p3care

DECEMBER 25, 2023

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 change to healthcare. The model upgrades medical reimbursement standards from quantity to quality. Patient outcomes and their experiences have been given more importance. Therefore, proper diagnosis is the utmost necessity in today’s healthcare sphere.

Hospitals 130

Hospitals Healthcare 130

p3care

DECEMBER 17, 2023

All in all, MIPS 2023 has been a hard time for participants. Anyhow, those with the best MIPS reporting plans have managed to stand by in the hardest times. Moving from one benchmark to another, participants have collected the MIPS reporting data. We know that every category of MIPS reporting has separate data completeness requirements. So, it is not an easy task to complete or exceed data completeness criteria.

Medicare 100

Medicare Healthcare 100

p3care

DECEMBER 13, 2023

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 holiday season. Our medical billing outsourcing company in USA has earned a name for its valued medical billing services. Along with this, we provide other services like medical credentialing, A/R management, etc.

Healthcare Providers 130

Healthcare Providers Accountability Medical Services Healthcare 130

p3care

DECEMBER 5, 2023

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 insights, the new rule was finally released, with lots of surprises for healthcare providers. Here, let’s confine our focus of discussion to hospitalists, and more precisely, inpatient clinicians.

Hospitals 130

Hospitals Healthcare Providers Healthcare 130

p3care

NOVEMBER 30, 2023

Following the systematic plan of QPP reporting, we are now at the end of the MIPS 2023 performance year. We already know the MIPS has strict timelines and deadlines that more or less remain the same. A MIPS participant moves from one benchmark to another throughout their participation. And CMS releases news updates regarding every stage. These updates are available on the QPP’s official website.

Healthcare Providers 246

Healthcare Providers Healthcare 246

p3care

NOVEMBER 28, 2023

Everyone talks about the MIPS program and its requirements, which keep changing from time to time. Okay, that’s one side of the picture, and clinicians are very familiar with this aspect of MIPS reporting. But what about the MIPS-related issues that persist with this much modification to the final rules? Is there any way to deal with them? Here, let us tell you that MIPS policy revisions are necessary for achieving certain healthcare goals.

Integration 130

Integration Healthcare Providers Healthcare 130

p3care

NOVEMBER 19, 2023

[ 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 IV ’ of our CY 2024 MIPS policy changes.] The MIPS 2024 final rule provides comprehensive guidelines, covering every aspect of reporting. In our blog series, we have discussed the policy changes for MIPS performance categories and final scoring.

Integration 130

Integration Healthcare Providers Healthcare 130

p3care

NOVEMBER 15, 2023

[ 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.] MIPS reporting rules and policies may vary from one reporting option to another. The PFS final rule for MIPS 2024 addresses the changes for all three reporting options briefly.

Regulations 130

Regulations Medicare Healthcare 130

p3care

NOVEMBER 13, 2023

[ Note: P3 Care, as a MIPS-qualified registry, presents your series of blogs on MIPS final rule updates for CY 2023. So, this is the ‘ Part II ’ of our CY 2024 MIPS policy changes.] The PFS final rule for MIPS reporting is the provider’s compass for navigating safely. So, we have the MIPS 2024 final rule, and providers need to understand everything in it.

Medicare 130

Medicare Quality Improvement Regulations Hospitals 130

p3care

NOVEMBER 10, 2023

High time in the MIPS reporting season! Kudos to all MIPS participants who retained their eligibility for MIPS 2023 throughout. Soon, the 2023 performance period will end, and clinicians will enter the reporting phase. However, moving one step forward, CMS has now released the PFS final rule for MIPS 2024. So, it’s high time for eligible MIPS participants to gear up for PY 2024 and revise their strategies.

Medicare 130

Medicare Healthcare 130

p3care

NOVEMBER 7, 2023

Gear up, providers! CMS has just released the MIPS 2024 final rule. CMS has provided the proposed rule before finalizing the policies for PY 2024 reporting. The clinicians need to be extra vigilant this time, as we notice that CMS is in full form. In CY 2024, it has already set the performance criteria and scoring standards. Now, it’s truly the clinicians’ responsibility to take part in the healthcare improvement battle with full spirit.

Patient Safety 130

Patient Safety Rehabilitation Medicare Prevention 130

p3care

OCTOBER 31, 2023

Everyone talks about the Quality and Cost categories of MIPS 2023. Do you know why? Well, their large share in the determination of the MIPS final score makes them the center of attention every time. But wait, let us tell you very clearly that performing well in one or two categories isn’t beneficial alone. A MIPS final score calculation depends on each category’s score, no matter what proportion they’ve So, while others are guiding briefly about the most prominent MIPS categories, we’re d

Nursing 130

Nursing Healthcare 130

p3care

OCTOBER 25, 2023

Medical billing companies in USA have strong competition for the services they sell. We can’t trust blindly one when many companies claim to be the best in their medical billing services. We have a common saying that all those glitters are not gold. So, healthcare practices have to look for a certain point of distinction to pick on for them. As one of the professional medical billing companies in USA, you have to make yourself different.

Accountability 244

Accountability Healthcare 244

p3care

OCTOBER 20, 2023

Healthcare financial management is an essential aspect of any medical practice. However, doing this practically isn’t that easy. The medical billing services meet various challenges during the overall process. However, all practices with different specialties share almost the same problems in revenue collection. So, like all other medical specialties, nephrology is no different.

Medicaid 130

Medicaid Medicare Regulations Healthcare Providers 130

p3care

OCTOBER 17, 2023

MIPS performance categories are a set of evaluation criteria for eligible clinicians. As we know, these categories have varying weights assigned, contributing to the total MIPS score. Do you know what the category score distribution in MIPS 2023 is? Well, in MIPS 2023 reporting , there is no change in each category score distribution. It is the same as of 2022.

Nursing 130

Nursing Medicare Healthcare 130

p3care

OCTOBER 13, 2023

The snowy winter season has approached, and the MIPS 2023 reporting process is now at its peak. Clinicians participating in MIPS 2023 have completed segment 2 of their reporting successfully. Yes, you got it right. Now it’s time for the final eligibility determination before the submission window opens. Alongside, we have virtual group Elections for MIPS 2024, starting on October 2, 2023.

Medicare 260

Medicare Healthcare 260

p3care

OCTOBER 3, 2023

Pursuing a medical billing and coding profession is one way to enter the healthcare industry. Meanwhile, healthcare is such a vast industry that almost 92.1% of Americans have health insurance. So, medical billing and coding teams never run out of work. In fact, many large practices have to depend on outsource medical billing companies. These outsource medical billing services manage the practice’s workload partially or fully.

Private Practices 264

Private Practices Hospitals Regulations Healthcare 264

p3care

SEPTEMBER 26, 2023

Medicare and Medicaid are the two biggest healthcare insurance programs in the United States. They provide healthcare coverage for different medical specialties, and cardiology is one of them. The federal government has made different rules and regulations applicable to eligible populations. These rules may change or modify with time, causing confusion for medical billing services.

Medicaid 130

Medicaid Medicare Regulations Prevention 130

p3care

SEPTEMBER 18, 2023

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 quality care. So, MIPS 2023 reporting has started, and providers are demonstrating their commitment to quality. Accepting new challenges, they are all striving to secure themselves while targeting a maximum score.

Medicare 130

Medicare Healthcare 130

p3care

SEPTEMBER 14, 2023

Since the beginning, handling the bulk of patient records has been a gigantic task for healthcare practices. Not only storing but also sharing this information is itself a risky task to handle. The probability of missing any piece of information or receiving false information is higher. Further, the concerns elevate regarding data security issues due to cyber threats in healthcare.

Integration 130

Integration Healthcare Providers Accountability Healthcare 130

p3care

SEPTEMBER 5, 2023

The Affordable Care Act marks a significant movement in US healthcare history. First appearing as a comprehensive reform, the act was signed into law later. The great president of America, President Barack Obama, did so in March 2010, so we call it ‘Obamacare’ as well. Now what does the law do? Well, this law encloses a list of healthcare policies to be expanded in the coming future.

Healthcare 130

Healthcare Medicaid Healthcare Providers Accountability 130

p3care

AUGUST 30, 2023

MIPS 2023 is ongoing, and we’re almost in the middle of the performance year. It’s high time for the providers when they have to keep an eye on everything. It’s quite true that MIPS participants revise their reporting strategies at the start of the year. Anyhow, this is not sufficient since the CMS keeps modifying things with time. Also, things usually go a little differently from how we planned them.

Regulations 130

Regulations Accountability 130

p3care

AUGUST 27, 2023

The healthcare landscape is very complex—more than one can expect. Different components collectively contribute to maintaining the overall operability of a facility. A little distortion from one component of a facility often invites big disasters if left unnoticed. For instance, consider claim denials resulting from myriad errors caused by medical billing services.

Prevention 130

Prevention Regulations Healthcare Medical Services 130

p3care

AUGUST 18, 2023

The winds of change are blowing across HIPAA compliance. The HIPAA Privacy Rule is receiving a facelift for 2023 as digital advances in healthcare enter a new age. But wait—it’s not just about the written regulations. Even the way we see compliance is changing. Consider it this way: if HIPAA is changing, then our thoughts also need to. So, medical billing outsourcing companies must also revise their HIPAA strategies.

Integration 130

Integration Regulations Healthcare Prevention 130

p3care

AUGUST 9, 2023

Kidneys, the bean-like organs of the body, perform the function of rinsing excess nitrogenous materials. The reddish-brown organ also has the responsibility of controlling and secreting vital body hormones. It seems so special that the organ is for the human body, and so are its functions. However, kidney malfunctions might occur in different forms.

Accountability 130

Accountability Prevention Telemedicine Healthcare 130

p3care

AUGUST 7, 2023

Medical billing and coding lay a strong foundation for smooth AR management. A refined revenue cycle strengthens the practices and improves their revenue. We require a fine medical billing service to meet compliance standards and reduce claim denials. Do you know why we get claim denials? It’s simple—we get them due to gaps somewhere in the clinical documentation.

Regulations 246

Regulations Accountability Medicare Healthcare 246

p3care

AUGUST 2, 2023

The MIPS is the finest opportunity for providers to make a real difference in their performance. Overall, CMS is trying to reshape the healthcare landscape using the MIPS reporting framework. We know that things do not remain the same. CMS always focuses on the quality of care delivery. Therefore, it sets milestones for practitioners to achieve. Once they achieve them, CMS immediately sets the next target, keeping the same motive.

Medicare 130

Medicare Quality of Care Hospitals Healthcare 130

p3care

JULY 27, 2023

Going smoothly with the flow, the MIPS program is now moving towards MIPS 2024. Right now, the clinicians are participating in MIPS 2023. But alongside this, several proceedings from the past MIPS 2022 reporting are taking place. For instance, the payment adjustments for PY 2022 will be done in the coming CY 2024. Recently, the CMS made available the final preview score period.

Rehabilitation 130

Rehabilitation Medicare Primary Care Integration 130

p3care

JULY 16, 2023

The MIPS program met with a valuable reporting tool known as QCDR in its quest for relatively accurate reporting. The Qualified Clinical Data Registry (QCDR) acts as a collection type for reporting MIPS quality measures. Mainly, these are the CMS-approved entities that collect and report clinical data from myriad resources. The resources can be electronic health records, patient surveys, and claims data.

Clinical Practice 227

Clinical Practice Quality Improvement Accountability Healthcare 227

p3care

JULY 12, 2023

As an eligible clinician, you pour your heart and soul into participating in the MIPS program. Throughout the reporting phase, you ensure the submission of accurate data for selected measures. Therefore, you dedicate countless hours, to burning the midnight oil, to meet data completeness requirements. Your commitment doesn’t stop there; you also strive to implement best practices for future years.

Accountability 130

Accountability Regulations Healthcare Providers Medicare 130

p3care

JULY 6, 2023

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 awards the performance score after evaluating the reported data. Afterward, the participant either gets an incentive or a penalty. It all depends on the MIPS performance score.

Performance improvement 130

Performance improvement Medicare Healthcare 130

p3care

JULY 2, 2023

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 exception to this trend. Healthcare practices find it difficult to handle significant PHI in their systems. Therefore, they need reliable and secure means to gather, store, and share this data.

Performance improvement 237

Performance improvement Healthcare Providers Quality of Care Integration 237

p3care

JUNE 21, 2023

With the evolving healthcare landscape, chiropractic care has gained recognition as a valuable treatment option. Medicare beneficiaries have also recognized its benefits. These services are valued for their non-invasive approach to treating musculoskeletal conditions. Chiropractic practices depend on chiropractic billing services for the insurance claim processing.

Medicare 130

Medicare Prevention Healthcare Providers Healthcare 130

p3care

JUNE 15, 2023

Merit-based Incentive Payment System (MIPS) can be a complex landscape to navigate. However, with strategic planning and understanding, you can leverage it to your practice’s advantage. Here are top tips and best practices to master MIPS 2023. Understand the Four MIPS Categories MIPS scores are based on four categories: Quality, Cost, Improvement Activities, and Promoting Interoperability.

Measurable Quality 130

Measurable Quality Regulations Prevention Integration 130

p3care

JUNE 15, 2023

Running a successful medical practice is no easy feat, especially when you encounter hurdles like denied insurance claims. These denials can affect your practice’s revenue cycle, drain resources, and consume time that could be better spent on patient care. In short, if your medical billing services are not right as per standards, your practice’s survival can become difficult.

Regulations 130

Regulations Integration 130

p3care

JUNE 13, 2023

MIPS represents a framework for providers’ accountability and their part in promoting standardized care. Every year, it gives them an open invitation to select their reporting measures and perform well. CMS then evaluates their performance and assigns a suitable score and corresponding payment adjustments. Right now, we have taken a jump start on MIPS 2023 with a strict set of reporting rules and requirements.

Medicare 130

Medicare Quality of Care Accountability Integration 130

p3care

JUNE 7, 2023

Every healthcare practice has its unique necessities to meet to function properly. It is mainly medical professionals like physicians, nurses, etc. who handle the front office tasks. But apart from clinical duties, the practice also depends on administrative affairs. Usually, the back office staff, such as medical billing teams, etc., take on the responsibility to manage them.

Accountability 130

Accountability Nursing Healthcare 130