HealthCare Services

We have to see this step through to confirm what is missing. If the steps are being followed, then why are there the revenue cycle hiccups. As soon as we find the root of the problem, we try fixing it by eliminating all the obstacles coming in its way. Sometimes the process needs a push because submitting the claims after 24 hours can easily delay the process.

As a healthcare consulting firm, we give our consultancy, and if it is satisfactory enough for the providers, we gladly welcome them on board to handle their revenue cycle management (RCM) process, as flawlessly as we can.

It holds primary importance in the medical billing process. As a healthcare services provider, we must retrieve payments against the pending claims and don’t let the ARs pile up. After the eligibility and patient verification, the claim is on its way to preparation. Once it is created and gone through a couple of times to remove any mistakes, it is sent to the clearinghouse. Clearinghouse decides whether the claim is clean or not. If it is clean, it is clear to be reimbursed by the insurance company.

The most critical aspect of AR management is HIPAA compliance. Since HIPAA Security Rule is in full effect, as a healthcare payment services provider, P3 Healthcare Solutions ensures safe passage for PHI. Protected Health Information contains sensitive information, and if there is a breach at the provider or the medical billing service’s end, Department for Health and Human Services (DHHS) imposes harsh penalties. Even if you pay up your fines, the reputation is a one-time affair, and HIPAA violations directly affect a practice’s reputation.

We have the right medical billing & coding specialists at work here. Executing error-free claims for first-time acceptance makes us unique and prominent among other medical billing companies. P3Care maintains a strict policy when it comes to PHI handling. All the encryptions and passwords are in place, as it takes charge of the sensitive information from the beginning and observes it on every step until the payments are received. When necessary, PHI disposal happens according to HIPAA regulations.

For the claim to sail through the insurance company, the medical coders keep in touch with the latest CMS guidelines, the recent being the ICD-10 coding version. Even after strict supervision of claims, denials do happen. In case of a denial, the mistakes are dealt with, and claims are resubmitted without wasting any time.

Providers expect us to deliver instantly without any delay. We also want to deliver results for them as quickly as we can. However, the process of reimbursement is itself time intensive. The Merit-based Incentive Payment System (MIPS) is proving to be a healthy change, contributing more towards the value-based care. All the performance categories – Quality, Advancing Care Information (ACI), Improvement Activities (IA), and Cost affects the patient outcomes in a positive way. The year 2018 is the second performance year, and P3Care has become a MIPS Qualified Registry successively in the years 2017 and 2018.