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Access provides more than just healthcare. It enriches the lives of its members by providing services like
Outreach Center, Auroveda Garden and Enrichment Center. Access is a multi-service medical practice consisting of over 170 healthcare providers and over 915 employees at more than 150 locations throughout Florida. Our Doctors combined speak over 18 different languages.

Innovation in the Boondocks : By Pariksith Singh, MD

Can innovation happen in the boondocks? This is the question we have grappled with over the last five years. We live in Spring Hill, Hernando County, which is about 50 miles north of Tampa, known most for its mermaids locally than anything else. We are a small town, an urban city, which is a bedroom community for Tampa, truly a sleepy town.

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Access Health Care Physicians, LLC Announces Hernando County’s First Health-Tech Innovation Center

Over the last three years, Access Health Care Physicians, LLC has created new health care solutions in the industry by using its subject matter experts and information technology specialists in collaboration with Pratian Technologies, based in Bengaluru, India

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How to Start an IPA? By Pariksith Singh, MD

An Independent Provider’s Association (IPA) is a coming together of various providers for a particular purpose, usually to gain an advantage in contracting, to leverage economy of size and volume, and to create a platform for working as a single entity. It is only natural for any provider to aspire to start his or her own IPA and climb up the value scale.

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IT May Not Be IT By Pariksith Singh, MD

The recent approach of Silicon Valley to health care problems, as defined by a direct consumer-based approach, use of applications, cloud-based, with analytics and internet of things (IoT) with artificial intelligence is fascinating. The paradigm is typical of information technology and may have some value. However, there are glaring flaws that are inherent in the approach.

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Our Journey of Compliance : By Pariksith Singh, MD

Our journey, from the conception of a compliance strategy for our company, to developing a full-fledged culture and integrating it completely with operations might be of some value to others. Let me share a little of what the journey was like. It was circa 2004 that I asked a known professional who had audited charts for First Coast (the Florida intermediary for Medicare) and had worked for various hospitals and auditing firms to join us. She had helped us in Optimum Health Care, Inc., an HMO we had started. I asked her to be our Compliance Officer.

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Innovation in the Boondocks: Challenges We Experienced

People: Perhaps the biggest challenge was finding the right people with sufficient expertise, passion, integrity, and compassion. Our first meeting of leaders in the company, which occurred about a dozen years ago ended in disruption, with arguments and counter-arguments flying.

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A Care Management Strategy : By Pariksith Singh, MD

Creating a Care Management (CM) program entails several requirements. But, first, it must define the goals. The goals, to my mind, are:

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The Challenge for Independent Health Care Practices : By Pariksith Singh, MD

The biggest issue for health care practices today, in my opinion, is their lack of control over their destiny. In a sense, perhaps, they never had any and any independence and mastery over their future were only illusory.

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Robotics and Artificial Intelligence in Health Care: Providing the Spices for the Seven-Course Meal!!! : By Pariksith Singh, MD & Sriram Bhargav Madhav

The health care industry is becoming more and more high tech with advanced research and improvement in our clinical abilities to test, diagnose, and treat.

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AI in Health Care: A Seven-Course Meal : By Pariksith Singh, MD

AI in Health Care comes in several flavors. It is not just a standard serving, which comes out of an assembly line, no matter what an individual’s penchant or taste might be. Understanding this is key to the adoption of Artificial Intelligence (AI) in health care. A one-recipe-fits-all strategy might work in fast-food restaurants but not in a vast, complex, intricate, multi-dimensional approach such as AI in any other field including medicine.

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An Approach to MRA Compliance : By Pariksith Singh, MD

MRA Compliance (MRAC) is a team effort. It is the combined effort of operations, clinical, technology, compliance, quality, utilization management, and finance and a strong rapport among all the teams with continued meetings, goal-setting, feedback, and dialogue and collective effort is critical.

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MRA Compliance and Equity : By Pariksith Singh, MD

Medicare Risk Adjustment (MRA) creates complex arithmetic. For those not in the know of how it affects the business of Independent Physician Associations (IPA) or practices, estimating the budget is like shooting in the dark with blindfolds on. And yet, in this season for buying, we are seeing Private Equity (PE) paying obscene amounts for primary care practices (at least in Florida) without understanding all the nuances of the business and assessing all the variables involved in their funding.

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An Approach to Compliance : By Pariksith Singh, MD

Compliance is a complex subject. Perhaps the most difficult to master in Health Care Management, if it ever can be mastered. We brought in compliance across our organization almost 12 years ago to ensure appropriate documentation, proper coding, and billing, adherence to federal and state statutes, ensuring employee and patient safety, and creating an equal opportunity work environment for all. I can say with confidence that we have come a long way since we started. A culture of compliance has been created. And yet, every day we find new problems and new issues that missed our ken.

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Compliance in Operations of Revenue Cycle Management : By Pariksith Singh, MD, CHC

What is operational compliance in Revenue Cycle Management? Every step of the administrative and operative processes must be intimately intertwined with the overarching theme of integrity and adherence to the law. Compliance needs to become granular for it to truly succeed.

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Compliance Is the Core : By Pariksith Singh, MD

This is perhaps the most important essay I have written on health care. These are my conclusions after 15 years of trying to create a robust compliance system in our organization. These conclusions represent my challenges to myself and to our teams and how they have rallied wonderfully over the years to any curveballs I have thrown to them. I confess we have been far from perfect. Nevertheless, in this case, as in so many wonderful things about life, our failures became our success.

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Access 2 Calypso Passes CMS Audit

Spring Hill, Florida (May 5, 2020) – Access 2 Healthcare Physicians, LLC, a Hernando County company founded by Pariksith Singh, MD, is proud to announce that its Calypso Care, a comprehensive utilization management software program, recently passed a Source System Validation (SSV) audit by the Center for Medicare & Medicaid Services (CMS) with zero deficiencies. The CMS conducted the SSV audit while conducting an audit of a national health care plan’s Utilization Management processes, of which, A2HCP is contracted as a delegate.

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COVID-ECTOMY : By Pariksith Singh, MD

Once a surgeon always a surgeon. Yes, I operated on eyes many moons ago. And the first lesson was when a patient is bleeding, all courtesies are off. Clamp that bleeder right away. Ligate it. Cauterize it. Then you will have all the time to address details later. Save life first. If the patient lives, you will have the leisure for questions and explanations. Save the eye. We will be courteous later. A surgeon sees a world differently. No time for theory if there is an emergency. You need to act. Now.

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The Digital Transformation of Medical Practices By Pariksith Singh, MD

Digital transformation is bandied about too easily these days. But for the true digital transformation of medical practice to occur, it is not just the technological challenges one needs to consider, but also other aspects. It is the need of the hour but to do it correctly without posing dangers to patients or providers.

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