P3 Healthcare Solutions - Medical Billing Services and MIPS Consultants

If one good thing came out of this pandemic, it is the rise of Telehealth services in primary care. Medical billing services had to modify their billing structure to include Telehealth billing services to their manual. As a result, they have to work for their client payments, in which their expertise is tested the most. The boost in the Telehealth sector is not just an estimation but based on a data a report issued by HHS (The US Department of Health and Human Services). Digging deeper into the analysis of this report shows us that Telehealth visits per week increased from 2,000 to 1.28 million. Moreover, Medicare spending in this sector went up from 0.1% to 43.5% from February to April 2020. Meanwhile, the in-person visits dropped significantly with a rise in mid-April to May 2020. Since life is going back to what it was before the pandemic, we see a rise in in-person numbers and they are almost leveling up with the Telehealth visits.  However, the rate is still lower tha

Medical billing and coding have undergone various changes. At first, the payment transaction methods were not clear. Then from the late eighties to until a decade ago, billers and coders had to write down every single detail manually on papers. The information collected was cipher into the designated codes or electronic codes to be stored in the hospital’s database. You can assume that the process of getting claims was surely not a cup of tea. It was lengthy, and most of the time, human errors were a big problem in creating clean claims. Since technology has been a great invention and is making waves in the medical billing industry like other fields. Now professional outsourcing billing companies relay on encoders to mitigate human errors and to increase the precision of the claims. The process is more streamlined than ever and aligned with the companies’ objectives. But relying simply on encoders can also seriously damage your claim processing. Why Professional Medical Coders a

With restrictions applied nationwide and people under obligation to stay at home, our mental health is at risk. One way or the other, we must have a plan in place on how to get through the days in quarantine. According to the Mental Health Association, 1 in 5 people will experience a mental health condition. This year the theme is, Tools 2 Thrive (#tools2thrive) that every person can use to help those who are suffering. As a result of this recent onslaught of COVID-19 across the United States, this figure of 1 in 5 could only worsen. Whether it is by choice or fate, the state of isolation can be a big stressor and can easily develop into mental health symptoms. Let’s look at a few ways to manage ourselves at such times. Nature is therapeutic Lisa M. Carlson , the President of the American Public Health Association, says and I am paraphrasing it: It is in nature that we must look for relief, peace, and contentment. That’s true in every sense of the manner. She calls natura

Whether it is about MIPS 2019 or Medicare MIPS 2020 reporting , Qualified Registry is one of the most authentic ways to do it. It is one of the collection types recognized by CMS to submit on behalf of the providers. Submissions further split into three types: either you can report it as an individual clinician, as a group, or as a virtual group. Whatever you choose to be, remember, it is your career and incentives on the line. CMS Released New Data on Medicare MIPS 2020 If you have been a late bloomer in the previous installment of the MIPS program (MIPS 2019) and couldn’t submit data on time, there is still time to do that until March 31, 2020, the deadline. As far as Medicare MIPS 2020 is concerned, it has just started so you have plenty of time as a clinician to report it. Nevertheless, we advise you to report it at the earliest to remove the chances of penalties later on. Another name of Medicare Access and Chip Reauthorization Act (MACRA) is compliance. As a practice

A large gland in the back of the neck that secretes hormones for growth and development via the rate of metabolism refers to the thyroid. The secreted hormones T3 and T4 affect every cell. From keeping a check on protein production to maintaining body temperature to heart rate, this gland surely has some big things to do for an active body. The excess or insufficiency of the hormones can result in two medical conditions known as: Hyperthyroidism Hypothyroidism These conditions can disturb the hormonal balance and affect the overall wellbeing of the human body. Why We Celebrate “January as Thyroid Awareness Month”? Is it A Big Thing? Here are some facts to favor this initiative. You might be surprised to know, but around twenty million Americans suffer from thyroid disease of some sort. Generally, people don’t know about the symptoms or causes of thyroid disease. Surprisingly, up to sixty percent of the total thyroid carriers don’t even know about it. Women are about five to

Centers for Medicare and Medicaid Services (CMS) came up with the proposed modifications earlier this year in August. They affect the doctors or their practices in ways they are still trying to understand. However, P3 has gotten it all figured out on behalf of providers for an efficient MIPS 2019 reporting right away. MIPS &  MACRA  are two significant terms when we talk about quality care. They are the bedrock of the new system that we are trying to achieve. Moreover, the Quality Payment Program under Medicare Access and CHIP Reauthorization Act (MACRA) produces patient outcomes based on quality rather than quantity. Now, that you have an idea, we want to dive into the changes to this program before 2020 begins.  MIPS Requirements in 2020 – Threshold-wise CMS has revised the minimum and additional performance thresholds of the program. The positive and negative payment adjustments have also been renewed. Since physicians and physician groups have done so grea

MIPS 2019 performance year is about to end. Only a little time is left until eligible clinicians can report for MIPS healthcare. MIPS put forwards the opportunity to get incentives and bonuses aside from the regular payment model. The revenue cycle runs smoothly, and also if a clinician performs well in all MIPS performance categories, he/she can earn a reputation in the healthcare industry among fellow physicians. Although, P3 Healthcare Solutions has published an overview of MIPS 2019 changes. But, we know it’s difficult to stay updated all the time. So, here’s a summary of everything happening in the 3rd MIPS year. Go through them, and if you are missing on something, make sure to report according to the guidelines. More Eligible Clinicians Can Report for MIPS 2019 The list of eligible clinicians is expanded to include more clinicians. Now, the following physicians can also report to CMS - The Centers for Medicare & Medicaid Services. ·          Phys