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Danzi 's interviews reveal that the choices were shaped by advice from women relatives and friends and personal relationships with physicians . Payment for physician assistant services prior to January 1 , 1998 was made only on an assignment-related basis to the actual employer of the physician assistant at 85 percent of the physician fee schedule for professional services . The statute does not require evidence that a physician " directly advise " a claimant to quit employment . Fourteen months ago she had a very sudden and serious attack of sickness which the physicians pronounced heart trouble . It is a vital part of their education , as physicians learn through practice . " " Physicians in smaller practices are looking for a trusted certifier of HIT products and services to help them make more rational choices in this crowded marketplace , " said David C. Kibbe , MD , director of the Center for Health Information Technology for the American Academy of Family Physicians . These dose constraints force the dose to drop and remain inside the acceptable zone between the minimum and the maximum dose prescribed by the physician . Keystone Health Maintenance Organization Plan ( HMO ) provides comprehensive health services including preventive care ( routine visits ) provided physicians and hospitals in the network are used and that the care is coordinated by a primary care physician . While the statute does not provide a specific remedy for this situation and we expect the physician will tell beneficiaries that they have opted-out , we believe that we have authority to develop some beneficiary protections in this case in the limited cases when physicians do not do so . The directive addresses the types of treatment - presumably given under a physician 's orders - that Petitioner 's staff was to provide for Resident # 20 .