Priority Management Group

700 School St, Pawtucket, RI, 02860.  401-616-2020

ABOUT PMGSERVICESSUPPORTNEWS/ARTICLESMINI ASSESSMENTCOURSESEMAIL PMG

PMG offers a comprehensive array of services to health care organizations across the country. Since inception in 1998, PMG Consulting has developed a national reach and in-depth understanding of payor and government regulations. All consultants are certified professional coders (CPC) with over 10 years in the health care industry, assuring Client deliverables with professionalism, maturity, and insight. Although focused similarly as PMG Billing, the consulting entity has conducted training services to over 20,000 physician and mid-level providers in 36 states. In addition, the company has completed more than 20,000 Medical Record Review / Chart Audits since inception.

PMG Consulting offers the following service options:

I. Evaluation & Management Coding Update
Updated annually since 1998 as payor regulations are modified and codes deleted/added, this training session can run from 4 to 8 hours dependent on timeline and client objectives. The program starts with the basics (2 of 3 & 3 of 3 rule, time, key component documentation) progresses to common modifier usage, used and finishes with common coding examples/issues. PMG consulting has conducted this session in 36 states, training over thousands and thousands of providers and billing/coding staff.

NOTE: Sessions may be customized to meet needs based on Medical Review Outcome or needs discussed with PMG prior to on site presentation.

II. Medical Record Review/Chart Audit
PMG will review visits/encounters and code the Evaluation & Management (E&M) services based on the documentation in the record for the respective dates of service. Findings will be presented to the client in spreadsheet format with detail on code and level determinations, weaknesses and strengths described in a SWOT Analysis. A cover letter will also provide general findings and an overview of recommendations. This project often serves as a foundation for coding training with physicians already understanding their strengths and weaknesses

Core Competency
PMG will assess the entity’s coding and reimbursement procedures and provide a written summary of findings and recommendations. This assessment is completed primarily on-site at client offices with summary completion at PMG. PMG Consultants have completed billing and reimbursement assessments from New England to California.

Services included in this assessment include, but are not limited to:

  • Financial & Billing Process Control
  • Bank Deposits Reconciliation
  • Performed vs. Billed CPT Code Analysis
  • Accounts Receivable Analysis
  • Financial Performance Indicators
  • Charge Entry, Payment Posting, & Unpaid Claims Management

Download a sample reporting package PDF here.