In today’s complex and highly regulated health care environment, maintaining profitability and compliance while continuing to ensure that all patients get the best care is no easy task. At PCG, we can help your organization understand changes in state and national policy reform and more effectively manage state programs, including Medicaid and Medicare.
Cost reporting and Cost Settlement
- EMS Supplemental Payment Program
- Public and Private Health Facilities
- School-Based Health Medicaid Cost Reporting and Cost Settlement
Delivery System Reform
DSH payment management
Integrated health plan developments
- Public Hospital Revenue Management Services
Third party billing services
- University Health Care
- Newborn Screening
Value Based Purchasing Design and Implementations ServicesTransform your Medicaid program’s payment model – save costs while improving the quality of care and enhancing patient experience. PCG can help. Value Based Purchasing (VBP) is a payment strategy to measure, report, and reward excellence in health care delivery. Simply put, it is an effort to reward value over volume.
For physician group practices, PCG provides a wide range of accounting and financial management services under the Financial and Business Solutions Schedule (FABS):
Revenue cycle review
Ensuring all procedures performed are captured and enter the revenue cycle.
Charge capture development
Evaluating existing charge capture tools for completeness and comprehensiveness.
Billing and collection services
Full outsourcing and come-behind billing and collection services.
Coding and documentation improvement
Identifying potential coding errors that require training and education and/or opportunities for revenue improvement.
Rate sensitivity analysis
Managing your rate structure to ensure optimal results from your charges.
Assistance with development and negotiations of reimbursement rates from federal and commercial payers.
Monitoring of operational risks related to billing, documentation, collection, and other compliance-related matters.
Obtaining relevant information and reports to help manage clinical and financial operations.