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Third Party Administrator Services
Third Party Administrator (TPA) Services PCG serves as an expert and trusted third party administrator (TPA) providing end to end claims processing services and solutions on behalf of government agencies and health plans. Our team works with Medicare and Medicaid health plans, as well as other gover...
/health/for-state-health-medicaid-agencies/third-party-administrator-services/Administrative Service Organization Services
PCG has expertise in the creation, implementation, and management of Administrative Services Organizations (ASO). This service provides the first line of defense between a provider and fiscal intermediaries to ensure that submitted claims meet federal, state, and local Medicaid claiming policies. We...
/health/for-state-health-medicaid-agencies/administrative-service-organization-services/Data Intermediary Services
Data Intermediary Solution - Hospital All Payer Claims Reporting System PCG has developed proprietary web-based technology to support government agencies in the collection of inpatient and outpatient hospital claims data to inform public health officials about important healthcare trends. With PCG’s...
/health/for-state-health-medicaid-agencies/data-intermediary-services/Coding Training and Compliance Review Services
Coding and documentation requirements, along with compliance regulations, change all too frequently. To keep our clients abreast of changes in coding, documentation, and compliance, PCG has developed a series of training and compliance tools that can be tailored to meet your needs. Our team includes...
/health/for-provider-organizations/coding-training-and-compliance-review-services/Administrative Service Organization Services
PCG has expertise in the creation, implementation, and management of Administrative Services Organizations (ASO). This service provides the first line of defense between a provider and fiscal intermediaries to ensure that submitted claims meet federal, state, and local Medicaid claiming policies. We...
/health/for-provider-organizations/administrative-service-organization-services/Data Intermediary Services
Data Intermediary Solution - Hospital All Payer Claims Reporting System PCG has developed proprietary web-based technology to support government agencies in the collection of inpatient and outpatient hospital claims data to inform public health officials about important healthcare trends. With PCG’s...
/health/for-state-insurance-departments/data-intermediary-services/Physician Services Supplemental Payment Strategies
Physician Upper Payment Limit (UPL) Supplemental Payment Strategies Medicaid agencies across the country grapple with ensuring sufficient access to primary, specialty, and dental care services to the Medicaid population. By implementing a Physician Medicaid Supplemental Payment strategy, Medicaid ag...
/health/for-provider-organizations/physician-services-supplemental-payment-strategies/Data Intermediary Services
Data Intermediary Solution - Hospital All Payer Claims Reporting System PCG has developed proprietary web-based technology to support government agencies in the collection of inpatient and outpatient hospital claims data to inform public health officials about important healthcare trends. With PCG’s...
/health/for-health-plans/data-intermediary-services/Healthcare Access and Markets
States turn to PCG to organize their commercial health insurance regulatory compliance. They work with us to establish managed care procurement and contract oversight. States regulate their private insurance markets and operate Medicaid managed care and fee-for-service programs to assure healthcare ...
/health/for-state-health-medicaid-agencies/healthcare-access-and-markets/