roles; collectively designed to add the enthusiastic talent and expertise of ASMA physician leaders in the field of ICD-10 coding and clinical documentation improvement. This endeavor will allow ACPA to offer the newly combined membership additional comprehensive resources and educational services, created by physician content experts benefitting the entire physician advisor community.
 
"Joining ASMA membership with ACPA is a great move for our physician advisor members who have been actively involved in the advancement of CDI and will share those skills with ACPA. It's also a great opportunity to learn from the wealth of knowledge that ACPA members bring. " – Sam Antonios MD, FACP, FHM, CPE, CCDS, Acting President of ASMA
 
“We are excited to have such a wonderful group of CDI physician advisors helping us achieve a common mission and vision. This is a natural expansion for all of us as utilization review, CDI, and coding become inseparable in today’s value-based world.” – Edward Hu, MD CHCQM-PHYADV, President of ACPA

Featured Article

Peering into Medicare Advantage Peer-to-Peer:

A 12 Step Program for P2Ping 

Michael A. Salvatore, MD FACP CHCQM 


Payers are becoming increasingly addicted to making denials of payment.  Addictions are grudgingly hard problems to correct. One of the most effective methods has been The 12 Step Program. For now Medicare Advantage denial addiction is a fact of our Physician Advisor lives. We all must take steps to deal with them. 

Here are my 12: 

1.    Don’t show your cards first

In poker it is axiomatic that when you raise a bet and ‘call’, your opponent shows his cards first. When doing P2P always ‘call’ to find out what their argument is for making the denial. Often this will reveal a denial based on an incomplete review of the record, which allows you to point out a deficiency in the denial. This gives you momentum in winning the appeal. If you offer a rationale for overturning the denial first, that allows the peer to uphold his denial without ever telling why the denial was made – you learn nothing. Always ask to see their cards first. 

 

Read the full article here                               Archived Articles