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Benefits

Since 1981, Physicians Group Management has been providing practice management and billing services to physicians and healthcare facilities. Our solutions will accelerate and maximize your reimbursement process, helping to eliminate inefficacies in your business, allowing you to do what you do best; spend more time with your patients.

Improved Performance

Our comprehensive service is focused on maximizing your collections, getting you paid more and paid faster. Our clients typically see a 25–30% increase in net collections within six months.

Our advanced claim reviewer detects billing errors prior to entry, dramatically reducing denial rates. We aggressively follow-up, appeal denials and mis-adjudicated claims, and assume full responsibility for responding to all inquiries from patients and third party carriers increasing your overall revenue.

  • Improve
    your collection rates
  • Shorten
    your reimbursement cycle
  • Reduce
    your accounts receivables
  • Decrease
    the rate of lost and denied claims
  • Gain
    improved insight into your practice’s financials and performance.

Tailored to Your Needs

PGM understands that all Medical Practices are not the same. We provide physicians with a solution tailor made to the individual needs of any practice.

From full service medical billing to extending to you our proprietary software, where you retain full control, PGM offers the complete range of practice management services. We will work with you and your staff to design a program that best fits the needs of your practice.

“I am a small practice; PGM gave me a level of service and attentiveness that I would not have received from other billing companies. From the beginning, I was provided a very high level of personalized service and I now am collecting sooner and my receivables are lower than ever before.”
—Samuel Pietrandria, M.D.

“I am a small practice; PGM gave me a level of service and attentiveness that I would not have received from other billing companies. From the beginning, I was provided a very high level of personalized service and I now am collecting sooner and my receivables are lower than ever before.”
—Samuel Pietrandria, M.D.

Personalized Assistance

Our staff is 100% committed to serving you. All of our clients are assigned their own designated account executive giving you the security and comfort of working with a representative who is uniquely familiar with your practice.

From guiding you through the implementation process to frequent performance reviews and updates, our staff is there with you every step of the way.

Cost effective

We get paid only once you get paid— PGM is 100% performance driven. With PGM, your costs are directly proportionate to your actual income.

You have no dedicated staffing or administrative expenses related to in-house billing. In addition, there are no initial start up costs, no hidden ongoing expenses, and no costly investments in hardware and software.

PGM In-House
Billing
Third Party
Billing
Software
Other
Billing
Services
Cost Efficiency High Low Low High
Personalized Service High Mod-High Low Varies
Tailored Solutions High Varies Low Varies
Hardware & Software Requirements Low High High Low
Customized Reporting High Low Varies Varies
Payor Contract Negotiation High Varies Low Varies
Claim Follow Up & Adjudication High Varies Low Varies
Overall Benefit to
Your Practice
High Low-Mod Low Varies

Solution and Services

PGM’s practice management solutions allow your practice to eliminate all charge entry and patient demographic updates, as well as payment posting. A dedicated team of Account Representatives will enter all charges, perform claims scrubbing, post payments, bill patients, and follow-up on all denials.

Electronic and Paper Claims Filing

PGM manages all data entry, claims and claims tracking for you. We have the capability to transmit claims electronically to thousands of insurance carriers.

Claim Follow-up

At PGM, claim follow-up is a priority. Our staff regularly follows-up on the progress of your claims to make sure you are receiving prompt, correct payments.

Advanced Claims Review System

PGM’s advanced claims scrubber identifies and corrects errors and omissions before claims are submitted. The results are reduced denials and faster reimbursement.

Claim Adjudication

Only 70% of the average medical practice’s insurance claims are ever paid by carriers. PGM aggressively monitors and accesses EOBs and payments to ensure the highest possible reimbursement rate.

Form Development

PGM will work with your staff to develop customized practice forms such as Superbills.

EMR Compatibility

Our software has the capability to integrate with any existing EMR system.

Patient Invoicing, Collection and
Inquiries

Monthly statements are sent to patients with remaining balances. Additionally, our dedicated staff handles all patient phone requests, billing inquiries, and necessary follow-up calls.

Management Reports

PGM provides your practice with financial and practice analysis reports available in the industry today. Custom reports can be generated at your request and a wide range of standard reports are instantly available.

Remote Access

We provide internet access to all of your account information, giving you direct visibility over patient data, current charges and balances, as well as financial performance.