When we tell people that PMG offers Revenue Cycle Management services to Community Health Centers (CHCs), many people assume that we created a fancy new phrase that just means medical billing. Others tell us that they purchased a top of the line practice management (PM) system and it will solve all billing woes. True, Revenue Cycle Management involves billing processes as well as PM systems, but w...
For the past several months, Community Health Centers (CHCs) have been faced with the uncertainty around continued funding by the federal government; funding which could jeopardize the basic fundamental of the Health Center Program. According to the Bureau of Primary Health, CHCs, among other things, were meant to:Deliver high quality, culturally competent, comprehensive primary care, as well ...
We at PMG have never seen an FQHC that is not working tirelessly to obtain maximum reimbursement. You found the right staff, you finally have claims going out the door in a timely manner, and yet you can't seem to pinpoint why your revenue cycle is not optimal. In today's post, we encourage you to look beyond the billing department to examine how provider credentialing issues can bring down your b...
CHC leaders are some of the most passionate and driven workers I have ever come across. Their dedication to the patients that they serve is truly admirable. As a Revenue Cycle professional, I have a tendency to focus solely on the money but that does not stem from a lack of human compassion, quite the opposite is in fact true.  Some time ago a phrase was coined here at PMG and it rings even t...
Making the move to an outside vendor for your community health center's (CHC's) billing needs can be a difficult decision. CHCs are truly the hearts of the communities which they serve. Not only do they provide quality healthcare to underserved populations, they provide much-needed employment opportunities as well. Many CHCs take great pride in providing jobs to their local communities and rightfu...
Understanding how to bill services under another provider's National Provider Identifier (NPI) can be confusing at best. While some CHCs do it every day, others avoid it completely, and some only deal with this challenge sporadically, often applying an ever changing assortment of rules or policies that are rarely based on payer contract language or government statute. At PMG we hear about thi...
Wednesday, 12 July 2017 16:51

Secrets for Winning the A/R Battle at Your CHC

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At month's close, Community Health Center (CHC) executives across the country brace themselves as they review the status of their accounts receivable (AR). Dollars owed to the center for services provided, sitting there, just out of reach. Some may meet with billing staff in an effort to get those claims approved; others may just sigh and resign themselves to writing it all off. At PMG, we see tha...
To many in CHC leadership, these three topics can be confusing. To maximize reimbursement, while staying compliant with governmental regulations and payer contractual language, it behooves CHC fiscal and RCM (revenue cycle management, a.k.a., billing) team leaders to peruse this article for a brief overview. NPI OverviewBefore we even begin to delineate definitions of terms here is a quick review...
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