medical billing services, medical billing company, healthcare organizations, medical billing outsourcing, medical billing company, Electronic Healthcare Records, EHRs, medical billing and coding services

What Qualities Make A Good Medical Billing Service?

The more healthcare organizations are getting dependent on medical billing services, the more you are seeing medical billing companies in the industry.

With so many names in the market, it is difficult for medical practices to choose the right one for them.

Why Healthcare Organizations Choose Medical Billing Services?

Some physicians have a high ratio of claims sent back to them. While some suffer from inaccurate coding practices.  Some clinicians cannot deal with denial management or follow up services.

Low resources, untrained staff, inability to streamline cash flow, or whatever the reason is, the remedy for all these pain points is a professional medical billing company.

Professional medical billing services spend a lot of time and energy to compile medical claims to get clinicians reimbursements for the rendered services. The motivation to hire well-reputed medical billing and coding service providers comes automatically when physicians do not have sufficient cash at the end of the month.

Despite market research, many clinicians fall for fake promises of immature medical billing companies. Listed below are the top qualities that professional and experienced medical billing companies must have. Go through these checkpoints so that you do not do any mistakes while handling your billing, coding, and revenue management departments to a third party.

Specialty- Specific Medical Billing Support

Expert medical billing services submit medical claims as per the specialty of medical practice. They know your coding standards and billing norms so that the claims are not rejected.

For Instance,

The documentation requirements are different for specialty-based healthcare organizations from the general physician and assistant physicians.

P3 Healthcare Solutions is an experienced medical billing company for years and offers specialty-specific billing services to healthcare providers. The staff is trained with the latest billing and coding techniques to avoid major mistakes that restrict revenue cycle management. We make sure to implement strategies to minimize accounts receivable (AR).

Technical Ability to Compile Accurate Medical Claims

When healthcare organizations choose medical billing outsourcing, they expect a high return-on-investment (ROI), which is possible only when the chosen medical billing company tends to submit accurate claims to insurance companies.

Technical ability also refers to the deployment of equipment and software that reduces working hours to minutes. Such as Electronic Healthcare Records (EHRs) which is a secure way to save and transmit information across the network.

Developing a system for secure data transmission and streamlining revenue cycle management are the technical aspects that professional medical billing services master at first. Minimizing human errors by implementing interoperable technology speeds up the works and pinpoints the potential error areas.

Expert medical billing and coding services always look for technologies of state-of-the-art security protocols that lower down cost but increase efficiency.

Training and Educational Sessions for the Billing Staff

Training resources as per the latest standards is a smart practice to reduce errors and maintain the accuracy of medical claims.

Every year, you see a different set of billing guidelines and coding standards. To update knowledge of medical billers and coders is a must-have characteristic for successful medical billing companies.

By connecting with these medical billing companies, there is a high chance to earn more revenue. The ratio of denied medical claims reduces and productivity increases. It also maintains an air of transparent billing approach and the overall performance of the billing department improves.

Either a medical billing company is a grown one or a minnow, following upon the mentioned top three services results in tangible outcomes for physicians. A little investment is surely needed at the start but when you are able to increase reimbursement rate, it is worth a shot.

PHI, Protected Health Information, EHRs, Electronic Healthcare Records, Healthcare, Healthcare Solutions, HIPAA, Medical Billing and Coding, medical billing company, Medical Billing Services

What every physician needs to know about PHI?

Protected Health Information (PHI) refers to data that is collected and managed during the diagnosis or treatment process and identifies each patient.

In simple words, PHI is all the information in medical records including the conversations during the treatment, medical billing and coding, and the health insurance data. Generally, medical billing services have to deal with all such information. Therefore, they must conform to the HIPAA rules.

HIPAA – Compliant Medical Billing Services

Any information related to patients and their healthcare plans is sensitive and can be misused. Thus, medical billing companies should compile medical claims in a protected environment to prevent confidential data from being leaked under the rules of HIPAA.

HIPAA – Health Insurance Portability and Accountability Act focuses on:

  • Making identification information private
  • Using patients’ information only during the course of healthcare
  • Disclosing private information only to relevant and trustworthy parties

PHI Includes

  • Billing information from medical billing services or clinicians
  • Contact information
  • Medication and prescription statements

Information like blood pressure reading and burned calories are not considered in the PHI category.

Securing healthcare information is one of the major responsibilities of medical billing services. Any medical billing company failed to take measures in this regard unconsciously exposes their clients to a serious financial threat.

It is to remember patients have the right to access medical records anytime. However, HIPAA restricts access only in specific circumstances.

Healthcare organizations or medical billing companies on their behalf need to educate patients about their rights; otherwise, the idea of the progressive healthcare industry won’t work.

HIPAA Compliance Is a Must for PHI

Data that is personally identifiable to the patient and that can be disclosed to a covered entity is considered HIPAA-protected PHI.

Therefore, HIPAA compliance is a must factor while catering to PHI. It is also to remember that these rules fall under the jurisdiction of the law. Any healthcare organization or medical billing company that fails to meet the compliance rule may have to face penalties from authorities.

What Can We Do to Protect Data from Hackers?

As technology is evolving and offering reliable storage solutions, managing data on papers is not feasible. Electronic healthcare records (EHRs) propose a better solution, provided strict actions are taken to secure data in all formats.

Healthcare organizations and other stakeholders of the healthcare industry need to design and implement a strategy that safeguards the integrity of data on all levels be it technical, physical, and administration.

Such small steps lead us towards a reliable and seamless data transmission, making an empowered healthcare system.

US healthcare system, Medicare and Medicaid programs, medical claims, Medical billing services, medical billing outsourcing, medical billing company, RCM process, healthcare IT, Provider medical billing services

Apply These 5 Secret Techniques to Improve Revenue Cycle Management

Practices receive payments for rendered services after weeks, and sometimes it takes months for them to get paid. It doesn’t have to be patients or doctors all the time; when it is time to get paid, there is a third stakeholder – the payer – that comes into play.

The US healthcare system is made up of complexities. A system in which people with disabilities and above the age of 65 are covered by Medicare and Medicaid programs, clinicians ought to make their financial cycles a priority. When it is the first thing on your to-do lists, medical claims approve at a much faster rate without having to worry about denials.

Before getting paid in full, providers have to spend time sending the remaining bills to the patients. It is critical to the life of practices to stay profitable and meet their monthly expenses. A much practical way to achieve those goals is to hire Medical billing services such as P3 and amplify the revenue cycle management process.

We bring five secret recipes for your practice to run as seamlessly as the wind itself useful even in times of COVID-19. As America realigns with the after-effects of the pandemic, make use of the following techniques:

  1. Bring medical billing services on board

Due to the disconnect between payments and physicians, going for medical billing outsourcing makes sense. A medical billing company becomes responsible for all their finances and the whole RCM process. Most physicians complain of the slow payment process from patients with High Deductible Health Plans (HDHPs).

To keep it simple and to the point, health IT firms like P3Care work on behalf of providers to get them what they deserve promptly. We believe an efficient billing company is central to the financial freedom of clinicians, for them to have a strong association with their patients, which is the most vital element in healthcare.

  1. Effective financial policymaking

For a patient, getting well is everything. However, before they get well, it is important to understand the cost of care. A financial policy means your practice receives payment before treating the patient. Except for a clinical emergency, if they are unable to pay, reschedule their appointments to another day. Lobbies and waiting areas should have this policy stated on their walls for public awareness. And, if you have a website or social media channels for that practice, pin it to the top of the page. Get the patients to sign it, so their acknowledgment comes in writing.

  1. Spread the word categorically

When someone calls for an appointment, inform them of your financial policy, i.e., collect payments before checking the patient. The automated message that goes out to different patients should include the recorded statement of your financial policy when new patients call in or sending out appointment reminders.

Keep the policy in the loop of communication whether it is at the front desk in the form of a hard copy, through email, or the messenger so there are no surprises.

  1. Calculate upfront costs before checking in

Some tools help practices calculate out-of-pocket costs for the care delivered. They collect data from payer contracts, physician and facility charges, and patient’s health information to calculate upfront costs accurately. We recommend the use of such tools for the sake of financial security. Build self-check-in kiosks in one corner of the waiting area to speed up the care process. They also have an option to accept payments.

Not only do such tools add to the patient experience because of their quick check-ins, but their application speeds up the payment process.

  1. Train front desk staff in insurance programs

When front desk staff is trained in applying for Medicaid and other patient assistance programs, it is an additional skill they can use to motivate the patients. Train staff in scenario-based scripts in which they are face-to-face with a real-time situation before it happens for copayments, cost-sharing charts, and outstanding balances.

Regardless of what the US healthcare seems like, the cost of care is inevitable. Whether we can afford it or not, physicians have the right to earn what they just delivered. Provider medical billing services help you get paid faster and execute a result-oriented revenue cycle management process. For that, we prepare claims according to ICD-10 and CPT coding guidelines by CMS and AMA, respectively as early as the patient leaves the doctor’s office.

How accuracy of medical claims could save your revenue?

Medical billing services, Healthcare System, medical billing service providers, Electronic Medical Records, EMRs, medical billing companies

3 Technologies in Favor of Value-Based Healthcare System

Medical billing services and clinicians have joined hands to strive for a progressive healthcare industry altogether.

As the focus on value-based care services has risen, there is no place for hiding for immature and quacks. The research in the healthcare sector is paving undiscovered paths for physicians and medical billing companies, which leads to better patients’ engagement, coordinated care services, and optimized treatment methods.

Some of these technologies are already in the market, and some are going to be available at the end of the year.

  1. Blockchain Technology in Healthcare

This technology serves a modern data collection and transfer system where blocks of data are connected and secured by cryptography. It was devised for digital currency (bitcoin), however, research shows it has a great potential to transfer data across healthcare organizations without any limitation that Electronic Medical Records (EMRs) have.

Its decentralized mechanism is compatible with every system and thus makes access to information easier and reliable than before. According to Forbes, blockchain applications will be showcased for commercial use at the end of this year.

Medical billing services will find this technology useful to minimize errors in data transmission.

  1. Telemedicine

Telemedicine may be a familiar term for many of you. You even might have seen a practical demonstration of this technology anywhere. Whatever the case may be, this technology reduces the gap between remote patients and clinicians via electronic means.  It also affects the way information is submitted to a physician. The optimized and smart interaction surely brings a breakthrough in a regular patient-physician interaction and consequently in medical billing services procedures.

  1. Artificial Intelligence

Since 2018, we have been listening about the implication of artificial intelligence (AI), and indeed, it is the future of every field.  Speaking generally, artificial intelligence will revolutionize the monitoring of human activity. Reaching far-away areas where there are limited or no resources will be possible with artificial intelligence. Who knows AI modernizes diagnostic procedures so much that the need to take out blood and tissue samples vanishes.

Even Forbes says that work productivity in healthcare systems can be increased by 10-15% within the next two to three years with AI.

In general, when we look upon the healthcare technologies, one thing comes forward. They all strive to improve data transmission and patients’ engagement levels. The factors like interoperability and the burden of shifting to a new system are challenging, but in order to get the best healthcare outcomes, physicians and medical billing service providers need to adopt new methods and implement value-based healthcare strategies.

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Healthcare Practices, Medical Billing and Coding, Medical Billing Companies, Medical Billing Services, MIPS

How to Stabilize Finances of Healthcare Practices?

The healthcare rules in the 21st century keep changing and more frequently in the post-pandemic era.

Ordinarily, physicians have limited time for administrative tasks; however, recent developments have made their time even more crucial.

One comprehensive answer to resolve financial troubles once and for all is to hire a medical billing service. A medical billing company files, follow-ups, and collects from insurance companies on behalf of providers. Therefore, it not only lightens their administrative burden but leads to a life of comfort, peace, and contentment for them.

Certainly, worrying about your finances at the expense of your patients is not a good deal to make. That’s where medical billing outsourcing comes in handy and takes off some of your burdens. In times of value-based care, improving the quality of care is your number one priority.

Let’s get down to some suggestions that optimize the medical billing and coding process, save time, and increase ROI.

  1. Go Online

Leave paper behind. In this digital era, do you believe, sending invoices to patients via paper is a reliable or safe way? Well, No.

Most of the medical billing services still send bills via papers, and we must know this method is obsolete. The collection rate can be significantly increased if physicians allow a digital method of sending invoices.

  1. Ask for Payments While the Patient’s Visit

It is observed that the chance of collecting payment decreases by 20% when patients walk out of the physicians’ office.

In-house or in-office payment rate increases when medical billing companies or front-desk staff accepts credit/debit cards on the spot. But, first make sure you have a HIPAA-compliant setup and you obey Payment Card Industry Data Security Standards (PCI DSS) guidelines.

  1. Verify Patient’s Insurance Eligibility Beforehand

Verifying patient’s insurance eligibility before the treatment is an under-rated practice. However, when done, it makes bank accounts full. Some software can help in this task, and some of them are so advanced that they even notify physicians for the paid payments by the patients such as deductibles and copayments. In this way, medical billing services can proceed with medical claims without any difficulty afterward and even inform patients about their financial responsibilities.

It needs a big investment, but it is worth every penny.

Healthcare innovations are on the rise. So, it’s better to move forward instead of sticking to the old conventional methods. It is not only beneficial for introducing interoperability but also to level up the medical billing and coding standards.

Don’t you think?

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medical billing services, medical billing and coding, medical billing companies, healthcare services provider

How to Verify Healthcare Insurance via Medical Billing Services?

Undeniably, physicians need a stable revenue cycle. To achieve this complex goal, medical billing services work day and night to reimburse claims for them. It is their job and a way to give back. Eventually, efforts like these sum up to reflect better reimbursements and stability for a practice. If your practice’s focus is on developing a strategy for effective billing, the rest is easy.

Besides, it is crucial to verify the insurance eligibility of providers.

Medical billers have to find an answer to this question: Whether the patient’s health plan covers the treatment and the provider or not? Also, if the provider is out-of-network, it gives billing companies a chance to enroll them with the insurance company.

On the other hand, patients also have a responsibility to fulfill; they must keep their health plan updated. We are here to spread this sort of awareness, so they receive the healthcare they deserve.

The article discusses such a topic so the providers can get the most out of insurance companies maximizing their revenue. The RCM process is the backbone of practices!

Let’s not wait anymore and delve into how medical billing companies can verify insurance eligibility in 10 easy steps.

  1. Obtain Important Information from the Healthcare Provider

The process starts when the patient visits a medical practice. It is where the front-desk staff accurately records patient information. Such information includes:

  • Name of the patient
  • Date of birth
  • Social security number
  • Contact number
  • Information of insurance provider
  • Insurance ID & group number

Medical billing services have to find this information if healthcare providers don’t provide it, because, without it, it would be difficult to verify their insurance eligibility. Moreover, P3 Healthcare Solutions has a staff of billers and coders to expedite the process of verification.

  1. Ask for the Original Health Insurance Card from the Patients

Request the patient to provide the photo ID and make copies of the original health insurance card for the future.

  1. Contact the Respective Insurance Company

Make a call to the relevant insurance company or via electronic means, check if the insurance that patient claims, is valid.

  1. Research If the Insurance Benefits Remain Valid on the Date of Treatment

Verifying the patient’s health plan saves providers from unnecessary stress. In short, it is the additional job of medical billing services to verify and confirm a patient’s eligibility.

  1. Check for Insurance Benefits

By contacting the insurance company, medical billing services verify the benefits that a patient can avail and the copayment that they have to pay.

If there are charges that insurance doesn’t cover, make sure to inform the patient before the treatment, so that, they recognize their financial responsibility before time.

  1. Ensure You Are Included in the Patient’s Insurance Network

If the healthcare provider is not included in the patient’s insurance network, the insurance company may not reimburse completely to the doctor.

  1. Know About Deductibles

A deductible is an amount that the patient pays before the insurance company pays for them. There is a different amount for each insurance plan that a patient has to pay. In fact, medical billing companies need to ensure if the patient has paid the respective dues or not.

  1. Verify Copayments

Collect copayments from the patient, give them a slip, and share with them the treatment details. In this way, patients get to know their insurance benefits too.

  1. Be Efficient with Customer Support Services

Ordinarily, healthcare providers are busy people. It is not advisable for them to treat and charge patients at the same time. Therefore, medical billing services come to their rescue to deal with their payment matters. Besides, the front desk staff assists the patients for clarity in this regard.

  1. Verify If the Patient Has a Secondary Insurance

Often patients have secondary insurance. Only a certain amount of charges is covered by the primary plan. It is advisable to verify secondary insurance information too as described above.

Medical Billing Services for Small Practices

‘Medical billing near me’ is often the search phrase providers search in Google for the nearest billing services. However, it is not a matter of distance but experience. Whether you are a small practice or a big one, one cannot deny the value of experience. Moreover, if the company maintains quality staff; online and offline reputation; and, high first-time claims acceptance rates, practices are bound to flourish within no time.

As a matter of fact, they help physicians to join the insurance network and demonstrate efficiency. It is necessary to kickoff their revenue cycle.

Successful medical billing companies ensure practices that best suit the healthcare service provider and elevate his revenue cycle. Insurance verification serves the same purpose. If the insurance verification process is completed beforehand the treatment, patients know about their financial responsibilities, and the rate of accounts receivable (AR) is reduced.

What do you think of the whole insurance verification process?

5 Hurdles Physician Credentialing Experts Can Help You Avoid

Credentialing specialists and those working to validate doctors in healthcare setups have a huge responsibility on their shoulders to come through as trustworthy partners. Because, if they fall short of certain requirements, not only does it jeopardizes their position but puts physicians’ careers at risk as well.

Medical credentialing is the process of validating and revalidating physicians to be part of a professional healthcare network. Doctors go through re-attestation and revalidation with the help of credentialing experts after they carry it to good effect. P3’s credentialing services make use of rules in favor of physicians so they aren’t penalized in any way.

Overcome the following hurdles with the help of physician credentialing experts.

  1. The Critical Stage of Physician Verification

A new provider who is about to join a hospital needs 60 to 90 days to be fully verified. Once physician credentialing experts give the green signal, the providers start to see the patients. As the process involves microscopic verification related to education, work, past cases, and medical license, a tiny mistake can undermine the process further.

  1. Furnish Peer References on Time

When you have P3 as your medical credentialing service, tenacity to complete the process comes by default. Due to the physician’s busy schedule, it is hard to find time for such matters. Don’t think twice when it comes to hiring trained HIT consultants for credentialing. It makes the job at hand, easier.

Peer references are part of the process but finding spare time to address them and for peers to respond accordingly is the real issue. Don’t fret, because P3 Healthcare Solutions, Ontario, CA has got you covered. We assist you in health IT and credentialing is not any different.

  1. Address Physician Credentialing from Time to Time

The process is not a one-time effort, but a continuous one. For instance, clinicians in ambulatory surgical centers require reevaluation every 1 to 3 years. Constant work is required of their profiles to stay updated.

Since physicians have different portfolio renewal dates, the ASCs have a hard time keeping up with them. Therefore, we, as credentialing specialists, offer healthcare providers the best of solutions. Subscribe to our annual plan at this number 1-844-557-3227 and get rid of the stress forever.

  1. Unified Approach for Patient Health Plans

With the inclusion of the state exchange and federal health plans, credentialing undergoes another knot of complexity. Physician practices, to stay current and updated, have to take up plans of their patients into consideration. There has to be a certain balance between the number of patients visiting practice and revenue generated as a result.

  1. Enrollment with Patient’s Exchange Plan

Due to several stages in the process, the right tactics need to be in place. Otherwise, physicians will experience a delay in payments. For instance, as medical credentialing experts, we make sure physicians enroll with the exchange plan of their patients. As a result, they are paid for rendering services.

Third-party medical credentialing services simplify the process of enrollment and credentialing. Sometimes when trust takes the backseat, it is difficult to rely on outsourcing companies. RCM process improvement comes as an additional perk with P3 as an emerging medical billing service according to a survey by Discover your true potential to cross the maximum revenue benchmark as we don’t settle for anything less.

About P3 Healthcare Solutions, Ontario, CA:

We are a medical billing company that works for providers while they work for patients. The end-to-end revenue cycle management process activates the true potential of practices. It is an effort to generate for you and utilize the boundaries of the healthcare system in the best interest of physicians and their patients. In the end, every practice deserves high revenue and reduced losses.

Contact Us

P3 Healthcare Solutions, Inc.

Phone – +1 844 557 3227

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Medical Billing Services for Dentists by P3Care, Ontario, CA

Medical billing services will agree that getting reimbursements for dental surgeries is quite difficult. Dental insurance benefits are not as elaborate as other healthcare plans. Therefore, many dentists don’t support this approach and have adopted the pay-per-service method. But the fact is getting money from patients is a daunting task.  If patients are insured, insurance companies pay at least 70% for the incurred expense.

Medical Billing for Dentistry Is Also In Favor of Patients

If dentists adopt the medical billing process, patients will not have to stress about payment.

Consulting a medical billing company like P3 Healthcare Solutions would indeed be a 180-degree turn over for dentists and fellow assistants.

However, the shift will save physicians’ time from running after patients for reimbursement.

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How P3care, Ontario, CA Manages Medical Billing For Dentists?

All the medical billing companies, who wish to create accurate claims for dentists, here are some tips to make the billing process accurate.

Accurately Document All the Specifications

Medical billing services have to prove to the insurance company that dental surgery was necessary for the patient’s oral health.

P3Care searches for the most relevant ICD and CPT codes to report for dental surgery. We make sure to state the reasons for surgery as precisely as possible.

We suggest you submit medical claims with explicitly stated,

  • The situation of the patient, when he came to the dentist
  • The causes of the damage oral health
  • The diagnostic code for the treatment
  • Surgical procedures

This particular information leaves no room for the insurance companies to deny the medical claim. Moreover, it helps them understand that the patient has not simply a minor dental problem but is a severe case that needed surgery.

Go for Pre- Authorization of the Benefit Plan

Surgeries of any kind don’t happen suddenly. Physicians often have the time of a day to two, before the surgical procedure. Medical billing companies can use this period to pre-authorize insurance benefits from the insurance company. It helps to know if the insurance company will pay for the treatment or not. It will be like an Explanation of Benefit (EOB) statement.

Pre-authorization of the process saves physicians time and patients as they get to know about the payment responsibility at the early stages. Moreover, the benefits patients have in their health plan and the deductible that the patient has to pay becomes clear.

Hence, like all other medical specialists, dentists should also progress with changing times and switch to medical billing services for reimbursement purposes.

A Guide to Medical Billing Services for Podiatrists

There are several medical specializations and for each specialization, there are certain rules and regulations to follow regarding their medical billing. Medical billing services efficiency turns into the financial health of a practice.

Not every medical field has the same diagnostic and surgical procedures. Similarly, each has its own medical billing and coding guidelines. And, podiatry is no different. When the claims undergo acceptance more often than not, it goes in the credit of medical billing companies. However, if there are more rejections reported, it is time to revamp your billing strategy.

Today, we will look at the special circumstances around which the billing partner works for podiatrists.

First Thing’s First, What is Podiatry?

Podiatry is the branch of medicine concerned with the diagnosis, treatment, and study of diseases and disorders of the foot and lower extremity. Treatments are related to regular healthcare issues – neurological, metabolic, and other underlying issues along with injuries, wounds, and infections.

Rules Regarding Billing for Podiatrists

The Centers for Medicare and Medicaid Services (CMS) defines rules and procedures for each discipline of medicine. There are clear instructions on what should be covered under an insurance plan for podiatrists. New medical billing outsourcing companies can take notes from their official website.

Insurance Don’t Pay for Non-Medically Necessary Services

Under CMS rules, insurance companies will only pay for medically necessary foot care services.

A regular foot care service falls into the following categories.

  • Additional
  • Mandatory
  • Supplemental
  • Optional supplemental

What Exclusions Are Involved in Podiatry Medical Billing?

There are certain cases in which fighting with insurance companies for reimbursement doesn’t help at all. Please don’t send claims for the following cases because they won’t be paid:

  • Initial care service
  • Existence of metabolic, neurologic, or other peripheral vascular diseases
  • Mycotic nails
  • When a patient is already receiving primary healthcare
  • Dislocation of ankle joint
  • Subluxation of structures within feet
  • When a patient wears orthotic shoes
  • When a diabetic patient wears special shoes

Medical Billing Services for Small Practices

In case you are a medical practice of 15 or fewer physicians, it is best to search for ‘medical billing near me‘ phrase to find the nearest billing companies. If you are a practice in Ontario, California, P3Care would be happy to have you as a client. Since the field of podiatry takes care of our feet and ankles, we use our feet and ankles along with our mental capacity to good effect to get them paid.

On the contrary, if you are a bigger practice or let’s say a hospital, P3 leaves no stone unturned to get you paid. Accounts receivable are best managed if you don’t let them pile up. Because, once they do, it is difficult to get them reimbursed. Therefore, P3 never leaves today’s work on tomorrow ensuring accounts receivable remain on an all-time low.


To increase the acceptance rate of medical claims, medical billing services have to be precise. An incorrect name of the podiatrist who diagnosed the disease is not acceptable. Moreover, the severity of the condition should be reported apart from the diagnostic procedure.

New medical billers and coders often get lost in the maze of instructions and guidelines. Therefore, this guide includes the basics of medical billing for podiatry to help them as well. Indeed, the creation of claims requires a great level of accuracy because insurance companies can easily deny paying for services.

With little care, necessary paperwork, the right CPT and ICD-10 code, we expedite the claim submission process for our clients. We, at P3 Healthcare Solutions, Ontario, CA, devise medical billing methods for both general and specialty-specific clinicians.


Healthcare Demands Skilled Workforce besides Modern Setups

We pass through time in need of smart additions in healthcare to manage the developing requirements. Yes, the environment goes from quantity-driven to quality-driven giving rise to the need for a dynamic workforce. Technology being the major driving factor affects the industry as we speak. The difference between demand and supply creates a vacuum, and to fill up that space, we must look for people with matching skills.

What kind of workforce are we talking about? Whether they are nurses, physicians, HIT consultants, medical billing services, RCM, medical billing and coding consultants, data scientists, case organizers, credentialing and enrollment specialists, hospitals both large and small face many obstacles to find the right people for the right roles.

P3 Healthcare Solutions, Ontario, CA follows an idea to seek excellence in everything it does. It is not one-time heroism but a constant struggle to maintain a steady workflow.

Is Your Healthcare Practice Ready for Workforce Challenges?

When we say challenges, we are not kidding. The threat is very real.

We require more technology experts who know their way around tools, websites, rules, reporting, and compliance standards. CMS comes up with new and updated rules under which healthcare practices may be incentivized or penalized.

Furthermore, MIPS 2019 is the current face of value-based care. To select appropriate measures and report them to CMS, the system demands skilled IT professionals.

Not only that, but the growing aging population is a persisting problem, we have to be ready for. It directly relates to the need for more doctors and nurses. Cybersecurity, on the other hand, isn’t less of a concern in an era of software and the Internet. As healthcare warriors, we must position ourselves and learn modern ways to tackle intruders and viruses.

What Does The 2019 HIMSS Survey Suggest?

The latest 2019 HIMSS U.S. Leadership and Workforce Survey covered 232 health information and technology experts from acute and ambulatory providers across the country. The purpose was to know about the hurdles in their way and the organizational steps they want to take to answer them.

The report also confirms the diverse nature of opinions of hospitals and non-acute facilities when it comes to health information technology, medical billing services and workers in general.

For instance, inpatient setups view the hiring of C-suite executives as a priority. They can steer strategic goals in a meaningful direction.

Another comparison between hospitals and practices monitors the role of rank-and-file employees. The opportunity level differs from one another – the larger inpatient sites offer extensive work opportunities whereas non-acute physicians have a static workforce requirement, according to HIMSS. A staffing strategy hugely depends on IT factors among others.

Healthcare vs. Current Challenges

Admittedly, the challenges at hand pose a threat equal to a disaster waiting to happen. We can only deal with them if we have the right workforce. We can make use of the skilled workforce under –

  • Cybersecurity, privacy, and data security
  • Health information and tech to improve patient-centered outcomes
  • Clinical engagement and clinical data management
  • Care coordination
  • Process improvement, workflow, and administration
  • Business intelligence
  • Leadership
  • Health information exchange and promoting interoperability (PI)

Staffing poses as big a challenge to providers as the implementation of a new law to federal agencies. They feel the negative impacts of it day after day.

Increase in Labor Force Spend

Expect to listen to ‘You’re Hired’ in the upcoming times. It will increase the spending on the labor force required to run a hospital. AI, digital health, the use of CEHRT, Telehealth and medical billing outsourcing can raise your chances to cut down costs.

Your passion may be bigger than your job, but with the growing population and quality metrics taking over, it is easy to predict the skilled workforce to be one of the crucial aspects of healthcare in the future. To be able to run a facility to full effect, the inevitable support of HIT consultants and medical billing companies matter now more than ever. To get the latest medical billing and coding advice, follow us on LinkedIn –

Do you face any challenges in terms of practice administration, revenue generation and compliance?