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HIPAA , HIPAA security analysis, HIPAA security, HIPAA Requirements, HIPAA medical billing, HIPAA medical billing company, Health IT, COVID-19 , Coronavirus, Healthcare IT companies, Healthcare Under HIPAA, Healthcare providers Healthcare solutions, HER, EHR

4 Health IT Recommendations for Remote Healthcare Under HIPAA

Working from home is a new reality. The novel coronavirus has left us at home while it continues to affect the human race. It doesn’t differentiate between humans based on their race, wealth, color, sex, or religion; moreover, it treats the young and grownups alike. That is how ruthless it is.

In such overwhelming times, when healthcare workers face the challenge of a growing number of COVID-19 patients on one side, they are required to follow the rules of HIPAA remote care on the other. They are under obligation to meet HIPAA security and privacy requirements no matter how big or small their practice is. In fact, it is not something new to them in the best interest of Protected Health Information (PHI).

Therefore, we will know in today’s article that how physician practices, with the help of health IT, can address the HIPAA security risk analysis issue head-on, especially when it comes to remote care.

Under HIPAA, it is obligatory for hospitals and practices in the US to protect sensitive patient data from violators or from going public. The new norm of diagnosis and treatment coupled with the support of health IT ensure remote healthcare to fall in line with the rules of HIPAA.

Telemedicine moves forward with a bubble of protection to safeguard patient information. Let’s see some recommendations for technologists supervising remote care communication:

  1. Set Clear Instructions for Remote Use of Healthcare Devices

One thing that we should remember is that healthcare providers are not IT experts. While they know the importance to protect the confidentiality of patient data, they don’t always know how to achieve that stage. Besides, they are too busy with their patients to worry about the laws that govern remote healthcare access.

Here comes the role of the technologists of practices who have the responsibility to provide clear instructions on how to use devices or software securely.

When developing the guidelines, come up with step-by-step execution of the process that simply describes what to do. Too many options or vague advice lead to confusion instead of clarity. HIPAA security risk analysis of remote healthcare ensembles with the list of recommended tools and how providers may use them to provide care.

  1. Know HIPAA Requirements Before Suggesting Tools

For a technologist, to know the requirements of HIPAA are one of the essentials they cannot ignore. Since many healthcare practices now turn to new teleworking technologies facilitating video chats, data share, and follow-ups, it comes on you to explain to them which tools are allowed under the Health and Information Portability and Accountability Act (HIPAA).

Providers can only choose a selected bunch of tools that adhere to the HIPAA privacy and security guidelines to communicate. They are not at liberty to use just any tool that they find on the internet and download it for free. Hence, it is of utmost importance that the health IT experts handling your practice’s remote communication are aware of the provisions of HIPAA. Moreover, they must show the will to enter into an official contract as a business associate.

Zoom is an example of a tool that is allowed for healthcare professionals to see their patients. However, there is a specific version that is permissible under HIPAA. Licensed Specialized Zoom for Healthcare solution is the version that fulfills the requirements of HIPAA. Hence, business associates can carry out PHI transmission through Zoom’s specified version.

Also, the above version integrates with electronic health record (EHR) systems seamlessly.

  1. Supply Compliance-friendly Devices for Safety & Management

 When remote care is at play, the idea is to create a safe passage for patient-provider interaction. The healthcare IT teams have to supply healthcare workers with compliance-friendly correspondence devices because that is far less burdensome than manifesting security in each of the employee-owned devices. So even when they go home, they may use only a secure line of communication.

Preconfigured gadgets guarantee adherence to policies that govern PHI safety.

Additionally, for IT teams it is much easier to manage a system that they are familiar with; it is the same mobile device management system they work on at the office.

  1. Use of VPNs to Secure Online Connectivity

Virtual Private Networks (VPNs) are software applications that offer encryption of any data that travels through them. Health IT teams have a job to do; they must remember to equip devices in the use of practitioners with enough security controls to counter unauthorized access.

Two networks need to be secured: providers’ home network and the Internet between the home and the practice.

Management of device configuration solves most of the problems, but it still leaves room for intruders to jump whenever they want.

Hence, suggested is the use of VPNs to ensure safe online connectivity. Any communication that happens between the office and home is secure. A VPN develops a secure encrypted tunnel across the communication channel from the practitioner’s device to the receiver’s end.

It further provides content filtering, firewall safety, and end-to-end encryption to home users just as it would for workers within a hospital or clinic.

With the above four recommendations, we conclude this article in the hope that it is sufficient information regarding telemedicine’s safety standards for health IT. If you want to hire services of professionals who can offer HIPAA security risk analysis to remote medical practices, please get in touch with P3 Healthcare Solutions. We are also a HIPAA medical billing company that takes extreme caution when it comes to protected health information.

MIPS 2020, MIPS 2019, MIPS Medicare, Mips submission methods, MIPS submission types, Mips qualified registry, Qualified registry for mips, Cms mips quality measures, MIPS consultants, Mips consulting service, medical billing services, health IT

MIPS Quality Measures 2019 Vs. 2020 – Registry Investigates

Merit-based Incentive Payment System (MIPS) has entered 2020, and, so have the Quality, Promoting Interoperability (PI), Improvement Activities (IAs), and Cost categories. It is a no-brainer to write a thoughtful comparison between the two years regarding MIPS quality measures.

Hence, we are here to discuss the Quality category in detail; the six measures adding up to the final score; any new requirements; and why P3 Healthcare Solutions is a smart choice to report registry-specific measures.

It’s not about the passing years that we have managed to make it to the next year of value-based care, but the essence of MIPS in Medicare lies in its delivery. Each year calls upon MIPS eligible clinicians to adopt a certain set of measures and activities and report them to the Centers for Medicare & Medicaid Services (CMS). 2020 is no different as long as you are on the right track of submission.

The reporting occurs through legitimate submission methods only, the result of which conforms to performance evaluation and incentive payments.

 MIPS Quality Measures 2019 and 2020 – The Types

I have to admit there are more similarities than differences between the two, because, for starters, they have the same collection (measure) types.

In MIPS 2019 and MIPS 2020, participants get to submit 6 quality measures data for 12 months (from January 1 to December 31, 2019, and January 1 to December 31, 2020, respectively). The amount of data to undergo submission depends on the collection (measure) type.

CMS finalized 6 collection types for both 2019 and 2020 CMS MIPS Quality measures. These measure types include:

  • Electronic Clinical Quality Measures (eCQMs)
  • MIPS Clinical Quality Measures (CQMs)
  • Qualified Clinical Data Registry (QCDR) measures
  • CMS web interface
  • Medicare Part B claims measures, and
  • The CAHPS for MIPS survey

As a rule, participants must submit a total of six quality measures from the above types.

General Reporting Requirements Vary

If you talk about 2019, the data completeness factor was 60%, i.e. clinicians were to report performance data for 60% of their patients eligible for a chosen measure. For MIPS 2020, clinicians are required to report data for 70% of their patients eligible for a certain measure. It is 10% more than the last year which means CMS plans to cover a wider population of patients and bring them into the fold of value-based care.

Quality measures refer to the improved standards of care delivery and patient satisfaction, and the data completeness constraint is an extension of expending one’s expertise to most patients. The increasing performance thresholds also reflect CMS’ vision of encouraging everyone to opt for quality healthcare.

MIPS Submission Types

In the case of MIPS submission types, there are 4 ways to submit quality measures. These include:

  • Medicare Part B claims
  • Sign in and upload (a MIPS consulting service can report on your behalf)
  • CMS web interface
  • API submission which is the direct method of submission

Six Measures

A total of six quality measures was the requirement back in 2019, and in 2020, it hasn’t changed much. We have a total of six MIPS quality measures in 2020 as well. It includes one outcome measure, but in case, the outcome measure is absent, go for a high-priority measure instead.

Practices, groups, and virtual groups with 16 or more clinicians will be automatically calculated on a 7th measure, the All-Cause Hospital Readmission Measure.

The Curious Case of Bonus Points

Although CMS requires improved quality, it doesn’t mean that they don’t want clinicians to target incentives and bonuses. You can qualify for the strict criterion with the help of a Qualified Registry and improve revenue.

Bonus points sound charming enough to know more about their details. Therefore, we will try to find out how to make those bonus points ours and maximize our rewards in 2021 and 2022.

For MIPS Quality measures 2019 and 2020, you can earn bonus points on the following terms.

  • Submit 2 or more outcomes or high-priority measures. It doesn’t apply to the outcome measure or high-priority measure that is already there, but two separate measures are required to get your hands on bonuses. P3, as a MIPS consulting service, reports Quality measures for its clients across the US. Opioid-related measures are part of the high-priority measures list.
  • In MIPS 2020, measures that are part of the CMS web interface don’t qualify for bonuses, but if you report the CAHPS for MIPS along with the CMS web interface, you have a chance to win bonuses.
  • Submission using Certified Electronic Health Record Technology (CEHRT)
  • Besides, six additional points are there for small practices that submit at least one quality measure. Practices include individuals, groups, and virtual groups.
  • 10 additional points for practices that exhibit improvement in their Quality reporting from the previous year.

Conclusion

Before I end this article, I want you to stay illuminated by the present and the future requirements of reporting as long as you have us on your side. P3 Healthcare Solutions prides itself on reporting MIPS for clinicians across the United States. To get in touch, please call 1-844-557-3227.

We have a comprehensive piece written on MIPS 2020 on our LinkedIn page. If you have some questions related to it, you may go through it when you have some time.

2 New Healthcare Technologies to Rule In 2019!

Healthcare Information and Management System Society –HIMSS each year showcase new ideas and technologies to support the healthcare industry. By viewing these technologies or adopting these methods, physicians can actually progress in MIPS in healthcare, medical billing and coding, and health IT sectors.

HIMSS19 conference offers hundreds of opportunities for clinicians with the latest tools and tactics to improve the quality of healthcare services. Moreover, the ideas and innovative methods presented in such forums give insight to strengthen revenue cycle management. In addition, MIPS in healthcare and other incentive payment programs can be facilitated in terms of reducing cost-expenditure and efficient data storage systems. All of these efforts contribute to the advanced healthcare system.

What was there in the box by the vendors in HIMSS19, which may move this industry in upcoming years? Let’s review.

  1. IoT-Enabled Platform

VivaLNK is a popular name in the health IT industry. It has developed a wearable sensor platform with Internet-of-Things that consists of a number of items such as,

  • Sensors
  • Internet of Health Things (Data cloud)
  • Computing technologies

What Does This System Do?

The function of this technology is to capture patient’s or human’s biometric data and input it to the edge computing technology or the cloud computing service for analysis.

This technology will be a great addition in the healthcare industry and will support MIPS in healthcare and medical billing and coding services regarding data collection. It has the capacity to work wonders when deployed completely to its full potential. It will modernize proactive healthcare services and will predict flawed areas in a human body by analyzing symptoms and data.

The Purpose of This Technology

As with modern digital technology, the healthcare industry needs to change its curing methods. The focus should be on preventive healthcare procedures instead of treating a patient after a disease. Moreover, the complexity of diseases has doubled since the last years, making a challenging environment for physicians. The detection or seeing early symptoms of diseases has not remained easy.

This technology will help healthcare providers to identify diseases before they turn serious. Consequently, it will result in bringing a positive impact on the value-based services that MIPS in healthcare promises.

The success of this system lies in the accuracy of the data. Machine learning and artificial intelligence will come from user-fed data. This task is daunting and may not work as precisely as one may expect. Thus, sensors-equipped platforms will assist in this regard, providing medical-grade data directly from the patients and will be shared across the network via IoT.

This system is the next-level healthcare solution that benefits MIPS in healthcare and medical billing on larger grounds. According to physicians, healthcare service providers will be able to accelerate health IT efforts, especially for chronic diseases.

The system perfectly integrates health IT and value-based healthcare service for the patients’ betterment.

  1. The platform for Increased Patient Engagement

Another promising innovation at HIMSS19 was by TriFin Labs, named as Enlyt Patient Engagement Platform.

This system is designed to extend the application of the patient’s engagement via state-of-the-art technologies. It serves to save money and time while connecting physicians and patients in a reliable environment.

How Does It Work?

It a HIPAA-compliant and customizable platform to provide a one-to-one connection between patients and physicians.  It enhances customer-relationship management and has the potential to integrate with the electronic healthcare record (EHR) technology.

Its ability to provide customized operations allows clinicians to manage their systems as their requirements. Moreover, patients will be free to access their medical records whenever they want along with the other information i.e. a list of medications and treatments.

This system also holds opportunities for pharmacists to review past and present medicines at any time, ensuring value-based MIPS in healthcare.

Its other advanced features include a coordinated in-app connection that helps patients in remembering their appointments.  Thus, it makes perfect sense in terms of promoting interoperability and increasing healthcare workflow.

What do you think about these technologies? Do these seem like progressive steps to reduce healthcare costs? Share your thoughts with us at https://www.linkedin.com/company/p3-healthcare-solutions

 

Switching to Cloud Isn’t Easy for Pharmaceutical Industry

The modern healthcare industry is the amalgamation of technology and medical services. With this growing trend of health IT, data security and privacy have become the main concerns for physicians. Be it, medical billing, MIPS & MACRA, electronic healthcare records (EHRs), digital collection and storage have taken the paramount place.

To take advantage of technology and to support MIPS in healthcare, pharmaceutical companies are interested in going cloud-based. However, they want surety to have a secure transition, which is not as simple as it seems.

The professional mapping of the data flows, frameworks, and technology implementation requires amazing efforts. While doing all this, a proactive approach, anticipating the potential threats is compulsory.

What steps should be taken to have a safe cloud-based technology?

  • Take Measures for Security Breaches

Same as physicians have to protect patients’ data, and other sensitive information from hackers in the MIPS program, the pharma industry has to pay attention to security threats.

It is estimated that during the shifting process of the hand-written data to the cloud-based database, many incidents of data breaches will be experienced. Security experts that are well-aware of the data sensitivity and actively take measures against breaches are one of the major hurdles in implementing this migration.

A connected and heterogeneous cloud-based storage system is a complex process. Therefore, not just a secure database is to be designed but also with an efficient backup system.

Security failures can only be prevented when there will be the right personnel with the right expertise for this job.  Therefore, before moving towards cloud-based technology, the pharma industry needs to have a proper execution plan.

  • Be Prepared To Manage Risks

Translating the manual database to a cloud-based database may disturb the entire pharma company. Therefore, the calculation of the internal and external risks is equally important for the effective functioning of cloud-based technology in the pharmaceutical industry.

A reasonable solution is to convert data step-by-step until the whole staff gets comfortable with it. Test the cloud technology implementation and highlight errors that don’t meet the standard. Manage risks and measure return-over-investment.

  • Research about the Implementation Protocols

Pharma industry will not just face problems regarding the right technology.  In addition, it needs to research all the pros, cons, and the working process of technology implementation. Vulnerabilities come across as major setbacks in an efficient running system. If there will not be a proper channel or sequence of operations to enter, fetch, and share data from the system, what will be the point?

In order to support MIPS in healthcare, which is one of the leading value-based incentive programs, pharma companies need to have a front role in understanding all the implementation details.

The Healthcare industry is already sensitive, and pharma being its part can’t be separated from its rules and obligations. There is a reason that the regulatory authorities highly govern this industry.

SaaS – Software as a Service model is getting popularity in the pharma industry. However, there is a need to develop the understanding that the implementation of cloud-based services without seeing the capability of the system will cost more than ever.

Thus, flexibility is required but with the hint of sensibility to predict different case scenarios and the associated cost to check if this is the best-suited solution.

Surely, the pharma industry should move forward with the changing times. Nevertheless, the change should be transitive and be able to generate constructive results while making sure of all the security aspects.

In your opinion, what steps should be taken to ensure the reliable implementation of cloud technology in the pharma industry?

https://www.linkedin.com/company/p3-healthcare-solutions

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.