2024-03-26 11:49
RPA (Robotic Process Automation) not only ensures the data of medical billing remains error-free and protected but also simplifies the complexities of manual billing. Promising effects on th… Read More
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The Popular Faqs About Mips – Explained! Blog
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Providing value-based healthcare services to patients and having a penalty-less spot in MIPS 2018 requires great effort. However, if strategize properly, physicians can get themselves incentives and bonuses from this program.
2024-01-09 07:27
Are you one of the MIPS 2023-eligible clinician types? Certainly, you might be familiar with the utmost significance of retaining MIPS eligibility. Twice a performance year, CMS updates the… Read More
2024-01-04 03:20
You know, what’s the common point of connection between healthcare providers and insurance payers? Well, it is none other than medical billing outsourcing companies in USA. Throughout… Read More
2024-01-02 05:46
Revenue collection for complex cardiology services is a big nightmare for medical billers. You know that a denied medical claim brings more pity for cardiology billing practices. This is so… Read More
2023-12-26 06:53
Medical coding makes a more definite contribution to modern revenue cycles than ever before. The value-based care model of today’s healthcare system has significantly brought this chan… Read More
2023-12-13 09:08
This approaching holiday season, P3 Care is here with warm wishes for all the medical providers. Meanwhile, we are truly filled with the spirit of giving in our joyous celebrations of the ho… Read More
2023-12-05 12:13
The MIPS 2024 policy guide contains a detailed list of new reporting policies and measures. Overall, the rule addresses every medical practice and specialty in depth. With considerable insig… Read More
2023-11-16 06:28
[Note: P3 Care, as a MIPS qualified registry, presents your series of blogs on MIPS final rule updates for CY 2023. So, this is ‘Part III’ of our CY 2024 MIPS policy changes.]
MI… Read More
2023-09-18 10:45
Every year, the Merit-based Incentives Payment System brings a fresh opportunity for providers. Following the value-based care model, the program intends to achieve a high standard of qualit… Read More
2023-07-06 09:41
Every provider has complete awareness of the Quality Payment Program. The MIPS under the framework of QPP promotes the value-based care model for all new and old providers. So, the program a… Read More
2023-07-03 06:06
Today, advanced IT has become an integral need for everybody. That’s why every sector has integrated modern technology as a fundamental aspect. Likewise, the healthcare sector is no ex… Read More
2023-05-31 05:29
In the constantly evolving healthcare landscape, prioritizing patient safety is of utmost importance. And it all starts with the medical credentialing services.
With proper healthcare creden… Read More
2023-04-26 11:24
Currently, we can see significant adaptations in healthcare systems. All above, the adaptations have a prominent impact on medical billing services the most. All the proceedings are eventual… Read More
2023-03-21 09:19
Administrative Vs Clinical Denials
Administrative and clinical denials are the two major types of denial claims. Both of them appear in different ways.
Administrative Denial: Thes… Read More
2023-01-05 12:14
Merit-based incentive payment systems have a list of eligibility for those thinking of participating in it. Every year, QPP MIPS makes several revisions to its list. For example, the MIPS 20… Read More
2023-01-03 12:18
In the MIPS 2023 reporting period. We can see that the payment threshold is holding at 75 points. Making it difficult to achieve the threshold score along with the changes in the 2023… Read More
2022-12-29 04:57
How Does Cardiology Medical Billing Work?
Cardiology billing services is to collect the patient charges and document them in the medical record. This is the automated billing process by maki… Read More
2022-11-14 12:41
Charging for specific services that an independent medical contractor provides is an illegal act by a medical clinic. We have thoroughly described pass-through billing and how it can affect… Read More
2022-11-14 12:17
Codes and modifiers simplify the billing and coding process and help medical providers at every level. In addition, GW and GV are HCPCS Level II Medicare Hospice Modifiers. You Need to know… Read More
2022-11-14 11:57
It is stated that the ambulance service is covered, and can be reimbursed through Medicaid using ambulance modifiers. However, with so many medical billings and claims changes, how are ambul… Read More
2022-11-14 08:28
Medical Healthcare Providers wish to have the claim accepted in the first go, and the providers need to reduce the errors in their claims. Medical billing experts believe that there’s… Read More
2022-11-11 12:20
The US government has shown its concerns about healthcare delivery since the beginning. They want to make quality care accessible for every individual. That’s why they have expanded th… Read More
2022-11-07 07:14
It is always a challenging task for any business growth and promotion to make a profitable balance between the inputs and outputs. We always face the outcomes of what we have seeded earlier… Read More
2022-11-03 12:00
People in today’s world have upgraded their standard of living and are striving hard to maintain their lifestyles. They have chosen very hectic daily routines which have deprived them… Read More
2022-11-02 05:27
US healthcare is operating on an excellent performance by rendering services of their practicing providers in an extensive healthcare system. Therefore, CMS has devised several modules to no… Read More
2022-06-06 13:56
Medical credentialing services are crucial because it works in several ways. First, it tends to secure the patient’s outcome by offering an opportunity to go with the best standar… Read More
2022-01-24 05:42
As healthcare providers, you would be constantly trying to help your patients by enhancing the quality of care. However, an essential part of this process is patient engagement in medic… Read More
2021-11-12 12:18
Overview
ACO or Accountable Care Organization is a group of doctors, hospitals, medical centers, and other healthcare providers. This unit works together to care for and look after a patient… Read More
2021-11-04 10:38
Medical Practitioners Eligible for MIPS 2021
There is a list of clinicians who can participate in the MIPS 2021. However, the clinicians, who qualify for participation based on the billing f… Read More
2021-10-11 13:01
Medical Billing service providers are there to assist medical practitioners because they should be spending more time with their patients rather than on the administrative work.
If you… Read More
2021-09-17 07:24
Medical billing and coding is a serious profession. It seems just a simple math or accounting field, but the reality can make you wonder about how hard it is.
Yes! Medical billing is no easy… Read More
2021-09-14 11:33
The focus on value-based service is now more than ever. Medical practices cannot ignore the importance of keeping a check on the quality and cost alongside.
Payment incentive programs like Q… Read More
2021-09-08 10:30
Qualified clinicians taking an interest in the QPP MIPS (Quality Payment Program – Merit-Based Incentive Payment System) can’t disregard significant deadlines. We assume some of… Read More
2021-04-06 12:55
Denied claims have remained threats for physicians and medical billing services for all these years. Although, we have seen billers and coders play with different strategies and physicians o… Read More
2021-03-23 12:17
The Healthcare industry cannot evolve without automated solutions. Nor can we restrict the implementation of technology in everyday operations. From patient treatments to data transmission i… Read More
2020-10-30 16:01
CMS (The Centers for Medicare and Medicaid Services) released the proposed rule for QPP MIPS 2021 via the Medicare Physician Fee Schedule (PFS) Notice of Proposed Rulemaking (NPRM).
In this… Read More
2020-10-27 15:10
Am I eligible for MIPS incentives in 2022?
The question that we hear a lot. And, I have to say it is your right to know.
Whether you are a general physician or a surgeon, submission of MIPS… Read More
2020-10-21 14:23
Revenue cycle management is an integral part of medical billing services. Every company has its own process of catering to claims, but for effective revenue cycle management, certain steps m… Read More
2020-10-14 16:48
Cardiology is tough and encompasses new techniques and technologies every now and then. Therefore, its medical billing services require special understanding to adapt to changes in the repor… Read More
2020-10-06 11:33
Medical billing services are a vital player in the US healthcare industry. Without them, physicians would have to face dire consequences in the revenue cycle. However, when the focus is upon… Read More
2020-10-05 09:01
The stressful time of the year for MIPS eligible clinicians has arrived. We are going towards the end of the performance year MIPS 2020. It is the time when MIPS Qualified Registries h… Read More
2020-09-21 14:31
Medical Credentialing strengthens the reputation of any healthcare professional! It is a process to verify that clinicians have undergone strict scrutiny and practice to acquire the skill of… Read More
2020-08-26 11:52
Medical billing services! Handling billing and coding operations, staying up-to-date with the operations, and managing financial tasks are a bit stress-full. In the end, we all want fruitful… Read More
2020-08-05 12:13
One thing that we learn from the year 2020 for sure is uncertainty. COVID-19 pandemic has left us in a state of doubt where we can’t be too sure of our present and, clearly, not of the… Read More
2020-06-12 15:31
America should adopt smarter ways to counter COVID-19 as it reopens for patients and clinicians. In the meanwhile, CMS has come up with a guide for patients and beneficiaries as they decide… Read More
2020-03-03 18:34
CMS has come up with practical solutions for the healthcare industry; it has constantly fought against the burnout epidemic by reducing reporting requirements. We, as a MIPS Qualified Regist… Read More
2020-02-18 12:51
Survival in the healthcare industry is getting tough day by day. The cost factor to provide value-based healthcare services is doing well in patients’ favor, but it’s also been a… Read More
2020-01-27 15:30
A MIPS Qualified Registry is one of the collection types that submit data on behalf of clinicians, and P3Care is no different. The year 2020 carries the big news for us declaring us as a MIP… Read More
2020-01-10 16:52
As we enter the year 2020, reimbursement challenges also enter another phase. They are getting more and more complex for independent physicians with each passing year. The reasons for this c… Read More
2019-12-27 09:57
CMS expects eligible clinicians to perform well in MIPS QPP. Sometimes despite the efforts, physicians are unable to meet even the minimum performance threshold.
We can’t blame t… Read More
2019-12-26 16:11
Before we go into the details, the Merit-based Incentive Payment System (MIPS) comes under the direct obligation of the Medicare Access and CHIP Reauthorization Act (MACRA), the law that reg… Read More
2019-12-17 13:44
Physicians! It’s time to prepare for the MIPS 2019 reporting period. There’s only a little time left.
This time may be hectic and stressful, even for MIPS qualified registries. B… Read More
2019-12-05 13:29
If you belong to the healthcare industry in any capacity be it as a physician, nurse, surgeon, pharmacist, or health IT specialist, you would know the importance of privacy protection and co… Read More
2019-06-25 11:37
If you own a medical practice or work in a hospital, you might have hired a medical billing company for claims submission. Whether you are a reliable medical billing company in Ontario, CA o… Read More
2018-08-06 06:15
Launched as a part of the Affordable Care Act (ACA) or the Obamacare Act of 2010, the physician compare initiative started out as a simple online searchable database of healthcare profession… Read More
2018-06-01 10:34
The news just came in last night via the official CMS blog, where Seema Verma, the Administrator of the Centers for Medicare and Medicaid Services (CMS), announced that the participation rat… Read More
2018-05-03 06:56
MIPS 2017 update is over. All the eligible participants who took part in MIPS 2017, whether individuals or groups now await results and the payment adjustments due in 2019. Whoever was unabl… Read More
2018-03-28 13:52
P3Care medical billing services are precise both regarding serving physician-specialists and accurate management of accounts receivables. CMS recognizes P3 Healthcare Solutions as a MI… Read More
2018-03-19 11:59
Welcome to P3 Healthcare Solutions. Medical billing services are getting sophisticated and tech-oriented with new rules and guidelines. The electronic health records are fast replacing the o… Read More
2018-03-06 11:04
The MIPS 2018 will help the healthcare providers realign themselves to ensure compliance, enabling them to keep taking advantage of the incentive payments.
CMS gave an update on 2nd November… Read More
2018-01-30 13:29
Medical billing denial is the rejection of a claim by an insurance company made by any individual or by their provider, to pay for the rendered health care services. If you are a financial a… Read More
2018-01-30 09:55
Provider credentialing is critical for authenticating expertise, experience, willingness, and interest in providing medical care. If you are not able to follow the provider credentialing pro… Read More
2017-12-07 10:42
The following article looks at CMS MIPS quality measures for LPTAC medicine. However, before we go towards the MIPS quality details, we need to look at the underlying purpose and objectives… Read More
2017-12-07 10:14
The sorry state of affairs in the American medicare industry reflects the inability of many Americans to afford quality healthcare. Many can’t afford medical billing despite having ins… Read More
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