Medical Billing and Coding Services | MIPS Reporting and Consultation Services

In today’s ever-evolving healthcare environment, managing clinical care and keeping up with complex billing systems can be a major burden—especially for small practices and outpatient facilities. From rising administrative costs to confusing payer regulations, healthcare practitioners like doctors, nurses, and surgeons are often left overwhelmed. That’s where P3 Healthcare Solutions steps in with professional Medical Billing Services and Medicaid Billing Services , designed specifically for smaller practices. The Fears of Small and Outpatient Practices Small practices and outpatient centers often operate on tighter margins than large hospitals. This makes every denied claim or coding error feel even more impactful. Common concerns include: Revenue Loss : Errors in billing or coding can lead to claim denials or underpayments, directly affecting the practice’s cash flow. Time Constraints : Managing billing manually takes time away from patient care—time that practitioners can’t af...

Starting a medical practice or joining an existing one as a new provider brings excitement, hope, and a fair amount of challenges, especially when it comes to credentialing. One of the most common questions asked by doctors, nurses, and healthcare practitioners entering the field or transitioning to a new setting is: Can I start seeing patients before I’m fully credentialed? This article explores the fears, goals, and practical solutions around this issue while emphasizing how Medical Billing Services for Small Practices and Healthcare Billing Services play a crucial role in smoothing out the process. The Credentialing Challenge: Why It’s a Big Deal Credentialing is the process of getting a provider approved by insurance companies so they can bill and receive reimbursement for services rendered. It includes verifying education, training, experience, and licensing. The process is thorough—and slow. It may take anywhere from 60 to 180 days or more. For a new provider, this delay po...

Independent practitioners like doctors, nurses, surgeons, and other healthcare professionals face unique challenges in managing the financial side of their practices. From denied claims to billing complexities in specialized fields such as cardiology, gynecology, and nephrology, practitioners need effective solutions to ensure steady revenue flow and focus on patient care. This article explores how denial management services , Medical Billing for Small Practices , and healthcare bookkeeping services provided by P3 Healthcare Solutions can help independent practitioners overcome these challenges. We’ll address the fears and goals of healthcare practitioners and present actionable solutions tailored to their needs. Common Fears of Independent Practitioners Denied Claims Impacting Revenue Denied claims remain one of the biggest hurdles for independent practitioners. Complex billing codes and errors in documentation often lead to claim rejections, creating cash flow interruptions and admi...

Navigating the complexities of healthcare billing can be daunting for practitioners, whether you're managing a small practice or specializing in cardiology, OB/GYN, nephrology, chiropractic care, internal medicine, or pathology. At P3 Healthcare Solutions , we understand the challenges healthcare providers face daily. From claim denials to compliance issues, the obstacles are many, but with our specialized Medical Billing Services in California , we deliver tailored solutions to simplify your revenue cycle. Here’s a comprehensive look at how our denial management services , specialty billing expertise, and end-to-end support can address your fears, help you achieve your goals, and empower your practice to thrive. Understanding the Fears of Healthcare Practitioners 1. Revenue Loss from Claim Denials Claim denials are a significant source of frustration for healthcare providers. The reasons for denials range from missing documentation to incorrect coding, resulting in lost revenue th...

Reasons to Outsource Medical Billing Management  Well, in 2019 according to a report by the American Hospitals Association, uncompensated hospital care costs exceeded $620 billion. Just because of the failures in claim processing, billing payment, and bad debt collection cost healthcare providers over $300 billion annually. As per Mckinsey’s article, around 99% of medical bills over $3000 were not paid. Well, according to Bloomberg, bankruptcies in the healthcare industry tripped in 2017. In the first six months of 2018 over eight hospitals were declared bankrupt and the other nine closed their doors. These statics has highlighted the major healthcare issues faced by US healthcare providers these days such as revenue erosion. There are so many factors that are responsible for this problem. The complexity of regulations, demolish nature of the US healthcare system, and billing inefficiencies are the major ones.  Let’s discuss the reason to outsource medical billing manageme...

Technology has changed everything, and its impact on medical billing services is not a mystery anymore. Automated tools to code, bill, and even follow-up services, all have been digitalized to improve medical billing performance. Just like MIPS 2022 , MIPS 2023 has almost the same framework. In the previous MIPS program, the eligibility determination depended on the performance, reporting, and evaluation of MIPS participants in two segments. The first segment is the MIPS preliminary period for the determination of initial eligibility. During this period, the clinicians report the data for selected measures from the previous year. This preliminary period for MIPS 2023 starts on October 1, 2021, and ends on September 30, 2022. MIPS eligibility determination segment 2 decides the final eligibility of a participant. This period is reconciled with segment 1 results. Participants can actively continue their MIPS reporting unless they are restricted from doing so in snapshot 3 if they ar...