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Looking to optimize your healthcare practice's revenue cycle management? Learn about the advantages of outsourced medical billing services, payment posting in medical billing, and why Instapay Healthcare Services is the right choice for you!

Overview: This webinar will cover the changes to the PQRS program in 2016 and will provide tips and strategies to help you select the best measures and reporting approach for your practice. Why should you Attend: Your future Medicare payments are at risk. Failing to report quality measures to CMS for Calendar Year 2016 will result in a reduction of up to 6% in your 2018 Medicare payments. The PQRS program carries a potential 2% penalty for each provider who does not report quality measures to CMS - physicians, mid-level providers, therapists, psychologists, social workers, even dieticians. In addition, if your practice has physicians and mid-levels, at least half the physicians must meet the PQRS requirements or the group will face an additional 2-4% penalty from the Value Based Modifier program. Areas Covered in the Session: Understand the difference between a reporting rate and a performance rate? Get access to useful tools to help you identify measures applicable to your specialty. Learn how to choose among the various reporting approaches - what are the pros and cons of each. Understand how CMS will evaluate your submission if you report less than 9 measures. Who Will Benefit: Practice Administrators All providers who bill to Medicare including Physicians (All specialties), Podiatrists, Physician Assistants, Nurse Practitioners, Psychologists, LCSW, Physical and Occupational Therapists, Speech/Language Pathologists, etc. Quality Officers Nurse leaders Finance Directors Speaker Profile Jeanne J. Chamberlin Jeanne Chamberlin is currently a Practice Management Consultant with MSOC Health. During her 30 years in the healthcare industry, Jeanne has worked in independent medical practices, health systems, state government, and software development. She holds a Masters Degree in Public Policy from Duke University and is a fellow in the American College of Medical Practice Executives. She has been a leader in both state and local MGMA chapters. As practice ad

Overview: This webinar provides an overview of the MACRA legislation and developing regulations and guidelines. We'll help you understand how medical practices will be paid in the future for services to Medicare patients. You'll be asked to choose between two paths. If you choose to participate with other providers in an Advanced Payment Model, the larger organization will be paid for services provided and determine how to share those payments as well as any cost savings among the participants. If you choose the Merit-Based Incentive Payment System (MIPS), your payment rate will vary based on how you perform on a variety of Medicare Quality Programs - PQRS, VBM, Meaningful Use and a 4th new component focused on Quality Improvement. You'll want to know as much as possible about the pros and cons of each option and how to make the right choice for your practice. Why should you Attend: Under the MACRA legislation, your providers will need to choose between participating in an Advanced Payment Model (APM) or participating in the new Merit-Based Incentive Payment System. Making the wrong choice can result in significant reductions in your future Medicare payments. You'll want to understand the options and have a plan in place by January 1, 2017 - that's only 6 months away. Areas Covered in the Session: Learn the requirements of the new MACRA legislation and how it will impact your Medicare payments in 2019 and beyond Find out what you need to be doing now to ensure you don't lose Medicare revenue in future years Understand the options - APM vs MIPS - and how your Medicare payments can increase or decrease under each model Identify what aspects of the new payment methodology are written into the legislation, what has been released through proposed regulations and when final rules are expected. Who Will Benefit: Practice Administrators, CEOs, COOs Physicians and all providers who bill to Medicare Quality Officers Nurse leaders Finance Directors Speaker Pro

Dealing with Medicare and Medicaid Overpayments : Medicare and Medicaid overpayments are pretty common. If they are not dealt with properly, they invite penalties. Medicare and Medicaid Overpayments happen when a person, provider or supplier receives a payment that is in excess of the amount due to him or her under Medicare statutes and regulations. This overpayment becomes a federal debt that is owed by the individual to the State. So, Centers for Medicare and Medicaid Services (CMS) is required by federal law to recover this amount. Overpayments routinely occur in Medicare and Medicaid. Many a time, these are unintended and are usually a result of oversight, but could also happen due to intent. Some of the most common reasons for which Medicare and Medicaid overpayments occur can be when: Duplicate submissions of the same service or claim are made Excessive or non-covered services are billed or furnished for billing Services that are not necessary medically or are excluded are paid for The wrong payee gets paid. How are Medicare and Medicaid overpayments processed? Obamacare has amended the federal False Claims Act (FCA), which is part of the Fraud Enforcement Recovery Act of 2009 (FERA), to add provisions relating to recovery of Medicare and Medicaid overpayments. This is how the process of Medicare and Medicaid overpayments works: Whenever Medicare comes to know that any overpayment of $10 (raised to $25 from July 2014) or more is made, it directs the Medicare Administrative Contractor (MAC) to initiate the process of recovery of this overpayment. The MAC starts the process by initially mailing a demand letter in which repayment is requested If no action is taken, a second and third demand letters are mailed in a month following the first one. Contents of a demand mail from Medicare/Medicaid: The demand letter sent by the MAC will explain the details of the Medicare and/or overpayment. When repayment is not made in full within 30 days, interest starts get

We bring our clients the proven expertise of a large network of trained and qualified coders with substantial exposure to the coding requirements across all specialties, and working experience with small clinics, multispecialty providers, and hospitals.

We bring our clients the proven expertise of a large network of trained and qualified coders with substantial exposure to the coding requirements across all specialties, and working experience with small clinics, multispecialty providers, and hospitals.

The founders envisioned the name, P3Care, after many brainstorming sessions and practically evaluating the stakeholders in the healthcare industry. After a critical analysis, they concluded that three entities are under the direct influence of the healthcare sector - Patients, Providers, and Payers. You cannot exclude any one of them if you look at the process, starting with the patients visiting the doctors and ending up with the doctors getting paid for their services.

Currently, the healthcare system is going through a critical phase that involves shifting paradigms, from the volume-based model to the value-based reimbursement system. All of this is intended to minimize healthcare costs and raise the quality of care.

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 regulates the incentive program across the US.

Since the healthcare industry has taken serious measures to revamp healthcare services, the emphasis on incentive payment programs has increased. MIPS and MACRA, and more offer facilities to physicians that regular payment method can never provide

Physical therapists are included as one of the groups of healthcare practitioners eligible for MIPS reporting in 2019. It was time their duties were rewarded with an open heart and a clear head. Physical therapy is a serious branch of medicine that, now, comes in the quality circle of the government where physical therapists (PTs) can receive incentives based on their performances.

According to CMS, the year holds comparatively doable reporting requirements as well in an effort to reduce physician burnout. By the introduction of the "Opt-In" policy, clinicians can now participate in the program and win rewards as if they were eligible for it.

The argument that CMS needs to improve MIPS is a thing in the past. Now, the focus is on "how to devise ways that actually implement the change and stands true to its promise of a better healthcare system.

CMS increased the Medicare payment rate of Hospices, Skilled nursing facilities, and Inpatient psychiatric facilities by certain percentages.

The August 2020 edition of the Journal of Vascular Surgery published an article, "Prevalence of Unprofessional Social Media Content Among Young Vascular Surgeons," that incited an uproar among young doctors. It compelled us to stand in support of these young professionals, the lifeline of American medicine.

It was titled, "Prevalence of Unprofessional Social Media Content Among Young Vascular Surgeons," after which we saw many female physicians and surgeons from around the country posting pictures of themselves in a bikini, posing during relaxed evenings, or sitting beside the pool.

Modern medical billing services in the USA use medical billing software to accomplish their tasks. Quality payment program has allowed all medical billers and coders to use digital tools and resources for improving healthcare services. Now, healthcare service providers provide value-based services to get more payment incentive.

Medical billing process relies on efficient medical billing and coding services. It is an intricate activity that requires a lot of concentration and precision.  Medical billers and coder need to be professional and capable enough of handling multitasking.

MIPS 2020 feedback is available for review by CMS. Clinicians can even ask for a targeted review in case of any error in the points or payment adjustments.

CMS extends the deadline for MIPS 2020 targeted review to help eligible clinicians check their data, score, payment adjustments, and apply for reweighting in case of any effect.

MIPS has elevated the way Medicare part B providers get compensated. Each category, including Promoting Interoperability, has specific measures and guidelines that need to be fulfilled for MIPS 2021 reporting.