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Reasonable Efforts – It’s Time to Review and Reconsider
“Reasonable efforts” is a term that has existed for decades in child protective services, though its interpretation has changed drastically over the years resulting in widely different and often contradictory conclusions. Factors such as the economic times, different organizational structures, budge...
/news-perspectives/reasonable-efforts-it-s-time-to-review-and-reconsider/New York - Troy
Health, Human Services 433 River Street Suite 6005 Troy, New York 12180 United States
/offices/united-states/new-york/new-york-troy/Pennsylvania - Harrisburg
Public Partnerships, Education, Human Services, 2040 Linglestown Road Suite 201 Harrisburg, Pennsylvania 17110 United States
/offices/united-states/pennsylvania/pennsylvania-harrisburg/Virginia - Blacksburg
Education 2270 Kraft Drive Suite 1500 Blacksburg, Virginia 24060 United States
/offices/united-states/virginia/virginia-blacksburg/Washington - Clarkston
Human Services 200 Fair Street Clarkston, Washington 99403 United States
/offices/united-states/washington/washington-clarkston/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-state-health-medicaid-agencies/coding-training-and-compliance-review-services/Institutional Rate Setting and Support
Institutional Rate Setting Services and Support Services Institutional services, such as inpatient and outpatient hospital, skilled nursing facility, and nursing facility services are a significant spend and driver of healthcare costs. Medicaid and other state agencies need, and should adopt, paymen...
/health/for-state-health-medicaid-agencies/institutional-rate-setting-and-support/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-state-health-medicaid-agencies/physician-services-supplemental-payment-strategies/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/