P3 Healthcare Frequently Asked Questions
How well do you follow HIPAA Compliance regulations?
We comply with HIPAA regulations very well in everything we do. We know that handling the patients’ personal information is a big responsibility. So, we assure you of all necessary technical, administrative, and physical measures to provide privacy, security, and confidentiality to protect the e-PHI.
What about the monthly reports? What’s your take on that?
We make reports monthly, quarterly, or annually according to a healthcare provider’s requirements.
At the end of a month, we also generate collection, payer adjustment, denial, aging, and other reports including detailed information about the progress of ongoing claims and accounts receivable of rendered services.
What services do you offer?
We offer medical billing and QPP reporting services primarily, along with the following ones.
• Revenue Cycle Management
• Credentialing Services
• RPA Medical Billing
• Healthcare Services
• Audit-medical billing
• Medical Billing Software
• Medical Coding Analysis
• Pathology & Clinical Lab
• HIPAA- security risk analysis
• Accounts Receivable Management
Do you offer Patient Healthcare Plan Verification service?
Yes, we do pre-authorization when required.
• First, we go to the patient’s verification checklist list.
• Get a copy of a patient’s insurance card.
• Contact the insurance provider.
• Make a record of the accurate information.
• Follow up with the patient as needed.
Do you have separate teams for handling rejections, denials, and claims?
Yes, we have separate teams handling denials, rejections, and claim processing.
Every unit is responsible and works according to the given plan and rules. We always try to minimize the chances of mistakes by taking substantial steps to identify and remove those errors through analysis and routine audits.
How will you handle our Accounts Receivables?
Our accounts receivable follow-up team is in charge of taking care of denied claims and processes them again to obtain reimbursements from insurance companies.
We follow up on A/R in a systematic manner, usually in three stages:
• Initial Evaluation
• Evaluation and Prioritization
What sets you apart from Other Billing Companies?
We focus on our quality of work with a proactive approach that minimizes accounts receivable.
We have an experienced staff. With us, you will have a highly flexible and affordable billing experience with timely MIPS reporting under one roof.
We are an all-in-one solution where we optimize providers’ performance in every way possible, even with some value-added services, such as credentialing services, RPA medical billing, HEDIS reporting, and more.
Do you have any software to help you with practice management?
We are working on the detailed RCM software as per the physicians’ needs, making it easy for them to automate the billing process.
What things to ensure to get accredited ASAP?
The crucial thing to get it all done is to fill out the application form quite vigilantly. If there is wrong information added or a field is left unanswered, the process will take a long time to complete. The rest can go smoothly pretty much.
What in billing can be automated with RPA to improve revenue management?
It takes time to manually execute medical billing tasks like payment posting, claim administration, and Electronic Health Records (EHR). However, these processes are streamlined and automated through robotic process automation, which improves revenue cycle management and the bottom line of medical billing.
What is your success rate with prepayment audits?
CBS has a remarkable 99 percent audit-pass rate for claims we have completed compliance scrubbing.
How do you help clinicians with MIPS reporting?
For maximum flexibility in MIPS reporting, we provide timely reporting and guidance on specialty-specific quality measures and objectives. We guarantee physicians ensure penalty-less spots no matter what.