Many other medical billing companies want to sell you Practice Management systems that include medical billing and coding software. Sometimes they even offer outsourced medical billing and coding services as well. There may be many medical billing companies around, but PMG’s medical billing services are exclusively for Federally Qualified Health Centers (FQHCs).We understand the particular nuances of FQHC medical billing and coding including, sliding scale, UDS reporting, cost-based Medicaid reimbursement, school-based health centers, dental claims, substance abuse/detox billing, UGS/NGS Medicare and FQHC-centric specialties. Our medical billing processes are designed with only FQHCs in mind. Our ultimate goal is to remove the burden of medical billing so your FQHC can focus on what you do best, care for your patient population.
Many other medical billing companies claim to offer FQHC revenue cycle management, but just send out claims and post payments. PMG’s medical billing services go far beyond the billing department and look to improve every part of your revenue cycle including the front desk/ eligibility, provider medical coding, medical billing software optimization, and extensive denials management. By going beyond the medical billing department, we are able to identify the source of cash leaks at your FQHC and then work with your team to stop them at the source.
With the rise of value-based care and quality payment models, medical coding is becoming an even more important part of the FQHC billing guidelines. While providers must enter the medical billing codes themselves, our revenue cycle/ medical billing services include ongoing provider training. Our team stays up to date on medical coding protocol so that you don’t have to. We continually monitor claims for medical coding issues and can create custom medical coding training for your providers to get them up to speed. The training can be presented face-to-face, or we can create an online FQHC medical coding webinar for your team to learn at their own pace. Continually monitoring for medical coding errors allows us to stop medical coding related denials and help you increase your revenue.
Why Choose PMG as your FQHC Billing Partner?
FQHC expertise… we understand your world
PMG works exclusively with FQHCs so we understand your world (e.g., sliding scales, cost-based reimbursement, wrap payments, PPS Medicare reimbursement, etc.)
More than just billing… fix revenue leaks at the source
PMG works to improve every part of your FQHC revenue cycle. Our experts look help you identify and fix the workflow issues that are negatively affecting your reimbursements.
No more staffing worries… make our team your team
Are you tired of spending time and money looking for medical billers or compliance experts that understand the CHC world? Make the PMG experts your team.
Don’t worry about provider training… we’ve got you covered
If provider error is an issue PMG creates custom training to make sure your team is as effective as possible.
Our proprietary medical billing and coding review software is designed to track claim status and allows us to improve your first pass rate drastically. By identifying these medical billing trends, future denials are stopped at the source, and your FQHC can collect every dollar you deserve. Our medical billing software works independent of your practice management (PM) system, meaning there is no need to change your current PM system. In fact, PMG is well versed in many of the top PM systems.
Speaking of PM Systems, we all know how frustrating this online medical billing and coding software can actually be. Even pulling reports can be a nightmare. That is exactly why PMG’s medical billing services include comprehensive monthly reporting that provides an executive level view of your billing performance. As billing systems vary in the sophistication and level of data tracked and do not produce this information in similar formats, PMG takes these stock reports and develops hybrid reporting options that work for your center. The end result is a seamless delivery of information. PMG’s clients also have the unique advantage of our extensive FQHC only reporting and benchmarking against FQHC peers. With over 2 million FQHC encounters processed annually, PMG’s medical billing reporting and benchmarking allow FQHC Administrators and Board Members to see strengths and future revenues opportunities clearly.
When looking for the right medical billing services for your FQHC you need to weigh many factors. Should you go with the same company that offers medical billing software as part of their practice management software? Oftentimes, the medical billing services offered by these companies are not true revenue cycle management. Are they working denials to ensure you get paid? Can they help optimize your Practice Management Software? Do they offer solutions to improve medical coding? Will you get the medical billing and coding reports that you need to plan for success? You must carefully weigh all of these options and ultimately decide which medical billing/ revenue cycle Management Company is right for you and your FQHC.