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Consulting Services
Our Family Planning consulting services focus exclusively on revenue cycle management — e.g., charges, payments, unpaid claims management, encounter form creation, sliding-fee scale determination and FPAR data extraction. When a Family Planning client begins an engagement with PMG, we perform an operational assessment, coding training and a medical record review (i.e., chart audits). The Family Planning-centric focus of these activities is just the beginning of enhanced revenue realization.
Operational Assessment
PMG staff travel on-site to assess revenue cycle processes, including analyzing patient check-in and demographic data capture, coding and documentation of the encounter, and billing and business office practices. A cursory review of financial reports for the clinic along with EOB analysis give us insight into current trends and/or potential problem areas needing corrective action. This multifaceted approach reaps significant immediate benefits for Family Planning clients, as we share best-practice benchmarks learned from other similar organizations. Benchmarking in a vacuum is dangerous business — and all too common in the Family Planning world.
Medical Record Review/Chart Audit
PMG reviews visits/encounters and codes the E&M services based on the documentation in the record for the respective dates of service. We present the findings to the client in a spreadsheet summary format with individual record scoring and comments, a SWOT analysis, and national benchmark comparison. Medical record review is often a foundation for coding training with physicians already understanding their strengths and weaknesses.
Coding Training
Since 1998, PMG has been an industry leader in E&M-centric coding training. Running from three to eight hours, these sessions are customized to meet subjective attendee needs and/or wants of Family Planning organization’s administration. The program starts with the basics (e.g., E&M level selection based on the 2-of-3 or 3-of-3 rule or time, and key component documentation). It then progresses to include common modifier usage and coding examples/issues.
PMG has conducted this session in more than 35 states, training thousands of providers annually.
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