4 Reasons to Outsource Credentialing by a Medical Billing Company

Medical billing companies save revenue cycle management for clinicians. Without the assistance of medical billing services, we doubt the efficient running of medical practice.

Healthcare industry is quite sensitive and responsible one. Physicians are supposed to practice their skills for the ideal health status of individuals. Especially in the on-going approach of the value-based healthcare system, physicians need to modernize their treatment methods now more than ever. Hereby, medical billing companies create medical bills and handle the billing tasks to get them reimbursements. Consequently, physicians can pay attention to their actual work.

However, in addition to the billing process, a professional medical billing company also offers credentialing services for clinicians, which is a vital part of revenue generation.

What is Credentialing?

It is a process, in which hospitals, insurance companies, or healthcare authorities verify and legitimize the educational background, expertise, and qualification of a clinician. Generally, this process takes place before including a physician in the working network.

Why is Credentialing Important?

When physicians are credentialed, they get timely and rightful reimbursements from the insurance companies.

Medical credentialing is not an easy process and requires extensive focus from the start of the process to the end.

No Immature can look into clinicians’ past and derive professional outcomes. The credentialing process is legal and can result in penalties if done unethically. Hence, this responsibility should only be given to medical billing companies.

What are the Challenges that Occur During This Process?

Credentialing Takes Time

Checking one’s background is a complex process. Therefore, it requires at least 60-90 days to fully credential a clinician.

Medical billing services when enlist a physician for credentialing, they are required to complete the whole process before he takes up a new patient. There is no room for error as the process involves the verification of sensitive fields such as employment history, education, medical training, licenses, and more.

Peers Don’t Cooperate

It is obvious that physicians are always tight on their schedule. Hence, there is little possibility that peers, who can give a vote of confidence for the physician will be able to respond to inquiries on time.

To avoid this delay in the credentialing process, physicians can inform their peers prior to the process. Moreover, they can also set a time to complete this task.

No Access to the Latest Information

Physicians need to have access to up-to-date information. However, medical practitioners are so busy in their lives that they remain oblivious of the latest information. For Example,

Clinicians working in the ambulatory surgical centers (ASCs) have to reevaluate their credentials after 1-3 years. When different clinicians have a different schedule for credentialing, it becomes hard for ASCs to manage all.

Thus, no access to the information at the right time creates issues for the credentialing service providers and the confirming authorities.

Inability to be Compliant with Value-Based Healthcare

Different states have different healthcare plans and so physicians are supposed to stay true to all the state exchange and federal healthcare plans.

Another challenge that a credentialing medical billing company faces is that physicians have to treat a reasonable number of patients to handle revenue cycle management. Moreover, medical practices should implement the right healthcare strategies. Otherwise, they’ll not be able to get reimbursements for the rendered services.

Considering the difficulty, medical practitioners choose to outsource for credentialing services. There is no way that unprofessional individuals should not take responsibility for this task. After all, physicians’ revenue generation is based upon it. Thus, only, a medical billing company as P3 Healthcare Solutions can outrun all the above-mentioned challenges for credentialing and insurance enrollment and offer an efficient solution.

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

Providers’ Guide to Best Practices for Revenue Cycle Management

Healthcare industry doesn’t only have hospitals and large medical practices. There are some medical practices that function in only one specific medical area and consult medical billing companies for reimbursements.

P3 healthcare solutions being a medical billing company has years of experience in medical billing services. We have come across many independent or stand-alone medical practices and well-established hospitals.

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How Independent Healthcare Providers Are Coping Up With Changes?

One thing we understood in all these years is that the norms of the modern healthcare industry are changing. The focus has shifted to a value-based healthcare system instead of volume-based care services.

It also leads to structural changes in the progressive healthcare industry. According to the American Medical Association (AMA), physicians having independent clinics cover less than half of the total US doctors’ population. However, this trend of owning personal medical practice was high back in the 1990s.

Reason for Reduced Rate of Independent Healthcare Practices

The declining practice of independent healthcare providers owes to many reasons.

Some observers of the healthcare industry state that independent healthcare providers are forced to join larger healthcare systems as the earned revenue is not sufficient for survival.

Why medical billing companies Can’t Support independent healthcare providers?

Independent healthcare providers don’t meet up with their cost expenditure due to inflation and price surge. The increased administrative burden of MIPS QPP increased the price of surgical hospital admissions, emergency room visits, and drugs, which has caused major problems for independent healthcare providers.

Thus, in recent years, due to low reimbursements, around 22% of the independent clinicians reduced their office support.

Impact of Low Reimbursement Rate

Low reimbursement rate from insurance companies has also damaged this industry. Even hospitals and large medical practices are not safe from the changes in the healthcare industry.

The healthcare providers when unable to cover expenses within earned money, get in-touch with huge healthcare networks. Thus, the amalgamation of large and small healthcare practices has led to low competition in the healthcare industry.

In addition, often patients don’t pay deductibles or the extra amount other than their insurance benefits to independent medical practitioners. This way, independent healthcare providers never really compete with bigger healthcare organizations.

Reservations of Solo-Medical Practitioners

One concern that solo-healthcare services show is about the unreasonable reimbursement standards of insurance companies. Big healthcare organizations can better negotiate their demands with the increased volume of patients, which is a profit source for insurance companies.

All these issues make it impossible for small independent healthcare providers to stay in the industry. MIPS QPP has also fueled the declining trend of independent health services. Patients want access to top-quality healthcare, which a separate-working medical provider may not be able to provide. Consequently, the doctor doesn’t find a large share of incentives and bonuses.

To keep an independent medical practice, most solo-physicians function as a group outside the hospital circle. It has also helped medical billing companies to get high reimbursement for them as well as offered shared administrative responsibilities and resources over the network.

This might be the only surviving option left for independent healthcare service providers.

As large medical practices are dominating the healthcare industry, it is evident that revenue cycle management has not remained easy for solo-practitioners. However, with little adaption to change and a professional medical billing company, independent healthcare service providers can work their way up the success ladder.

3 TRICKS BY MEDICAL BILLING SERVICES TO AVOID CLAIM DENIALS

Medical billing services constantly fight with the monster of denied medical claims. Denied claims top the list of factors that restrain efficient revenue cycle management. These have been a constant threat making the efforts of medical billers and coders to go in vain.

The claim rate has cost millions of dollars to the healthcare industry. Insurance companies reject hundreds of claims each year over minor issues. Not just big established medical billing companies do this mistake, but small practices also have a huge share in it.

Having said that, denied medical claims can be recovered with little care and organized follow-up services.

How to Accelerate RCM?

Hospitals and medical billing services can manage to increase revenue by eliminating all the reasons that cause denied claims.

Medical billing companies appeal for the denied claims, but it requires a lot of time and investment. It can also lag behind the rate of creating new medical claims.

How can medical billing services manage Denied Claims?

A simple solution is to recognize areas that are causing denied medical claims. Medical billing services can never optimize revenue cycle management unless they rectify those problems.

Given below are three easy ways to avoid denied medical claims.

Verify Insurance Benefits

One of the major reasons for denied medical claims is the problems in the patient’s benefits. Moreover, there are also some other reasons such as, deductibles, copayments, and secondary insurances that shake up the claim’s status.

To avoid all these issues, medical billing services need to verify the patients’ demographics along with the credentialing status of the physician. Also, checking all the information given by the insurance panel is mandatory.

Verify If Healthcare Provider is among the Insurance Network

Sometimes, the healthcare providers’ are not in the network of the insurance company. It can be a problem causing revenue leakage.

In addition, clinicians don’t know about the variance of the reimbursement rates in the insurance plan. There can be many factors that affect the variance.

For Example,

  • Location of the healthcare provider
  • Number of medical claims
  • Medical expertise

Medical billing services should check the insurance payers’ contract with the physician. These contracts specify under what rules and guidelines, the insurance company will pay. Coverage policies, referrals, pre-authorizations are also included in the contract, clearly stating the benefit plans to the patients.

The insurance payers’ contracts are legal documents but are negotiable. For maximizing the revenue cycle management, healthcare providers should efficiently explain their expertise to the insurance companies.

Keep Track of Accounts Receivable

A healthcare facility can’t run smoothly when they have pending accounts receivable. Keep track of the claims if they are paid or not. Follow-up services play a crucial role in revenue cycle management.

If a claim is not being paid within 60 days, medical billing services should directly get in touch with the insurance company. It helps in determining the status of the processed claim, or the claim will end up as a denied claim. Moreover, it also helps in reducing the rate of wear-out medical claims.

If the claim has been paid, record its date, if rejected, go for the appeal process.

The responsibility of medical billing services is huge. Denied medical claims disturb revenue management of not only physicians but also the medical billing companies. To decline the rate of medical claims denial, above-mentioned tricks reduce administrative errors. Consequently, investments and efforts are not wasted unnecessarily.

Follow this link to learn how a professional medical billing company looks like https://www.linkedin.com/company/p3-healthcare-solutions

PRIME PERFORMANCE WITH THE P3 TEAM!

At P3 Healthcare Solutions, our processes, people, and all-around performance stand alone in leading the business services industry. We focus on helping the patients and providers who form the backbone of the healthcare world, but more importantly, our team has the exact ability to save time, lives, and resources that never fall short in quantity or quality, even while customer service expectations continue rising.

Our innovative, efficient, and unique solutions range from risk analysis and audit to credentials, enrolling, and technical assistance. In short, P3 Healthcare Solutions has a track record of providing stand-out success that facilitates patients’ and providers’ experiences, making us one of the best billing services companies of the year.

Clutch, a B2B research and reviews agency, recently analyzed dozens of BPO companies, including our company, for service providers with the strongest market presence, industry experience, and client feedback around. We’re ecstatic to share that we took home a spot within the top 10 firms in our entire field, and knowing that our team has earned such well-deserved recognition means a lot to us.

They’re highly responsive, answering questions or concerns no matter the time or day. Healthcare is a complex field, but they understand it well and implement best practices,” raved one of our satisfied customers. “P3 Healthcare Solutions enables our providers to get paid faster, and they make billing consistent and reliable … They’re knowledgeable and understand our complex field well. They’ve managed to bridge a gap between running a medical practice and making medical care personnel for patients who are suffering.”

Beyond our billing services, the range of our capabilities has also turned heads due to our versatility, reputation, and strength of performance. The Manifest and Visual Objects, two of Clutch’s sister companies, have also featured us in similar industry-wide listings and company comparisons, particularly touting our HR services and digital prowess.

The Manifest, a business news website, included us in a list of the top 50 human resources firms anywhere, while portfolio curation platform Visual Objects now showcases our team, experience, and project management success on its website in a profile of our own.

We’re thankful for all of the support from these sources and from everybody who has been a part of our journey thus far, but we can’t wait to continue expanding and growing as we take on new challenges and clients to broaden our horizons and better our team. If you’re interested in hearing more about what P3 Healthcare Solutions can do for you and your business, please connect us. We’d love to see what we can do together!

MEDICARE MIPS REPORTING ESSENTIALS FOR PHYSICAL THERAPISTS

Physical therapists (PTs) are now a breathing part of the Quality Payment Program (QPP). It is a choice they have to make because they can’t back out. Medicare MIPS reporting through a MIPS Qualified Registry or an EHR system can get them through the maze of value-based care smoothly.

The only choice the eligible PTs have is to choose between the Merit-Based Incentive Payment System and an Advanced APM. The popularity of MIPS as an incentive program outweighs the characteristics of the other track. Hence, MIPS is the go-to track.

The PTs who do not meet the low-volume threshold (LVT) can participate voluntarily.

Why?

They must be prepared for what lies ahead and no better way to do it than participating in it.

Medicare MIPS Reporting for Quality and IAs

Good news for PTs is that they are not required to report in all the four performance categories. Instead, they are required to report for only two – Quality and Improvement Activities.

It directly affects the number of measures they need to report to CMS. With all the focus on MIPS Quality measures and IA measures, they can score high and handsome. It also keeps them very much in the game without the possibility of burnout.

A yearlong report against Quality determines the final score, failing to do so; there are consequences in the form of negative payment adjustments.

Medicare MIPS reporting best happens through certified electronic health record technology (CEHRT) or MIPS Qualified registries such as P3 Healthcare Solutions. Please follow us for effective MIPS solutions on LinkedIn – https://www.linkedin.com/company/p3-healthcare-solutions

Advanced APM Participation Track

Physical therapists who follow Advanced APM as their participation track cannot go for Medicare MIPS reporting as it is one track at a time.

Expect an additional reward of +5% to your Medicare earnings of 2019 if the reporting results are at par with the benchmarks set against measures. Additionally, the high scorers have a chance to collect bonus rewards from the $500 million pool.

While PTs become an active part of the value-based payment system, the removal of functional limitation reporting (FLR) is a healthy change adopted by CMS.

P3Care for PTs and PTAs

The submission of MIPS data is unlike any other data submission. It requires your NPI/TIN and account creation on the QPP portal. Health IT consultants at P3Care activate your accounts with ease and with the mutual collaboration; you get to report to CMS. Accuracy is the key here because you can’t undo or redo these submissions. They happen only once so make sure they are accurate.

What about Telehealth?

The final rule doesn’t allow PTs to be reimbursed against Telehealth. The virtual check-ins will remain associated with physicians and specialty-specific clinicians, though P3Care backs the initiative of Telehealth for PTs and PTAs.

Moreover, there are no reimbursements for “Inter-professional Internet Consultations” for them.

Direct Submission Method

PTs can use the registry method for direct submission. For it to happen successfully, the collection type is MIPS Clinical Quality measures (CQMs). Medicare MIPS reporting 2019 returns optimum results if you are both accurate and smart in terms of selecting high scoring measures.

Outcome measures and high-priority measures hold significance in achieving reward and bonus-worthy scores.

For small practices, the clinicians and clinician groups can collect and submit measures for Quality through Medicare Part B claims.

Groups with 25 or more clinicians may use the CMS web interface for Medicare MIPS reporting.

Deadline for the QPP 2019 Program

MIPS eligible clinicians have time until March 31 of the next year after ending of the performance year. In addition, if your mode of submission is through claims, you have until 60 days after the closing of the performance year.

Improvement Activities (IA)

For PTs and OTs, the category holds 15% weight in the total score. It estimates to 40 points and only the top performing clinicians will be able to reach that number. The improvement activities you should consider reporting to CMS are –

  • Care Coordination
  • Patient safety
  • Beneficiary engagement
  • Participation in APM
  • Achieving health equity
  • Emergency preparedness and response
  • Population management

However, take note of the number and format to report in by the following classifications.

  • Two high-weighted measures
  • One high-weighted measure and one medium-weighted measure
  • Four or more medium-weighted measures

After selection of activities to submit, you are ready for Medicare MIPS reporting through QCDR, Qualified Registry or an EHR system. For those interested in the MIPS attestation process on their own, they can submit activities by logging on to the QPP portal.

Do you think you can gather data and report on your own or is it better to hire third-party intermediaries?

Reply in comments below, as we’d love to hear your thoughts.

MIPS 2019 REPORTING IS THE FUTURE OF QUALITY HEALTHCARE

MIPS 2019 reporting doesn’t cost you much but it is a progressive path.

The success of a clinician depends on efficient reporting because they are reaching out to CMS with proof of their performance.

P3 Healthcare Solutions and other Qualified Registries are on a mission to promote quality over quantity. Clutch ranks companies like P3Care on their leaders’ matrix. To see the names of successful companies in the health IT sector, the following link is worth a look – https://clutch.co/bpo/medical-billing/leaders-matrix

When you don’t have benchmarks or companies to look up to, it is difficult to reach a goal or achieve a target. P3Care sets the tone of success for other medical billing companies to follow.

MIPS 2019 Reporting Needs Critical Thinking

As a MIPS Qualified Registry deals with only the registry-associated measures, every submission type has its own list of acceptable measures.

Merit-Based Incentive Payment System is one of the tracks of the Quality Payment Program (QPP) with Alternative Payment Model (APM) as the other one. Both these value-based reimbursement models have their own benefits. However, if you go for MIPS 2019 reporting, it is the more frequent path chosen by eligible clinicians (ECs).

What do the reviewers say about P3?

Clutch.co reports P3 Healthcare Solutions as a leading organization. Reviews are an interpretation of the quality and performance of an organization, and if they are in favor, the company is worth your time and money.

Founder, SunCoast RHIO, Lou Galterio says, “P3 Healthcare Solutions enables our providers to get paid faster, and they make billing consistent and reliable”.

He continues in his interview with Clutch and talks about efficiency and responsiveness.

“They’re incredibly responsive, answering my questions on the weekends and at night. We’re a few hours ahead of them, but they still answer our calls, even when it’s early in the morning for them. They’ve also trained some of our internal team to understand their products.”

Client satisfaction is the maximum output of a company – The ultimate criterion that matters in the end.

Essentials to Report Quality Measures in 2019

Quality is one of the four performance categories of MIPS 2019. It carries 45% weight in the final score. Back in 2018, it was 50% weight, and that was 5% more than the current weight.

Why is that?

It is an effort to reduce the burden of MIPS 2019 reporting requirements of eligible clinicians according to the proposed rule.

First, to fulfill the Quality category, ECs have to undergo MIPS 2019 reporting over a span of 12 months.

Second, there are four ways to submit quality measures:

  • Electronic Clinical Quality Measures (eCQMs)
  • MIPS CQMs (Previously “Registry Measures”)
  • Qualified Clinical Data Registry (QCDR) Measures
  • Claims-based measures for small practices

To report collected data for Quality for at least 6 measures or a specialty set is what is required. One of those six measures is an outcome measure or a high-priority measure.

MIPS as a Group

With the condition to report as a group of 16 or more clinicians, under the 200 Medicare beneficiaries criteria, the administrative claims-based all-cause readmission measure will automatically count as the seventh measure.

Therefore, in order to stay on top of MIPS 2019 reporting, go for at least one submission type. If you report a measure through more than one type, the best score for that measure will add to the final score.

Moreover, P3 Healthcare Solutions connects you with the patients which are your first preference!

With P3Care as your third-party intermediary and reporting on your behalf, you, as a healthcare professional, can focus on your patients. We become part of your cure to people in distress.

The Case of Specialty Measure Sets

MACRA MIPS never falls short of requirements. ECs, as individuals and groups, have the flexibility to choose between a specialty and subspecialty measure set.

In any case, they must tend to data on at least 6 measures within a specific set. If a set has less than 6 measures, the clinician or group should report each measure in the set.

CMS Web Interface users have to report all the 10 required quality measures for the full year (January 1 to December 31, 2019)

As value-based care enters the third year successfully, CMS tones down the reporting requirements for clinicians. It is in response to physician burnout because MDs and other professionals are not able to look after their patients. The lack of patient association and engagement is attributed to difficult EHR handling.

Follow us on LinkedIn https://www.linkedin.com/company/p3-healthcare-solutions for a solid knowledge base in American healthcare.

What do you think is a common problem clinician’s will likely face in MIPS 2019 reporting?

HOW CAN MIPS CONSULTING SERVICES HELP INCREASE YOUR CPS?

MIPS has been an amazing initiative in the healthcare industry. This quality payment program instantly got attention from clinicians in terms of providing value-based services to patients. Therefore, the physicians’ participation rate has been outstanding since the very first year. This trend has also put pressure on the MIPS consulting services to use improved methods to better report clinical data.

Another reason for high participation is the fortification from the penalty that is imposed on non-participation or poor performance. This has to do a lot in changing physicians’ thinking to strive for being the top-scorer, especially, when there is so much to gain as incentives and bonuses.

Reporting MIPS quality measures with data completeness constraint requires accuracy and dedication from MIPS consulting services. The thing to consider is that healthcare organizations already have data and then consult MIPS qualified registries to report data.

Then, how can MIPS consulting services improve performance based on the present data? This question demands thorough analysis and this article give insight into four MIPS score-increasing tactics.

  • Document Data for a Large Set of Quality Measures & Look for High Performers

This is the simplest way to ensure that the data you have is best for the reporting MIPS quality measures. When healthcare organizations consult MIPS consulting services, most of them already know about the best-suited quality measures. However, there are some that at the start of the MIPS reporting period, run hundreds of tests to determine the most scoring MIPS quality measures.

The advantage of running this strategy besides the obvious one is to check if you can get extra points from the available data while submitting it to CMS. Moreover, the search for high-priority measures becomes easy for MIPS consulting services via this method.

Some professionally qualified registries or even healthcare organizations tend to chase a larger set of performance measures throughout the year. This way, they get the flexibility to report for the best performing measures at the end of the year.

  • Switch to Electronic Methods for Reporting

End-to-end electronic reporting method is the best way to earn bonus points, and thus requires data submission through Certified Electronic Health Record Technology (CEHRT) to CMS. It automates the data submission process with efficient data extraction and measures calculation.

This method helps MIPS consulting agencies to earn additional points per measure or even increase 10% of the total MIPS score.

  • MIPS Consulting Services Should Report Free Text Data

Qualified services should invest additional efforts in collecting free text data. It surely involves extra time and a bit of investment but can result in improving MIPS scorecard.

Going through patients’ reviews and medical codes can help taking out important points. A dedicated team is required to abstract data for this purpose. Otherwise, outsourcing companies can also do this favor for MIPS consulting services.

  • Review the MIPS Score for Individual & Group Performance

Getting incentives and eligibility for the bonus pool gear up physicians’ performance and it is only possible when MIPS data is optimized. Before data submission, reporting services should check performance rate both as individuals and even as a group.

It is possible that clinicians get more points while submitting data as a group for treating a similar set of patients. It also helps to add low-performing physicians in the group that may be excluded from the MIPS race as individual healthcare providers.

Thus, physicians can earn a high score when MIPS consulting services uses a few simple tricks. Indeed, these tricks require efforts and but continuous monitoring of score throughout the year, provide opportunities to increase revenue cycle.

As a MIPS consulting service, would you try these tactics or have any other ideas for high MIPS score, share with us at https://www.linkedin.com/company/p3-healthcare-solutions

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 term of reducing cost-expenditure and efficient data storage system. 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 positive impact in 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 precise 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 medication and treatments.

This system also holds opportunities for pharmacists to review past and present medicines at any time, ensuing 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 cost? Share your thoughts with us at https://www.linkedin.com/company/p3-healthcare-solutions

 

SWITCHING TOWARDS CLOUD SERVICES 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 concern for physicians. Be it, medical billing, MIPS, MACRA, electronic healthcare records (EHRs), digital collection and storage has 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 require 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 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, 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, that is one of the leading value-based incentive programs, pharma companies need to have a front role in understanding all the implementation details.

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 implementation of the 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 reliable implementation of cloud technology in the pharma industry?

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

BILL GATES SELECTS SIX HEALTHCARE TECHNOLOGIES FOR 2019

The article lists technologies to look out for in 2019, according to Bill Gates. After analysis of the MIT Technology Review’s yearly content around emerging technologies, he was able to select 7 of them with the most impact. These special applications have a future in healthcare because they come from none other than the maestro himself.

Bill Gates besides the selected bunch of applications wrote:

“We’re still far from a world where everyone everywhere lives to old age in perfect health, and it’s going to take a lot of innovation to get us there.”

“For now, though, the innovations driving change are a mix of things that extend the life and things that make it better.”

Healthcare IT makes the use of technology for better outcomes. Such applications will facilitate the reimbursement process and providers in general. P3, as a MIPS consulting service, assimilates with technology to report on behalf of the providers and value-based care will only benefit from these technological marvels. Please follow us on LinkedIn for a vitalized experience and find the latest information on the Merit-based Incentive Payment System (MIPS).

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

The revolution is in their essence, and, nobody will be able to deny their absolute magnificence once the rollout of the benefit in public.

  1. The $10 Blood Test

We attribute this invention to the bioengineer, Stephen Quake of Stanford University.

What does it do?

Physicians will be able to identify women who are set to deliver before time.

Extraordinary, as it sounds, it will ease the pain of the parents, especially the mothers. Children born prematurely have a less chance of survival, but, due to this test, the survival rate is going to increase, big time!

When we talk in terms of MIPS Quality measures, such creations can improve, the mortality rates and reveal better population health outcomes. Patient satisfaction levels will go up while keeping healthcare quality-driven.

  1. Screen Environment Enteric Dysfunction (EED) Disease

The probe developed by Guillermo Tearney, MD, Ph.D., and a professor at Harvard Medical School, physicist and pathologist at Massachusetts General Hospital in Boston is going to show you evidence of this degenerate disease.

What does EED do?

It slows down or stops the absorption of nutrients.

Furthermore, the probe will replace the expensive endoscopy used in gastrointestinal cases.

Amazing, isn’t it?

The third world or poor countries have a reminiscent amount of EED patients. Therefore, this goes out to you – time to heal is soon, very soon.

  1. German Cancer Vaccine

The next invention comes from Germany, and, it is against cancer that has spun the world over its head. In 2019, BioNTech and biotech giant Genentech are having clinical trials for the first cancer prevention vaccine. It is going to destroy cells with cancerous elements attached to them.

Tremendous achievement, as it is, we are one up against the illness, and, now cancerous growth will find a legitimate challenger to stop things from going south.

  1. Reduce Greenhouse Gases

The next invention is going to reduce greenhouse gases and slow down the process of climate change. Intense weather conditions, too much heat or too much cold are weather conditions attributed to climate change.

David Keith, Ph.D., a climate scientist at Harvard University in Cambridge, Massachusetts implements ways to store carbon dioxide from the environment and convert it to synthetic fuels. Public health has only one way to go, and that is up!

  1. Toilets with Cleaner Outputs

Time has come for toilet wastes to stay away from disposal into water resources. Energy-efficient toilets are in focus as an effort to stop contamination of the environment. One of these models comes from Tampa, University of South Florida and the other from sanitation enterprise Biomass Controls.

The two toilets are self-sufficient and don’t need water to move fecal waste to the disposal site.

Water contamination causes the disease to spread from one population to another.

Nevertheless, with the help of these innovative waste stations, we will be able to process waste without using water and put an end to water-borne illnesses.

  1. Alexa – The Amazon’s Marvel

Despite intense marketing campaigns for the device, Alexa proves to be a helpful companion for real. The voice-enabled assistant has features which benefit hospitals and practices to understand speech in both emergency and normal situations.

The artificially intelligent gadget can be the difference between sickness and wellness, expanding its role in patient care.

We would love to see you come up with healthcare inventions we’ve missed in the comments below.