COCID-19 Resources

November 20, 2020
COVID-19 Vaccine Codes

Updated December 22, 2020: The COVID pandemic has had tremendous emergent impact upon medical care, testing ...

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September 21, 2020
Proposed Evaluation and Management Coding Changes for 2021

It has taken 30 years, but the AMA and CMS have performed a complete overhaul of ...

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August 13, 2020
Changes to Medicare Provider Enrollment Due to COVID-19

The Covid-19 National Health Crisis has impacted Federally Community Health Centers (CHCs) in ways never before ...

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June 25, 2020
HCPCS CS Modifier Guidelines Related to COVID-19 Testing for Community Health Centers

Updated 8/27/2020 The Family First Coronavirus Response Act (FFCRA), which went into effect March 18, 2020, ...

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June 16, 2020
Coding Guidelines for SARS-CoV-2 (COVID-19)Testing in Health Centers

Updated 12/22/2020 On May 24, 2020 the Department of Health and Human Services presented a COVID-19 ...

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May 1, 2020
Community Health Center Telehealth Services covered by Medicare during the COVID-19 Public Health Emergency – Highlights from the latest Medicare Learning Network

Updated 10/6/2020 On April 17th, CMS released the much anticipated Medicare Learning Network Matter article (SE20016) ...

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December 19, 2019
FQHC Revenue Cycle Management Best Practices | PMG

By: Ken Christensen, CEO PMG, Inc. I’d like to take this opportunity to offer my perspective ...

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June 10, 2019
FQHC in Southwest on Pace to Add $2MM in Revenue

The Challenge A large Federally Qualified Health Center (FQHC) in the Southwest was concerned about their ...

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March 4, 2019
Do You Dread Month End Reporting at Your CHC?

Part 4 in the PMG Series: Key Strategies for your health center By: Robert B Skeffington, ...

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January 18, 2019
9 Questions to Ask Before Hiring a Revenue Cycle Vendor for Your CHC

In past posts, we explored the pros and cons of outsourcing your center’s revenue cycle/ billing ...

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January 4, 2019
3 Simple CHC Billing Metrics Every Exec Should be Tracking in 2019

As a CHC Executive, what are your most pressing goals for 2019? Would you like to ...

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December 3, 2018
Don’t Let Coding Errors Cost Your CHC Cash – “Decoding” Code Linkage and Medical Necessity

Without a doubt provider coding errors are a top reason for rejected claims at Community Health ...

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October 3, 2018
E&M Code Level Consolidation On the Table… Again

Contributed by Ray Jorgensen Back in 1996 when I became the first CPC in RI and one ...

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June 25, 2018
Tactics to Boost CHC Front Desk Performance (and Your Bottom Line)

Your Community Health Center (CHC) front desk has many roles. It serves as a welcome face ...

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June 11, 2018
Choosing a CHC Provider Enrollment Vendor – Four Valuable Tips

Community Health Centers (CHCs) often struggle with credentialing and provider enrollment. Trying to keep the process ...

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March 6, 2018
Delegation and the CHC Revenue Cycle – Successful Leaders Set it and Forget it

The devil is in the details, and that is doubly true when it comes to the ...

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February 19, 2018
Bigger than Billing… Exploring the Nuances of True Revenue Cycle Management

When we tell people that PMG offers Revenue Cycle Management services to Community Health Centers (CHCs), ...

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February 8, 2018
Mission vs. Survival – The Community Health Center Battle

For the past several months, Community Health Centers (CHCs) have been faced with the uncertainty around ...

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January 5, 2018
Provider Enrollment & Credentialing: Solving Enrollment Issues

We at PMG have never seen an FQHC that is not working tirelessly to obtain maximum ...

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September 11, 2017
Co-Sourcing Your CHC Billing Department – Have Your Revenue Cake and Keep Your Staff Too

Making the move to an outside vendor for your community health center’s (CHC’s) billing needs can ...

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July 12, 2017
Secrets for Winning the A/R Battle at Your CHC

At month’s close, Community Health Center (CHC) executives across the country brace themselves as they review ...

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April 17, 2017
Enrollment vs. Credentialing vs. Facility Privileges

To many in CHC leadership, these three topics can be confusing. To maximize reimbursement, while staying ...

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March 13, 2017
How the ACA Could Affect Your CHC

Congressional consternation continues in Washington D.C. Too many options from too many interest groups makes it ...

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January 17, 2017
Locum Tenens vs. “Incident to” Billing: Unraveling the Mystery

Too many CHCs are befuddled when it comes to understanding how to bill services under another ...

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January 3, 2017
PMG’s FQHC Funding Predictions for 2017

2016 was tumultuous to say the least, with the most divisive U.S. election in modern history ...

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September 19, 2016
Top 5 Reasons PPS G Codes Need Code Expansion

Coding is a complex topic. So confusing is it that too many in CHC leadership fail ...

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August 15, 2016
CHC Credentialing… Great Opportunities and Frightening Liabilities

Many CHCs struggle to maximize reimbursement. Transition from cost based to PPS rates, understanding Medicare G ...

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July 18, 2016
What Does EDI Mean for Medical Billing?

I was asked to write a blog post about what I do as the Director of ...

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April 4, 2016
Improving Self-Pay is Not One Size Fits All for CHC’s

Is your self-pay AR continuing to grow and you just don’t know what to do about ...

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January 25, 2016
Gross vs Net Collections: What Your CHC Needs to Know

At PMG, we encourage our community health center (CHC) clients to familiarize themselves with their financial ...

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November 9, 2015
Claims Denial Reasons and How to Fix It

Are you in denial? Denials are claims that get processed by a payer but are not ...

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October 23, 2015
Culture of Confidentiality Part II

Your Health Center’s biggest information security threat is… your employees? Information Security Professionals are constantly on ...

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June 22, 2015
Revenue Cycle Numbers: Day in Accounts Receivable (DAR)

A Key Performance Indicator (KPI), simply put, is a performance measurement. KPIs evaluate the success of ...

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June 12, 2015
How Medical Coding Training Could Help

CHC providers are notoriously bad at coding. Don’t believe me. Look at the data. CMS limited ...

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May 18, 2015
Numbers Don’t Lie: FQHC Key Performance Indicators

Reimbursement in the community health center (CHC) world has changed drastically over the program’s last 40 ...

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March 30, 2015
Medicare PPS – are we having fun yet?

The Transition to PPS Payment Methodology The transition to the PPS payment methodology for Medicare has ...

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February 17, 2015
What’s Your Average Number of Visits Per Hour?

Let’s face it. There are very few things that your CHC can do to immediately and ...

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November 6, 2014
Charge Setting at your CHC…Maximize Opportunities with Prudent Planning

New HRSA SFDS PIN, Medicare Rate Hike, & Medicare “G” Codes Create Perfect Storm Too often when ...

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