Medical Billing & MIPS Consulting Service
The healthcare industry is always on the move, old conventional reimbursement patterns have evolved to incorporate value-based healthcare. CMS along with many commercial payers make quality data reported by providers publicly available via star ratings and physician compare portals. CMS & NCQA are two major bodies playing vital roles to monitor, hence reward or penalize providers on reimbursements connected with the quality of healthcare services furnished by providers to their patients. PQRS, Meaningful Use, MIPS, Value-Based Modifier, MACRA, Pay for Performance, HEDIS, PCMH, PCSP, Patient-Centered Connected Care, GRIP are such advanced value-based healthcare programs for providers to adopt advanced technologies and quality care programs to improve patient health.
With the ending of the Sustainable Growth Rate, the Medicare system has taken a strong stand on Value-Based Health Care through MACRA and the two routes provided to monitor the quality of care through 2020 / 2022. CMS working hard to track provider performance on their end with NCQA monitoring a complex chain of quality programs on the other; there are entire systems of data gathering, reporting, and performance measurement in place, to impact reimbursements through different payers. The requirements do become complex. With Revenue Cycle Management and all the time-consuming processes associated with it; P3 HealthCare Solutions steps in to combine both value-based quality programs and revenue cycle management; to simplify and translate requirements into practical means to attain objectives; while leaving a provider with only the patient, on their mind. Because we do Care!
F: | (909)-906-9891
E: [email protected]