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        • No Administrative Load on Healthcare Providers! This is the vision that we, as your outsourcing medical billing company, strive to achieve with automated and simplified billing solutions!

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        • REVENUE CYCLE MANAGEMENT
        • Empower your practice management with a streamlined RCM solution.

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        • Automated Medical Billing
        • Avoid claim denials, and save cost and time with RPA billing solutions.

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        • Identify compromised billing practices & ensure HIPAA compliance.

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        • Automate the billing process via a smart practice management system.

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        • Avoid upcoding or under coding in your claims for faster submissions.

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        • Optimized Processes. Better Performance.
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        • Medical Billing Services
        • Our billing services offer complete assistance straight through the process until the physicians get paid timely by insurance companies.

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        • Medical Billing and Coding
        • Get our professional help to code and bill your claims accurately as per the latest coding and billing guidelines.

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        • Confirm HIPAA compliance in your medical billing and send clean claims to payers for instant acceptance.

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        • We got experienced and professionally trained billers to get the perfect solution for all your billing needs.

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Medical Billing Services

We offer comprehensive medical billing services to doctors with different specialties in the USA. We have built our reputation by firmly adhering to service excellence, integrity, and professionalism while strictly complying with the applicable healthcare regulations.

Telehealth Medical Billing Services

As part of the ongoing telehealth services happening nationwide, P3 works for clinicians to get them paid as soon as they render services. Telehealth in Medicare is where we address your financial independence for increased collections and the survival of your practice in Medical Billing Services.

A distinguished Medical billing Assistance that does everything to improve provider experience, practice management, and staff burden speeds up the healing process consistently.

COVID-19 pandemic is a time of great need in which we’d like to unburden physicians and specialty clinicians from their revenue cycle management duties. In this way, not only do they serve the population with ultimate care specifics, but take America out of this disaster in one piece.

Is telemedicine a way to avert the crisis?
Certainly!

Together we can overcome any obstacle thrown at us; if this pandemic is still far from over, speedy, and meaningful reimbursements can raise telemedicine’s status to a lifesaver. Most clinicians turn to Zoom as the go-to telehealth app to meet and treat. Call or email us to make the most of CMS’ telehealth 2020 guidelines.

P3Care helps save time and money with Medical Billing Services

We know by experience that healthcare professionals often worry about things that they should not. Therefore, we come with Medical Billing to the provider’s aid and take care of the billing matters. Matters like patient statements and claim submissions. This way, you can entirely focus on delivering quality care.

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Medical Billing Services Points
1

Patient details are received

2

Insurance verification

3

Coding & Billing

4

Charge entry

5

Payment Posting

6

Clearing House rejections

7

Claim Transmission

8

Quality check

9

Denial management

10

AR Recovery

11

Patient Statement

12

Collection

BENEFITS OF MEDICAL BILLING SERVICES

Here is how medical billing services by P3 Healthcare Solutions will assist you as a provider.

BETTER CASH FLOWS

Cash flows act as the lifeblood of any organization, and healthcare providers are no different. Our Medical Billing professional revenue cycle management services offer experienced professionals who can expertly handle different types of medical claims on the first submission.

FAST SUBMISSION

Providers get to experience faster claim submissions on their behalf. Not only that, but we provide technologically advanced solutions from the get-go. In brief, we ensure easy filing of all the details, maintaining a certain speed for reimbursements. Practice beyond financial restrictions.

MEDICAL BILLING SOLUTIONS

Our team of expert medical coding consultants is the answer to all the pressing concerns around medical billing. In short, it is precise and to the point. You can expect timely submissions alongside the proactive handling of insurance companies and patients.

ELIGIBILITY AND BENEFITS

It is our workflow process that allows us to send necessary reports in advance. Providers know of the statuses regarding patients with expired insurance coverage to overcome any potential delays. Therefore, clinicians are in it to further their collections.

INSURANCE COVERAGE

Our vigilant medical billing and coding teams report back if they find any insurance gaps within a patient’s health plan. For example, when a patient’s insurance does not cover a health condition or treatment, we are the first to inform them.

DENIAL MANAGEMENT

The team here at P3Care timely reports if they find any problems related to submissions, including errors and omissions. It is our transparent approach that keeps our providers updated about the statuses of claims and reasons for delays.

ADVANCED REPORTING

Detailed analysis reports are submitted to physicians and specialists as per their custom requirements to help them make smart business decisions. We also break up each stage of the process as per the needs of clinicians belonging to different specialties.

REDUCED COSTS

Once you have decided to outsource medical billing to us, you are about to cut down on the costs drastically. It is the right mix of skill, experience, and resilience that allows us to accelerate your revenue cycle. Let us put a lid on expenses together and scale beyond boundaries.

EMPATHY AND CONVICTION

COVID-19 has left us with so much to think. It disrupts the natural flow of life. However, it doesn’t stop us from serving our clients to the best of our abilities. On the premises, we implement all the safety protocols to keep coming back with collections after collections.

Get Ready to Expedite Your Collection Rate!

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Strategic Medical Billing Services and Coding

We only hire the best medical coding and billing to meet the requirements of all practices. We urge you to employ us and see the difference yourself. In fact, the competition with our competitors is not an easy one; however, neither we stop pushing for more, nor we give up easily.

It is a call to the US healthcare industry and practitioners who make it that we cover all specialties, including mental health billing/billing for therapists. As behavioral health billing consultants, we tend to routine claim submissions, accounts receivable management, follow-ups, denials, and appeals on your behalf.

STRATEGIC MEDICAL BILLING AND CODING

Reimbursement-friendly Medical Billing Services for Small Practices

What do small practices get out of outsourced billing services?
There are three things they can get: First, an increase in their collection rate; second, the denial rate is kept to a minimum; and, finally, the accounts receivable does not pile up.

Once you grip on these three stages of the billing process, it automatically results in faster claim submissions and higher reimbursements. Therefore, we recommend medical billing outsourcing to small practices. It puts your focus back on what you do best, i.e., look after your patients. A way to find a dependable medical claims billing service is to look at their years of experience, read both good and bad reviews, ask around, and it ends with you finding some real HIT skills in their operational teams.

According to a study published on Jama Network in Feb 2018, “The administrative costs associated with billing and insurance-related activities are estimated to be up to 25.2% for emergency department visits.”

Preferences of Patients

In the years of digital transformation, an increased number of patients want to adopt digital means to pay their healthcare bills with Top Medical Billing. A digital doorway could be an app or through a portal designed only for online payments.

Predictably, the trend of making payments online is going to increase in the upcoming years. According to one of the studies, an 80 percent chunk of patients were interested in paying their healthcare bills digitally.

On the whole, in our opinion, this trend is here to stay. Not much of paper-based operations are to survive now or in the years to come. The sooner we get to understand the power of digital media, the quicker we can adopt it.

According to another finding, in 2016, 68 percent of patients with up to $500 in medical bills didn’t pay their full balance; it is a 19-percentage point increase from 2014. The growing number of patients not paying their balances could hurt practitioners. In fact, it is another reason to choose us to go after those delayed payments to make sure you are fully reimbursed.

Patient percentage who did not pay their $500 full balance

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We Provide Medical billing Assistance across the USA. This is a complex process that involves stakeholders such as patients, payers, and Doctors at different stages. The core includes a healthcare medical billing service creating claims and submitting them on behalf of providers to insurance companies for reimbursements.
Moreover, the billers need to stay in touch with insurance companies and patients to ensure timely payments. It is not an easy task and involves plenty of obstacles.

Rules Governing Health Practices in Medical Billing

The rules governing healthcare practices are elaborate and pertain to various classifications. Two types of code sets – CPT and ICD-10 – govern a patient’s visit. Once a patient comes in for a consultation, two things tend to happen. First is that they are diagnosed; and, second is that they undergo treatment. While CPT codes identify the medical, surgical, and diagnostic procedures performed, the ICD-10 codes explain the diagnosis and disease part.

In general, OIG (Office of Inspector General) guidelines are there to help providers avoid penalties – penalties in programs such as MIPS and HEDIS in which eligible clinicians have to submit measures or measure sets and score points against them. The purpose of these programs is to incentivize providers and enhance the quality of care. Often healthcare providers cannot manage all of the compliance requirements; hence, they ask a medical billing company for assistance.

THE MEDICAL BILLING PROCESS

The medical billing process comprises the following steps (step number 7 and 8 may not be needed for clean claims):

Patient Check-in

Insurance Plan Verification

Coding of Diagnosis and Procedures

Billing against the Services Rendered

Claims Submission

Follow-Up on Claims

Denial Handling

Payment Posting

Initial Processing

Initial Processing

Patient Registration

Insurance verification

HIPAA compliance

  • Daily schedule analysis
  • Eligibility & Insurance checking
  • HIPAA compatibility analysis
  • Outstanding balance collection
  • Data authorization

Middle Process

Middle Process

Healthcare provider enrollment

Medical coding

Claim submission & tracking

  • Medical coding
  • Claim compilation
  • Claim attachments
  • Claim submission & clearinghouse tracking

Accounts Receivable Management

Accounts Receivable Management

Rejection & Denial management

Payment posting

Appeal processing

  • AR management
  • Payment posting
  • Appeal processing
  • Secondary billing

All Specialties

Whether you belong to any of the following specialties, we have the ultimate health IT solution for you. We will help you with the revenue cycle optimization through an efficient medical billing process, HIPAA compliance, and MIPS reporting for incentives and bonuses.

cardiology1

Cardiology

OBGYN Gynecology

OBGYN/Gynecology

Nephrology

Nephrology

Chiropractic

Chiropractic

Internal Medicine

Internal Medicine

Psychology

Psychology

Anesthesiology

Anesthesiology

Physical Therapy

Physical Therapy

A Thorough Approach to Medical Billing Services

The Medical billing process is the same if you do it in-house or get it done through outsourced billing. However, not every billing company is the same. Some companies indulge in fraudulent activities that can result in hefty fines once caught. Others focus on the ICD-10-CM codes and punch in the data for you at an affordable cost. Talk about efficiency, P3 Healthcare Solutions works on client’s purpose to the best of their ability; we follow a thorough approach to the billing process.

Medical billing for small practices is where we have room for improvement because that is the area with large volumes of patients. Practices with 15 or fewer practitioners are the backbone of the healthcare industry; it is management at this level that will be the difference at present and in the years to come.

Healthcare Medical Billing Service for Guaranteed Peace of Mind

A clinician’s financial health is as important as their physical health. We ought to move quickly and be precise to take care of the revenue cycle needs. While the general billing process remains the same for each specialty, the ICD-10 and CPT codes usually differ.

Medical billing company’s first purpose is to smoothen the flow of money from the point of claim creation to the time of reimbursement. The first pass acceptance rate is one of the factors that separate the best medical billing companies from the rest. Most companies quantify a first-time acceptance rate of 95% on average. As far as P3 is concerned, we furnish a healthy first-time acceptance rate of claims in the late 90s.

P3 was not so far on the leaderboard carrying the best medical billing organizations of 2020. We went on to find a spot among the first five companies. Check out the screenshot below for reviews and ratings.

Effective Follow Up and Denial Management

A small mistake during the billing process may result in the claim being sent back for correction. If the error or omission is not rectified to the satisfaction of the insurance company, the insurer may partially or completely deny the payment. As a general rule, most payers have a 90-day period to respond to claim submission.

Payment might also be denied in case there isn’t proper follow-up on claims that require correction. Thus, adhering to the various legal requirements at every step ensures the smooth running of your revenue cycle.

For questions out of this service, or on instructions on how to get started call a medical billing service expert today at (844) 557-3227 or email at info@p3care.com.

Ready to Get Started with Medical Billing Services?

Empower your medical practice with the latest billing solutions that improve billing performance with lesser errors, improved efficiency, and impeccable client experience.

Book an Appointment

We are ready to satisfy any queries relevant to medical billing and coding, MIPS reporting, and ACO reporting. Kindly fill in your info below to get an appointment.

Medical Billing Services – Frequently Asked Questions

Where can I find medical billing services near me?

You can use Google to find the nearest medical billing services. Medical billing companies near you would appear, those within your state and county once you hit search. A long list of Google listings will surface up. However, if that doesn’t work out, we are here to assist you through the revenue cycle management process to the best of our ability.

We are happy to recover collections that you deserve with minimum denials and vigilant tracking of claims. Rigorous follow-ups are one of our strengths.

Why are medical billing services in the USA mostly outsourced?

Medical billing services in the US return peaceful solutions for most practices. It is where outsourcing a third-party takes the burden of creating, filing, and managing claims away from them. The in-house solution is expensive and usually drains the available staff of hours. Hence, the outsourced solution seems highly likely to work in favor of providers.

How much do medical billing services cost in 2022?

As far as 2022 is concerned, the ongoing costs of medical billing services are divided into two types – one is claim-based, and the other is collection-based. Generally, it is 7% of the total reimbursed amount per month. P3 often charges similarly; however, the price varies from specialty to specialty.

Why do medical billing service companies often lack reporting?

I wouldn’t say they lack reporting because it means they fail to comply with their self-assessment system. There may be delays, but we, as a medical billing company, don’t delay our reports. One of our strengths is to be available to physicians even at odd hours. Your account manager is dedicated to your billing cause. Hence, it is their job to expedite your RCM process via insurance follow-ups, AR management, and payment postings.

We primarily provide HIPAA medical billing services and MIPS consultancy, among other services. As your HIT consultant, we optimize providers’ performance for improved RCM.

info@p3care.com

(844) 557-3227

3200 E Guasti Rd Suite 100, Ontario, CA 91761, United States

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