PCS Program Audit Findings Summary Any Physician, MD
AHCCCS ID# 111111

Servicing Provider
ID	Servicing Provider Name	Servicing Provider Type Description	PCES
Count	NON PCES
Count	Total Count	Recalculated EM Percent	
111111	PHYSICIAN, ANY	MD-PHYSICIAN	2,077	2,792	4,869	43%	
222222	PRACTITIONER, A. N.	REGISTERED NURSE
PRACTITIONER	200	20	220	91%	
Overall - Summary	2,277	2,812	5,089	45%	

Attested online for PCS Program Option 2. April 10, 2013, as Family Medicine  Data queries ran, verified and determined physician does not meet 60% benchmark
Linked attested practitioners with physician to recalculate, does not meet 60% benchmark

Per ABMS web search Dr. A. Physician  holds board certification from American Board of Preventative Medicine in Public Health

Board certification on record does not meet the PCS Program criteria for specialty/subspecialty

Physician failed to meet the criteria for PCS Program Option 2.

Given the ABMS research, physician would not meet board certification requirement and would not qualify under Option 1.

Summary of Actions, Contacts Every Physician, MD AHCCCS ID# 277013

5/27/2014	Initial letter sent to provider address on file with the Code Summary report attachment
USPS  regular mail (was not returned @ undelivered)

7/21/2014	status - no response to date

7/23/2014	research ABMS and ABPS for board specialty/subspecialty Board specialty:  “Public Health”
Does not meet CMS Program criteria – non-qualifying specialty

8/4/2014	phone call to provider office; no answer; left detailed voice message;
requested return call to auditor or Provider Registration 9/15/2014	status – no response to date