Found 392 results

Institutional Rate Setting and Support

Institutional Rate Setting Services and Support Services Institutional services, such as inpatient and outpatient hospital, skilled nursing facility, and nursing facility services are a significant spend and driver of healthcare costs. Medicaid and other state agencies need, and should adopt, paymen...

/health/for-state-health-medicaid-agencies/institutional-rate-setting-and-support/

Physician Services Supplemental Payment Strategies

Physician Upper Payment Limit (UPL) Supplemental Payment Strategies Medicaid agencies across the country grapple with ensuring sufficient access to primary, specialty, and dental care services to the Medicaid population. By implementing a Physician Medicaid Supplemental Payment strategy, Medicaid ag...

/health/for-provider-organizations/physician-services-supplemental-payment-strategies/

Physician Services Supplemental Payment Strategies

Physician Upper Payment Limit (UPL) Supplemental Payment Strategies Medicaid agencies across the country grapple with ensuring sufficient access to primary, specialty, and dental care services to the Medicaid population. By implementing a Physician Medicaid Supplemental Payment strategy, Medicaid ag...

/health/for-state-health-medicaid-agencies/physician-services-supplemental-payment-strategies/

Third Party Administrator Services

Third Party Administrator (TPA) Services PCG serves as an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans. Our team works with Medicare and Medicaid health plans, as well as other gover...

/health/for-health-plans/third-party-administrator-services/

Third Party Administrator Services

Third Party Administrator (TPA) Services PCG serves as an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans. Our team works with Medicare and Medicaid health plans, as well as other gover...

/health/for-state-insurance-departments/third-party-administrator-services/

Third Party Administrator Services

Third Party Administrator (TPA) Services PCG serves as an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans. Our team works with Medicare and Medicaid health plans, as well as other gover...

/health/for-state-health-medicaid-agencies/third-party-administrator-services/

Data Intermediary Services

Data Intermediary Solution - Hospital All Payer Claims Reporting System PCG has developed proprietary web-based technology to support government agencies in the collection of inpatient and outpatient hospital claims data to inform public health officials about important healthcare trends. With PCG’s...

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Data Intermediary Services

Data Intermediary Solution - Hospital All Payer Claims Reporting System PCG has developed proprietary web-based technology to support government agencies in the collection of inpatient and outpatient hospital claims data to inform public health officials about important healthcare trends. With PCG’s...

/health/for-state-insurance-departments/data-intermediary-services/

Data Intermediary Services

Data Intermediary Solution - Hospital All Payer Claims Reporting System PCG has developed proprietary web-based technology to support government agencies in the collection of inpatient and outpatient hospital claims data to inform public health officials about important healthcare trends. With PCG’s...

/health/for-state-health-medicaid-agencies/data-intermediary-services/

Administrative Service Organization Services

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...

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