P3care’s Medical Billing Services For Emergency Physicians

P3Care’s medical billing services are precise when it comes to physician-specialists and accurate when we talk about accounts receivable management. Hence, strength on both the fronts make us one of the most recognized medical billing company in Ontario, California.

CMS recognizes P3 Healthcare Solutions as a MIPS Qualified Registry for the 3rd time in 2019. To see the list of qualified registries for 2019, check out the following link – https://b0wms2ojuok4bi2s1zhfjksf-wpengine.netdna-ssl.com/wp-content/uploads/2019-Qualified-Registry-Posting_Final_v1.0.xlsx. When you tap the “P” tab in this excel sheet, P3 Healthcare Solutions appears at the top.

Outsourcing medical billing is a tough decision to make but an important one. There are several factors that influence the decision-making process such as putting your finances at risk, in the hands of a company that is physically unreachable.

A medical billing service expedites the process of filing a claim with the insurance company for timely reimbursements. When you receive the payment in your bank, it completes the revenue cycle for that claim. Revenue cycle management is a highly professional way of providing organized transactional insights. Moreover, the first-time claim acceptance rate matters a lot, and P3Care does perform reasonably well when it comes to first-time acceptance of claims.

What is an ASC? P3Care Stands by Your Side in Critical Times

ASC stands for Ambulatory Surgery Center. P3Care’s philosophy and the visionary statement speaks of the deep relationship it has with the healthcare professionals dealing with emergencies. Emergencies can be traumatic and stressful.

P3Care sympathizes with doctors who are part of the emergency setup. Furthermore, it wants the doctors to feel the support round the clock. Doctors volunteering to treat those in bad shape deserve all the praise and appreciation. Going the distance for healthcare professionals who save lives by treating patients at the right time is one of P3Care’s core principles. We do everything we can to lend a helping hand to providers and Eligible Professionals.

The ASC billing goes on a different pattern as compared to the normal billing. P3Care realizes the demands of insurance companies, therefore, preparing correct claims according to those demands is one of our specialties.

Anti-Traumatic Medical Billing Services

P3 Healthcare Solutions takes pride in handling the billing for surgical practices and ASCs. The trauma or emergency doctors require an anti-traumatic billing solution. That means they are looking for reliable and trustworthy medical billing services. The accuracy of those claims leads the way to their acceptance resulting in smooth cash flow for our clients.  If you sign up for P3Care medical billing services, you will be updated, as part of our workflow, with timely reports, evaluations, and reimbursements. Call us for a quote at 1-844-557-3227.

P3Care delivers for the ASCs and Surgeons

At the ASC, both critical and diagnostic procedures are performed. There may be instant surgeries at hand and lives can be at risk. Whatever the situation may be, your billing partner needs to be proactively involved. There is no chance for errors in ASCs, and similarly, P3Care creates error-free claims to get those reimbursements quickly.

You should meet certain requirements for better ASC billing outcomes. P3Care files the bills using CMS-1500 forms.

Nonetheless, for ASC’s better performance, the patients and the providers must agree to a few terms and conditions. Once those conditions are met, insurance companies reimburse the full amount. There can be deductions on account of missing CPT or medical codes. P3Care makes sure everything is in place.

ASC Procedures

Ambulatory Surgery Centers can have all the specialized workings under one roof. They can be an independent entity or part of a larger hospital.

The procedures or operations performed in an ASC can include:

  • Colonoscopy
  • Surgical Dressings
  • To get a cast.

Final Verdict

P3Care takes the lead in medical billing services for Ambulatory Surgery Centers or surgical claim approvals. Our medical billing & coding staff caters to the department of pain management, orthopedics, gastrointestinal, ENT, urology, and general surgery.

P3Care: Medical Billing Service Speeds Up Reimbursements for Providers

Welcome to P3 Healthcare Solutions, fundamentally, a medical billing company. We provide Medical billing services apart from other services such as credentialing, HIPAA security risk and analysis, and MIPS consulting services. As we move past 2020, the process of billing gets sophisticated and tech-savvy with new updates coming at frequent intervals.

The presence of electronic health records will soon replace the old manually maintained records because it is becoming difficult for medical practitioners to be able to get a grip on procedural necessities leading to obstacles in the collection.

Previously, PHI documents were manual and transferred through the traditional mail, but since the advent of the internet, the exchange of documents happen through email. However, the latter has its own set of complexities with hard-to-understand software functionalities. All of this technology is there to facilitate rather than to complicate workflow.

Core Objective: Medical Billing Service Company

Our primary focus is on medical billing, but our goal is to support the healthcare industry by leveraging technology in their best interest. The physicians and specialty-specific doctors are lifelines of patients across the US. As a result, we consider it our duty to come up with ground-breaking health IT techniques.

We always work hard on delivering for the providers and add to their revenue. Generally, the high claims acceptance percentage first time relieves both the providers and the payers. In fact, it is our priority to get the job done before it gets complicated is accomplished through experience, dedication, skills, and staying on our toes.

Deft Handling of Billing Issues

P3Care’s consultants undergo extensive training and thorough seasoning along the way. Because of the availability of skilled personnel, it gives us an upper hand in understanding medical operations and procedures in comparison with our competitors. Moreover, the staff keeps a close eye on any changes in rules with implications directly on the US healthcare industry.

For instance, we see frequent ICD-10 updates. As a medical biller, if you fall behind, denials on account of incorrect coding are inevitable. Therefore, consistency and readiness are key to overcome claim rejections.

Give us a call today – 909-245-8350 – to help reduce claim denials and service our clients.

Billing Rates for Consultants

The rates of medical billing outsourcing are always lower than in-house billing and coding. An organization is worth all the praise if it is willing to solve any situation promptly and cost-effectively. Generally, the medical billing service fee of P3Care is quite reasonable and physician-friendly.

Characteristics

Let’s take a look at the two qualities of a medical billing company:

  • The top-most quality of a medical billing service is to offer full support on reporting a claim according to the latest medical coding guidelines(for instance – ICD-10). A company that fails to keep tabs on current rules eventually fails in getting the claims approved. With P3Care, everything is synched – any rule updates are well-received, understood, and implemented by the medical billing & coding staff.
  • Sending incorrect medical bills result in 80% denials. A company knowing its reputation is at stake will keep qualified coding staff with experience or certifications to back their skills. The insurance companies are meticulous. Even a slight error results in immediate denial. Therefore, the correct filing of claims is necessary to speed up reimbursement. On the contrary, if your Accounts Receivable is piling up, you need to revisit your overall billing strategy.
  • P3 believes in double-checking claims on every step, ensure the billing codes are correct as it allows them to sail through the complexities of the RCM process. It isn’t easy, but if you choose us, we will take care of the issues in revenue cycle management while you continue to focus on treating the patients.
  • With the necessary addition of EHRs into the medical system under QPP, the practices or providers have to implement and ensure the reporting is based on them. These are patients’ health records in digital form. Your in-house practice management system should be efficient enough to handle EHRs. But if you are having trouble, P3Care would lend a helping hand. We are technically aware and technologically sound to deliver and file medical claims via EHR.

Conformity with HIPAA

P3 Healthcare Solutions are HIPAA compliant. HIPAA (Health Insurance Portability and Accountability Act) regulations ensure the protection of patient’s private health data. The patient’s health information is always kept confidential and only shared with the relevant medical personnel.

The medical billing services by P3Care complies with HIPAA. HIPAA security rule is applied to companies dealing with Protected Health Information (PHI) – PHI is any information about a patient’s health condition; it can be healthcare payment details or other sensitive information utilized by covered entities (healthcare providers, clearinghouses, etc.), to identify a patient.

RCM

Revenue Cycle Management with P3Care includes –

  1. Writing claims and submitting to insurance companies after screening them for errors
  2. To keep in touch with the insurance companies for any pending claims.
  3. Customer service promptly responds to patients’ billing queries
  4. Take care of Clearinghouse handling and collection of payments
  5. Reviewing the denials amending those mistakes and refiling the claims
  6. Going for repeals to minimize accounts receivables

Charge Codes

The medical billing services fee schedule for P3Care repeats on a monthly basis. As you know medical billing & coding is not an easy task, but Revenue Codes or Charge Codes for medical billing make the whole process understandable. They explain the treatment and the exact amount due at the payer’s end.

A list of CDM charge codes helps identify the services rendered by the providers. They are a summary of patient care activities along with the respective charges sent out to payers and patients.

Medical Billing Costs

Medical billing cost is not much of a bother because we are working tirelessly for positive outcomes. Our charges are fair and realistic!

Furthermore, medical billing services cost is brought down by speeding up the revenue cycle management and not postponing claims. You will witness the number of accounts receivable decreasing.

Medical biller rates vary from specialty to specialty. Some specialties require more effort and resources to get their claims through.

ICD-10 Capable Coders

P3Care coders have made sure all the current claims are by the latest coding guidelines. Hence, our claims acceptability ratio is higher than most.

Beware of Discounting Vendors

A proposal by the low-cost medical billing vendors may sound intimidating, but not everyone understands the complex, mind-boggling and draining world of medical billing. However, their lack of experience and skills can hurt your business interest. Whichever company you choose to sign up with, make sure you get the list of tasks that you want to be taken care of.

Simplifying the Process

P3 medical billing consultant services include –

  • Verifying the patients with the insurance companies
  • Checking if the provider is listed on payer’s panel
  • Keeping the patient records up-to-date
  • Processing all claims within a specific time frame
  • Keeping a check on each claim until it is approved and collected
  • Email and phone correspondence with the payers and patients
  • Handling the collection process and managing copayments
  • Sending weekly or monthly reports to providers for analytical purposes.
  • Executing each step according to the rules set by CMS

We are committed to the US healthcare industry to deliver what’s rightfully yours. Moreover, aiming to be one of the top medical billing companies isn’t easy and doesn’t happen overnight. It takes all the energy and skills to deploy favorable results to our customers.

Agreement

Outsourcing medical billing only relieves the burden on you and your practice. However, a written medical billing services agreement explaining the contractual details between the provider and the biller is required.

Farsighted Approach

There are hundreds of online medical billing companies out there but choosing a reliable and trustworthy partner to handle your finances is a tough decision. P3Care falls on the list of medical billing companies in the USA with credibility and farsightedness to see denial in advance. It takes appropriate steps to make the claims error-free.

We are offering specialty-specific billing services to the specialists along with primary-care physician billing services. The specialties include almost all of them including chiropractic and radiology billing services.

For questions out of this knowledge base, or on instructions on how to get started call a MIPS specialist today at 1-844-557-3227 (1-844-55-P3CARE) or email at info@www.p3care.com.

How To Avert Medical Billing Claim Denials?

Medical billing denial is the rejection of a claim by an insurance company made by an individual or by the provider, to pay for the rendered health care services. If you are a financial administrator in a hospital or any other healthcare facility, you would have an idea about the complications involved in medical billing claims. The denial of claims proves to be a continuous headache as it affects the credibility, cash flow, and the overall efficiency of a healthcare provider.

Studies suggest that the annual claim denials for hospitals stand at 2 percent, whereas, for medical practices, the percentage increases up to 10 percent. It makes medical practices less profitable by comparison.

Some of the healthcare organizations even undergo denial rates of 15 to 20 percent, which is considered extremely high. It means that providers facing this kind of denial rate have one out of five medical billing claims denied.

In addition, the providers have to spend a net amount of $25 for every denied medical billing claim.

However, you can avoid most of your medical billing denials by taking simple precautionary measures. They might not vanish completely, but the steps below assist in minimizing them. The underlying fact is that reducing them even by 1% has a massive impact on lowering provider’s accounts receivable.

Let’s go through the measures we need to take to reduce medical billing claim denials.

  1. Categorizing and Quantifying Medical Billing Denials

Providers can reduce receivable claims by properly analyzing, calculating and reporting patterns of different healthcare providers, departments and payers. These analytical measures are essential to run an efficient medical billing management system.

  1. Create a Professional Taskforce

Put together a task force to analyze and rectify medical billing trends. It is also important to find out which trends are worth looking into and which are not. Well educated and trained team of professionals can quickly streamline the medical billing process for the provider.

  1. Organized Data Portals

Organized patient data portals handle information in a more structured manner. Make sure to design a smooth registration process. Otherwise, it may lead to errors resulting in medical billing denials.

  1. Find Out Reasons behind Denials

You need to find the root cause of denial. For this purpose, you have to go beyond any coding clarifications and design different analytical techniques.

  1. Use Updated Claim Management Software

It is important to ensure that all the edits made are functional, recent and contribute to a continuous improvement cycle. This improves the overall claim recovery rate. Pick up a vendor that can provide you with better claim recovery rates.

  1. Automated Predictive Analytics

It is crucial to flag potential medical billing denials and rectifies any errors before claiming the medical bill. The automated predictive analytics help quickly identifies incomplete medical billing claims.

  1. Work Alongside Payers

Providers need to work with payers to eliminate the specific contract requirement which may lead to medical billing denial. Data analytics can help determine the trouble spots and falsely navigated support systems.

The best way to reduce your accounts receivable is to identify the reasons leading to medical billing claim denials. Medical billing and coding play a vital role in the acceptance or rejection of claims. Staying alert and always on the lookout for billing mistakes, removing them, and taking measures so that they don’t happen in the future increases a provider’s credibility.

P3 comes up with medical billing services for clinicians across various specialties. It is not always the technical skills that matter but the will to complete a certain task. We have the passion to deliver results on behalf of doctors when it comes to billing or the Quality Payment Program.

Medical Billing – Over 50% Americans Can’t Afford To Go To The Doctor

The sorry state of affairs in the American medicare industry reflects the inability of many Americans to afford quality healthcare. Many can’t afford medical billing despite having insurance. Obamacare premiums are making it difficult for them to continue with the payments.

Now, in 2019, when we comprehend Obamacare, we see that it was supposed to increase the rate of health insurers in America. Moreover, it also meant to reduce healthcare costs relatively.

However, with the burden of increased taxes, it seems impossible to cut down major costs in healthcare expenditure. It has also become difficult for medical billing companies to help physicians earn more revenue.

Can’t Afford To Go To the Doctor – HealthPocket

A recent survey by HealthPocket revealed the difficulties that many Americans face. The Affordable Care Act is reducing people’s ability to afford health insurance. They have so many other expenses that they can’t afford to take out money for health insurance.

The survey results show that a lot of Americans can only afford $100.

Here are the results.

  • Around 52.5% say that they can only afford $100 or more.
  • Only 15.95% can afford $200 each month.
  • The number of Americans drops 11.6% who can pay $300 each month.
  • The percentage further reduces to 5.5% for $400 in health insurance deductible assistance.
  • Only 4.8% say they can set aside $500 each month.
  • Only one out of ten Americans or 9.8% say that they can give away $500 a month for health insurance.

Medical Billing – A Difference of Perception

If you talk to someone who represents the health providers, you may not get a clearer picture of medical billing. However, if you talk to someone who is at the receiving end of the medical billing, you understand the underlying issues.

Here is how a medical billing advocate, Maureen Lamb explains the situation.

“If you are talking to someone who is sympathetic but unable to fix your errors or negotiate a discount, you are wasting your time. It may require unique approaches to break through the resistance. When phone calls, faxes, and emails don’t work, it’s time to write a letter documenting your request for a discounted bill, and request help from the management team of an organization.”

Crowdfund Provides Limited Relief

Many Americans are turning to other options. They consider crowdfunding as a way to get assistance. If they can’t afford to go to the doctor, they turn to crowdfunding. It may include relying on different options including business startups and charitable organizations. However, they only offer limited funds and many find it hard to meet their medical bills.

There is a long way to go before we can see these crowdfunding sources catching up to the medical needs of many Americans. However, their strong social presence does suggest a ray of hope for the future. These platforms relying on websites like Twitter, Facebook, and other social media networks to get assistance.

We are hearing many success stories from the charitable institutions helping troubled patients. Cassidy did come up with thousands of dollars for chemotherapy. However, she had to manage so many other expenses that it was becoming difficult for her to afford her medical bill. She was able to get some funds to get herself treated in the hospital. Such efforts show a strong community, willing to stand with each other and overcome the difficulties in paying medical bills.

Some Ways to Overcome the US Healthcare Problems

Here are some fixes that can help the struggling US healthcare industry.

  • The current NIH spending stands at around $34 billion. However, it does not have the purchasing power which hurts the welfare of patients relying on medications. The increase in taxation on the pharma industry would help sort some of those issues out.  Here is what CEO of Dana-Farber Cancer Institute has to say about NIH. “I believe they’re the crown jewel of the healthcare system. Glimcher says of the NIH. They train the next generation of American doctors. They take care of very complicated patients. They are the place where new ideas are born, but we are starving.”
  • There is a hope that smartphones would help revolutionize the way healthcare industry uses IT. The use of smartphones can help increase patient engagement, a significant step towards improving the quality of healthcare. For Instance, the use of electronic healthcare records is an efficient way to strengthen physician and patient relationships. With this system, patients can easily communicate and even keep track of the medical claims.
  • Some healthcare industry experts also believe that patients need to have adequate housing and high-quality food. Access to healthy food and safer housing will help them fight many of the illnesses caused due to these reasons.
  • Bring the scientists to the forefront of the research in the healthcare industry. The innovators need to be rewarded and incentivized for their contributions. It will help motivate more scientists to come with cures of the most deadly diseases.
  • Another problem is the increased administrative burden that restricts physicians from providing value-based healthcare to the community. It is generally not their fault, but the strict claim eligibility parameters and incentive payment programs have made it difficult for them to rationalize their time accurately.