Does PMG bill for Community Health Centers?
PMG has been billing for FQHC and look-alike CHCs since 2000. PMG’s billing staff are trained on the idiosyncrasies of CHC business and work diligently to be mindful of the mission oriented, non-profit focus while pursuing aggressive collections from third party payers. A delicate, yet firm, approach with patient balances has yielded much success. Further work with grant data extraction as well as UDS data capture and extrapolation has made PMG a sought after ally for CHCs in the know.

Does PMG understand what makes Community Health Centers unique?
PMG understands that CHCs have different needs than hospitals, surgical centers and private practices. Sliding fee scales, employed physician staff, multi-lingual patient base, and UDS reports aside, PMG has worked side by side with clients to manage dental and behavioral health claims, UGS/NGS Medicare, Medicaid cost based reimbursement, etc. CHCs have distinctive needs and PMG has created a service mix to exceed expectations.

Why does PMG concentrate on the CHC market?
PMG is the #1 outsourced billing company for CHCs on the Eastern seaboard and is working diligently to expand its national presence. PMG is compelled by the mission oriented focus of the work, in particular the care for the underserved, but recognizes clearly the vast opportunity to create fiscal solvency, dare we say sustained “profitability” for agencies with far too many competing priorities, and too few expert staff to meet the demand. PMG’s sole focus on CHC coding, billing, and reimbursement has afforded a unique market niche of which further expansion is a company imperative.

Why outsource your billing?
Outsourced billing companies have been in existence for more than three decades. Thousands of medical billing companies operate across the country and process tens of millions of claims annually. Clients select billing services for a multitude of reasons. Inability to retain quality in-house staff, knowledge deficit within the organization, cost benefit (savings) achieved by outsourcing, incentive based outsourcing contracts “guaranteeing” increases in revenue… each decision for outsourcing is as unique as the thousands of medical providers themselves. More objectively though, outsource billing clients site superior results over in-house staff, dedicated coding and billing resources unavailable in-house, proven unpaid claims and denial management, and increasing revenues as the most standard motivations. PMG, for example, sees it CHC clients carrying, on average, less than half Days in A/R (DAR) than centers managing billing with in-house staff. Also, every CHC utilizing PMG for billing services has increased net revenue per patient since starting with PMG (24% for two of the largest sites) while actual charges during the same period only elevated minimally (a mere 3%).

What other services offered besides billing?
PMG offers medical coding training to CHC providers, coding research and medical record review/chart audits for all CHC full time providers... all as part of a billing agreement or on an ad hoc basis via PMG Consulting. All educators, consultants, and auditors are Certified Professional Coders (CPC) with exposure to community health markets in throughout the five New England states and nearly two dozen additional states. PMG staff are frequent, and highly sought, lecturers and educators at national and regional CHC centric conferences and educational programs.

Can PMG connect to my EMR?
PMG technical services can work with your EMR vendor to connect both products via an HL7 connection. Currently the Ntierprise billing software utilized by PMG interfaces with over ten (10) EMR systems utilizing this approach.