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Medicaid Administrative Claiming
PCG works with agencies to administer standalone Medicaid administrative claiming programs in addition to claiming efforts that are part of wider cost allocation plans. Medicaid administrative reimbursement is available for client-facing activities, including eligibility determinations and care coor...
/health/for-state-health-medicaid-agencies/medicaid-administrative-claiming/Business Solutions
Our Business Solutions help our clients develop and implement the technology they need to meet the demands of their business. These services are designed to be complementary to services within our other major business lines. Project Management Using our proprietary ManageIT™ project management metho...
/technology-consulting/what-we-do/business-solutions/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-insurance-departments/administrative-service-organization-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-health-plans/administrative-service-organization-services/Strategy, Architecture, Planning and Procurement
Our Strategy, Architecture, Planning and Procurement services help organizations develop and maintain the approaches, methodologies, artifacts, and training materials they need to plan for, acquire, and make effective use of information technology (IT). We focus on enabling organizations to navigate...
/technology-consulting/what-we-do/strategy-architecture-planning-and-procurement/Healthcare Access and Markets
States turn to PCG to organize their commercial health insurance regulatory compliance. They work with us to establish managed care procurement and contract oversight. States regulate their private insurance markets and operate Medicaid managed care and fee-for-service programs to assure healthcare ...
/health/for-state-insurance-departments/healthcare-access-and-markets/Healthcare Access and Markets
States turn to PCG to organize their commercial health insurance regulatory compliance. They work with us to establish managed care procurement and contract oversight. States regulate their private insurance markets and operate Medicaid managed care and fee-for-service programs to assure healthcare ...
/health/for-health-plans/healthcare-access-and-markets/U.S. Supreme Court strikes down 2014 regulation that reduced Medicare Disproportionate Share Hospital (DSH) payments
On Monday, June 3, 2019, the U.S. Supreme Court upheld a Court of Appeals ruling that stated a 2014 regulation of the Centers for Medicare and Medicaid Services (CMS) – that reduced DSH payments to hospitals servicing indigent patients – should be removed for failure to follow proper notice and comm...
/news-perspectives/us-supreme-court-strikes-down-2014-regulation-that-reduced-medicare-disproportionate-share-hospital-dsh-payments/Rethinking Confidentiality in Child Welfare Courtrooms
Confidentiality in juvenile and family courts is the focus of a two-part series by Public Consulting Group’s Judge James Payne, recently published by the Chronicle of Social Change. In the series, Judge Payne first explores the historical context of confidentiality in juvenile courts—a predilection ...
/news-perspectives/rethinking-confidentiality-in-child-welfare-courtrooms/