P3HealthCare Solutions

A medical billing audit is a structured process in which the reliability and effectiveness of clinical documentation get assessed. In simple words, it is the monitoring and inspection of medical billing services. It checks all the health records that have been kept and maintained by medical practices and reviews the medical billing data submitted to insurance payers. Further stated, it also helps medical practices fix inappropriate billing practices and keep an eye out for them in the future. Requirements of a Billing and Audit Doing a full-fletched billing audit requires a lot of sources. So, when auditing, a practice needs to provide different types of clinical records, such as: Medical records X-rays and lab reports Financial records (charge sheets, remittance advice, etc.) Accounts Receivable (AR) ledger Other documents that are related to their policy Prospective & Retrospective Audits are conducted either before insurance claims or afte...

Being a medical practitioner is quite a demanding job in itself. You have to make time for your patients, run your practice, ensure each patient gets the appropriate time, etc. Adding administrative duties on top of all this will just make your job harder. It is where medical billing service providers come into play. They can take that load off and make sure that you can handle your primary responsibilities without stressing about the data collection, billing, insurance claims, and other such things. There's also the option of acquiring an in-house IT team or staff that can help with tasks like data collection, insurance, and billing. But it is preferable to get these details taken care of by a medical outsourcing company because their staff consists of highly-trained professionals, who deal with this kind of information daily. Leaving this duty to them will help clinicians fulfill more patient-related responsibilities as the revenue cycle for the practice will be managed. In-house...

P3Care is a medical billing company that is serving since 2015. However, what makes it more special is it also works as a MIPS Qualified Registry that assists eligible clinicians with the reporting of Merit-based Incentive Payment System (MIPS).  Know About MIPS The program aims to target quality care services rather than focusing on volume and measures performance via four performance categories – Quality, Promoting Interoperability (PI), Improvement Activities (IA), and cost.  Being an incentive payment program, MIPS data submission requires scrupulous compliance of rules that allow clinicians to earn up to 5% incentives. In an unfortunate case, clinicians have to bear up to a 9% penalty that can impact their financial liberty to a great extent. Avail the Chance to Target Up to 5% incentives  Being professional MIPS consultants, we keep an eye on all the MIPS requirements that change each year. Meeting all those requirements can be tou...

The term medical credentialing is not new for many of us. It is defined as the process of collecting and verifying the practitioners’ qualifications and credentials, be it their license, education, training, experience, and more. Why are Healthcare Organizations Credential Their Resources? Most hospitals and private clinics already authenticate their resource qualifications at the time of hiring. The reason is to get insight into if the doctor or nurse is qualified enough to manage the complex operations. Moreover, medical credentialing also help to assign privileges to physicians. Generally, medical billing companies are responsible for managing these operations.  Qualified Physicians Prefer to Credential Their Training  A clinician who is credentialed from a professional company gets more advantages than a non-credentialed doctor does. For instance, they can easily pass for the insurance company’s network. They get timely reimbursements from payers. They get to increase thei...