For Provider Organizations

Healthcare Provider Organizations

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.

Services include:


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


Revenue Management


  • Public Hospital Revenue Management Services

Third party billing services


  • University Health Care
  • Newborn Screening

Value-Based Purchasing


  • Value Based Purchasing Design and Implementations Services

    Transform 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. 

    Learn More

 

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.

Reimbursement negotiations


Assistance with development and negotiations of reimbursement rates from federal and commercial payers.

Compliance reviews


Monitoring of operational risks related to billing, documentation, collection, and other compliance-related matters.

Financial reporting


Obtaining relevant information and reports to help manage clinical and financial operations.