Found 454 results

Provider Management and Program Integrity

Each year, hundreds of millions of Medicaid dollars go to personal care services, home health, community behavioral health, hospice, non-emergency transportation, and other in-home care services. Managing these services – and their providers – requires a unique and innovative approach that is not tr...

/health/for-state-health-medicaid-agencies/provider-management-and-program-integrity/

Coding Training and Compliance Review Services

Coding and documentation requirements, along with compliance regulations, change all too frequently. To keep our clients abreast of changes in coding, documentation, and compliance, PCG has developed a series of training and compliance tools that can be tailored to meet your needs. Our team includes...

/health/for-provider-organizations/coding-training-and-compliance-review-services/

EDPlan Connect™

Increase Family Engagement in all Aspects of a Student’s Education EDPlan Connect is our all-in-one caregiver portal that promotes increased family involvement in a child’s education. Whether it’s signing an Individualized Education Program (IEP), consenting to bill Medicaid, or prescribing services...

/products/education-products/edplan-connect/

Dr. Jack McLaughlin

Dr. McLaughlin comes from a proud family tradition of service in public education. He has served as school teacher and chief administrator in New York and California. In California, he served as... Dr. Jack McLaughlin Manager Education Dr. McLaughlin comes from a proud family tradition of service in...

/leadership/education/dr-jack-mclaughlin/

Jamie Kilpatrick

Jamie Kilpatrick, an Associate Manager in PCG's human services division, currently leads the New York State Bureau of Early Intervention State Fiscal Agent project, overseeing the fiscal management and... Jamie Kilpatrick Associate Manager Human Services Jamie Kilpatrick, an Associate Manager in PCG...

/leadership/human-services/jamie-kilpatrick/

Michael Marotta

Michael Marotta is PCG’s Governance, Risk and Compliance (GRC) Officer. He joined the firm in 2016 with extensive experience in risk management, corporate ethics and governance, regulatory compliance... Michael Marotta Governance, Risk and Compliance Officer Corporate | Legal and Compliance Michael ...

/leadership/corporate/michael-marotta/

Kevin Hutchinson

Mr. Hutchinson oversees PCG's Program Integrity and Provider Management solutions, advising and aiding Medicaid agencies and healthcare care plans in improving compliance and quality, while preventing fraud, waste, and abuse. He leads a team that provides... Kevin Hutchinson Manager Health Mr. Hutch...

/leadership/health/kevin-hutchinson/

Mitch Dobbins

Mr. Dobbins is responsible for PCG Technology Consulting's practice area operations including oversight of business development opportunities and client delivery. He has 20 years of experience... Mitch Dobbins Practice Area Director Technology Consulting Mr. Dobbins is responsible for PCG's technolo...

/leadership/technology-consulting/mitch-dobbins/

Administrative Service Organization Services

PCG has expertise in the creation, implementation, and management of Administrative Services Organizations (ASO). This service provides the first line of defense between a provider and fiscal intermediaries to ensure that submitted claims meet federal, state, and local Medicaid claiming policies. We...

/health/for-provider-organizations/administrative-service-organization-services/

Member Eligibility Verification Data Broker Services

PCG specializes in designing and deploying creative systems and solutions which allow agencies to replace manual application review activities with data and analytics in order to enhance the integrity of public assistance membership files. PCG currently processes more than 2 million benefits eligibi...

/health/for-state-health-medicaid-agencies/member-eligibility-verification-data-broker-services/