Found 462 results

Health Information Technology (HIT)

PCG's Health Information Technology (HIT) team works with state and government agencies, with a focus on Medicaid, Exchanges and health information technology, to help further the advancement of technology in the world of health care. Services include Electronic Health Records ( EHR) Electronic Heal...

/health/for-state-health-medicaid-agencies/health-information-technology-hit/

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-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...

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

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-state-health-medicaid-agencies/administrative-service-organization-services/

For Health Plans

Managed care plans are under more regulatory scrutiny than ever before. Meanwhile, they face the business challenge of controlling Medicaid costs without sacrificing patient outcomes. At PCG, we’ve worked in the Medicaid program integrity environment for more than three decades. Our team will work w...

/health/for-health-plans/

EducatorEd courses featured in media coverage on the benefits of online professional learning

PCG’s EducatorEd platform offers research-based, online professional learning for districts and K-12 educators. We are thrilled that two of our online courses offered through EducatorEd were recently featured in leading industry publications. PCG’s EducatorEd platform offers research-based, online p...

/news-perspectives/educatored-courses-featured-in-media-coverage-on-the-benefits-of-online-professional-learning/

Strategy

Change is constant. Organizations must continually adapt, reshape, and rethink the best way to move forward. The methods for this work must be practical, the results must be visible, and the improvements must endure. In response, PCG has developed a strategic approach to making meaningful and lastin...

/human-services/public-assistance/strategy/

21st Century Cures Act

In December 7, 2016 Congress passed the 21st Century Cures Act (the “Act”), which was signed into law on December 14, 2016. The Act is aimed at modernizing health care delivery, improving quality and targeted improvements in the area of cancer treatment, mental health care, opioid addiction, and oth...

/news-perspectives/21st-century-cures-act/

Electronic Visit Verification (EVV)

Keeping a Pulse on Providers While the medical well-being and cost benefits of home and community-based services (HCBS) are undeniable, the success of these programs is furthered when states implement technology-driven provider oversight approaches, like Electronic Visit Verification (EVV) systems, ...

/health/for-state-health-medicaid-agencies/provider-management-and-program-integrity/electronic-visit-verification-evv/