Blog

December 6, 2016

Modifier 25

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October 27, 2016

UCLA Study Looks at Number of CHC Uninsured Patients Post ACA

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

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October 12, 2016

2016 Medicare Preventive Codes

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October 6, 2016

Incident-to, Supervision, and Locum Tenen

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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 to sometimes grasp nuances essential to broadly capturing ...

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August 23, 2016

Annual Wellness Visit (AWV) and Initial Preventive Physical Examinations (IPPE)

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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 codes, ACA programs advocating APM and expansion of ...

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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 EDI and Business Systems at PMG. If you ...

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April 19, 2016

CMS launches largest-ever multi-payer initiative to improve primary care in America

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, ...

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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 ...

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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 it? You are not alone.  Many of our ...

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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 numbers and to utilize the data reports we ...

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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 paid as expected. ‘Denial’ is a word that ...

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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 the watch for new threats. Technologists deliver strong ...

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July 29, 2015

Bill Proposes Medicare Common Access Card

  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 ...

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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 a particular activity, in this case, the success ...

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June 15, 2015

ICD-10 Intro to Coding Conventions Part 1

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June 15, 2015

ICD-10 Intro to Coding Conventions Part 2

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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 payment of multiple encounter rate payments at CHCs ...

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

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May 13, 2015

Cutting Costly Codes Act Attempts to Delay ICD-10

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 ...

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May 5, 2015

HHS Announces $101 Million in Affordable Care Funding For CHCs

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

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April 15, 2015

“Doc Fix” Bill passes Senate… no more patches for this leaky boat

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 ...

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April 1, 2015

Northwest Regional PCA selects PMG, Inc. as featured vendor

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

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March 31, 2015

PMG ICD-10 Client Shares Success

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 ...

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

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March 27, 2015

House Approves Full Funding for CHC’s

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

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March 25, 2015

$7.2 Billion in Funding for CHC’s Hits a Snag

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

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March 24, 2015

Iowa Medicaid Managed Care Proposal Hits Opposition

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

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March 5, 2015

PMG, Inc. Joins Community Health Centers in Marking 50 Years of Saving Lives

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

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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 profoundly increase income. Sadly you can’t magically increase ...

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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 we ask a CHC CEO or CFO about ...

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October 15, 2014

Elements of an Effective Payment Plan

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 ...

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August 1, 2014

Deadline for ICD-10 and FFS Testing Opportunities

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

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June 3, 2014

Time has not been wasted.

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

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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 ...

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April 30, 2014

Find Inspiration in Constant Change…Or at least a reason to be willing to constantly change.

I write as I am crusing, according to our pilot, at 37,000 feet heading to Phoenix for work at the Region IX conference.  Most ...

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April 14, 2014

Time for Spring Cleaning!

Time for Spring Cleaning! Here in New England the weather has started to warm up.  It will be close to 60 today which for ...

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