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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 ...

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 ...

Community health centers are serving millions more people than they did before passage of the Affordable Care Act, according to a new national study ...

Coding is a complex topic. So confusing is it that too many in CHC leadership fail to sometimes grasp nuances essential to broadly capturing ...

Many CHCs struggle to maximize reimbursement. Transition from cost based to PPS rates, understanding Medicare G codes, ACA programs advocating APM and expansion of ...

I was asked to write a blog post about what I do as the Director of EDI and Business Systems at PMG. If you ...

CMS recently announced its largest-ever initiative geared to improve how primary care if delivered and payed for in America. Scheduled to launch January 2017, ...

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

Is your self-pay AR continuing to grow and you just don’t know what to do about it? You are not alone.  Many of our ...

At PMG, we encourage our community health center (CHC) clients to familiarize themselves with their financial numbers and to utilize the data reports we ...

Are you in denial? Denials are claims that get processed by a payer but are not paid as expected. ‘Denial’ is a word that ...

Your Health Center’s biggest information security threat is… your employees? Information Security Professionals are constantly on the watch for new threats. Technologists deliver strong ...

  Bills calling for a Medicare Common Access Card were submitted in the U.S. House of Representatives and U.S. Senate. The bill proposes a ...

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

CHC providers are notoriously bad at coding. Don’t believe me. Look at the data. CMS limited payment of multiple encounter rate payments at CHCs ...

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 ...

Ted Poe (R-Tex.), along with 6 co-sponsors, proposed a House bill to delay the government-mandated transition to the International Classification of Diseases ICD-10 diagnostic ...

Health and Human Services Secretary Sylvia M. Burwell announced today approximately $101 million in Affordable Care Act funding to 164 new health center sites. ...

Last night the U.S. Senate voted 92-8 to prevent cuts in payments to Medicare patient providers. It came right down to the wire, as ...

Northwest Regional PCA (NWRPCA) joins forces with PMG, Inc. to offer discounted services to NWRPCA members. NWRPCA is a member organization working to strengthen ...

PMG ICD-10 Consulting client, Community Health of Central Washington, speaks to press about ICD-10, sharing their readiness to transition to the new system.  Read ...

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. ...

The recent Medicare funding bill was passed in the House of Representatives yesterday but today the Senate announced that they would not vote until ...

The recently announced bipartisan health care deal has come upon opposition in the Senate. The deal covers a plan to finance health care for ...

Plans to shift Iowa’s Medicaid program to managed care face opposition. Click Here to Read More 

PMG, Inc. is joining the National Association of Community Health Centers (NACHC) in celebrating the success of the Community Health Center program. Fifty years ...

Let’s face it. There are very few things that your CHC can do to immediately and profoundly increase income. Sadly you can’t magically increase ...

New HRSA SFDS PIN, Medicare Rate Hike, & Medicare “G” Codes Create Perfect Storm Too often when we ask a CHC CEO or CFO about ...

Whether it’s the complexities in payment methodology, increase focus on outcomes, or the attention on health information technology, there is another common challenge among ...

http://www.cms.gov/Medicare/Coding/ICD10/Medicare-Fee-For-Service-Provider-Resources.html    

So everyone is really, and I mean really tired of hearing about ICD 10, and the latest onslaught of daily emails all addressing new ...

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 ...