Why PMG is the right choice to be your Revenue Cycle Partner…
Our mission is not to be the industry's leading revenue cycle management and consulting firm. It is to be the best in the Family Planning market. We know your business, and can help you focus on what matters most…your patients.
Core Competency
Family Planning billing is the heart of PMG. It is a core competency. PMG staff are not experts at BCM determination, patient advocacy, risk management or clinical recruitment. We are billing experts. However, do not believe us: ask our Clients about the financial results they have experienced during their tenure with PMG. For example, three PMG clients enjoyed a revenue increase averaging more than $20 per patient visit. These same Clients saw an average payment increase of more than 20-40% while charges increased, on average, less than 5%. They did not grow substantially, we simply improved coding, billing, and reimbursement management performance. These are not sales tactics but empirical data.
Family Planning Vocabulary
PMG staff members know what Sliding Fee Scales are and why you utilize them. We know FPAR & AASC reporting, cost based Medicaid reimbursement, Waiver programs, school based health centers, Ryan White grant management, etc. We understand the mission of these organizations and take a unique approach to collections by applying proven billing processes while not compromising patient privacy or the ongoing objective of optimizing access regardless of a patient’s ability to pay.
Focus
PMG grew similarly to countless other billing companies; we took all potential accounts, regardless of their specialty. Over the years, PMG ballooned to over 20 different medical and surgical specialties. Maintaining industry leading expertise in so many varied specialties was/is simply unsustainable. We realized this inability and reduced the number of specialties served by intentionally paring the existing account base to focus on Family Planning and community based health care billing.
An argument for PMG as the FAMPLAN billing experts…
- Nation-leading outsourced revenue cycle management firm with more than eight years in the Family Planning market.
- Family planning clients in more than 35 states.
- Denials Management with over 150,000 denials and unpaid claims worked in 2008.
- Extensive experience in family planning revenue cycles.
- Talking the talk: PPS, encounter rate, sliding fee scale, and FPAR reports.
- Alignment with the Family Planning organization’s mission in terms of work product protecting PHI and patient advocacy.
- Experience on multiple management information system platforms (e.g., eClinicalWorks, Misys, and AllScripts) and willingness to work on national “tier one” products.
- Focused reduction of outstanding A/R… some Family Planning clients have seen a 55% reduction in Days in A/R with PMG.
- Increased revenues after signing with PMG, some more than 30%.
PMG maximizes Family Planning organizations compensation during revenue cycle management via:
- Waiver Program reimbursement
- Encounter rate billing and wrap around claims
- Extensive commercial payer experience
- Understanding of managed Medicaid.
Family planning clients benefit from a comprehensive mix of services, including but not limited to:
- Encounter form (a.k.a., charge ticket, CVR, etc.) review/creation
- Electronic charge capture via EMR/EHR
- Sliding fee scale development/management
- Family Planning centric coding and reimbursement training
- Medical record review (chart audits for compliance and education)
- Operational assessment around revenue cycle management (including front desk review, historic EOB review, revenue/coding enhancement, etc.)
© 2008 Priority Management Group, Inc.– Revenue Cycle Management and Consulting | 700 School Street, Pawtucket, RI 02860
Phone 888-330-8884 | Fax 401-616-2001