FQHC

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 Community Health Center (CHC) revenue cycle. This complex ...

Read More
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 reimbursement. You found the right staff, you finally ...

Read More
December 11, 2017

Kansas FQHC Selects PMG as Revenue Cycle Vendor

PMG, Inc., the nation’s leader in revenue cycle management solutions exclusively for community health centers (CHCs), announces their latest revenue cycle management client, Health ...

Read More
April 26, 2017

Delaware FQHC Prepares for Bright Fiscal Future

Pawtucket, RI, April 26, 2017 – PMG, Inc., the national leader in revenue cycle management solutions exclusively for community health centers (CHCs), announces their ...

Read More
April 10, 2017

PMG, Inc. Welcomes Newest Revenue Cycle Management Client, WinMed Health Services

Pawtucket, RI, March 29, 2017 – PMG, Inc., the national leader in revenue cycle management solutions exclusively for community health centers (CHCs), announces their ...

Read More
April 10, 2017

HealthRIGHT 360 Excited to Join Revenue Cycle Management Program

Sacramento, CA & Pawtucket, R.I., April 10, 2017 – The California Primary Care Association (CPCA), and PMG, Inc., are proud to welcome HealthRIGHT 360 ...

Read More
April 5, 2017

Community Health Center Prepares for Financial Success

Pawtucket, RI, April 1, 2017 – PMG, Inc., the national leader in revenue cycle management solutions exclusively for community health centers (CHCs), announces their ...

Read More
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 difficult to find commonality to meet the needs ...

Read More
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 provider’s National Provider Identifier (NPI). Some CHCs do ...

Read More
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 topping the list. Despite the dire predictions of ...

Read More
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 to sometimes grasp nuances essential to broadly capturing ...

Read More
April 14, 2016

PMG, Inc. Welcomes Newest Revenue Cycle Management Client, Family Medical Centers

Pawtucket, RI, April 14, 2016 – PMG, Inc., the national leader in revenue cycle management solutions exclusively for community health centers (CHCs), announces their ...

Read More
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 years. Gone are the grant dependent entities of ...

Read More
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 not been as seamless as some would’ve thought. ...

Read More
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 we ask a CHC CEO or CFO about ...

Read More
May 13, 2014

Why Are We Scared of Auditors?

Want a sure fire way to send shivers up anyone’s back? Just tell them that they are going to be audited. Audit is a ...

Read More
November 4, 2013

FQHC Payment Increase 2013

Announcement of Medicare Rural health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases.MLN Matters

Read More
November 4, 2013

The Impact of CMS Changes on the FQHC Revenue Cycle

By Robert Skeffington, CHBME, PMG Inc. 2011 has already seen the most significant changes to the revenue cycle for Federally Qualified Health Centers (FQHCs) ...

Read More
November 4, 2013

Subcommittee on Health Center Finance

FQHC Medicare – Program Assistance Letter 2011-04 As we all know Medicare is growing and is expected to do so for years to come. ...

Read More
November 4, 2013

SGR Update from HBMA GR Committee

The House and Senate have both voted to approve legislation preventing the scheduled 27.4% SGR related cut from taking effect on March 1. The ...

Read More
November 4, 2013

Louisiana’s Medicaid EHR Incentive Program

Louisiana is the first state in the nation to issue an incentive payment to a Medicaid eligible professional (EP) for demonstrating meaningful use of ...

Read More
November 4, 2013

Study Shows Community Health Centers Compare Well With Private Practices

Government-funded community health centers, which serve low-income and uninsured patients, provide better care than do private practices, a researcher at the Stanford University School ...

Read More
November 4, 2013

DecisionHealth Breaking News Alert: OIG releases 2013 Work Plan

DecisionHealth Financial Health for Healthcare. The Office of Inspector General’s ( OlG ) Work Plan sets forth various projects to be addressed during the fiscal ...

Read More
October 21, 2013

Medicare PPS is here… now what?

The Affordable Care Act (ACA) is full of good intentions not the least of which (via Section 10501) is the planned transition to a ...

Read More
October 21, 2013

One source of truth.

Most of us remember the “Enron Scandal” and the effects it had on the financial industry.   A key change to the law was passed ...

Read More
October 21, 2013

When it comes to software we ask ourselves “build it or buy it”, we should really be asking “build it or rent it?”

There’s something magical about owning your own home. When you walk through that door, you are in your kingdom. This is your domain. If ...

Read More
October 21, 2013

Asking the right question to get a more accurate response

In an attempt to get the answers you need, first you must make sure to ask the right questions.  This concept applies to billing ...

Read More
October 21, 2013

Medicaid Expansion – Clinic Expansion

The Supreme Court’s ruling on the Affordable Care Act (ACA) allowed states to opt out of the portion of the law that covered states’ ...

Read More
October 21, 2013

Key Findings in a CHC Fee Schedule Review that will Improve Revenue Capture

Optimizing reimbursement is on the forefront of revenue cycle management.  Have you asked yourself or your organization: are we losing revenue because your fee ...

Read More
October 21, 2013

CMS Chapter 13 Reorganization

Every Spring and Fall I reorganize my closet.  Although I do get some satisfaction from the chore it doesn’t change the content of the ...

Read More
October 21, 2013

Benefits of Preventative Health Care

In 1736 Benjamin Franklin said “An ounce of prevention is worth a pound of cure.” Even though he Franklin was talking about fire prevention, ...

Read More
October 21, 2013

What if you didn’t have the grant money?

With today’s political climate, one thing is certain… there are a lot of uncertainties.  “Regime change” in the White House could result in unfavorable ...

Read More
October 21, 2013

Preventing Dental Disease in Young Children- and Getting Paid for It!

Dental caries (tooth decay) is a chronic, progressive, multi-factorial, infectious disease that can begin in early infancy and that, by the time children reach ...

Read More
October 21, 2013

Vague State Statutes… Conservative Interpretation of Federal Policy is the Answer

It happens all too often. A CHC searches the state Medicaid site for policy clarification and they find information opaque as mud. Are nurse ...

Read More
October 21, 2013

The Role of The Dental Safety Net In Ensuring Access To Oral Health Care

Good oral health is a critical, but often overlooked, component of overall health and well-being.  Oral disease restricts activities in school, work, and home ...

Read More
October 21, 2013

Do Nurse Visits Count as Encounters?

It really doesn’t matter where we speak or to whom we are speaking, at EVERY PMG presentation someone will ask about nurse visits and ...

Read More
October 21, 2013

Identifying payers by plan type

Identifying payers by plan type – setting the right expectation or administrative nightmare? Practice management systems have multiple methods for identifying and classifying insurance ...

Read More
October 21, 2013

5010 vs Revalidation

Is 5010 to blame for a decline in your Medicare revenue?  It is certainly no secret that the implementation of 5010 has resulted in ...

Read More