By using PGM, you will liberate your staff of tedious billing and remittance tasks to focus on patient care and growing your practice. 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, update demographics, post payments, bill patients and follow up on all denials. The vast majority of insurance and governmental payments will be directly deposited in your bank account, and all other payments will be sent directly to your office.
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 nationwide. With PGM, electronically submitted claims are typically paid within 15 days.
Advanced Claims Review System – Coding errors cost doctors over $6 billion annually. 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.
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.
Patient and Insurance Payment Posting – Once payment is received and verified for accuracy, PGM promptly posts payment to your account.
Patient Invoicing, Collection and Inquiries – Monthly statements are sent to patients with remaining balances. Our automated collection letter system sends reminders and collection letters directly to patients, notifying them of their outstanding liabilities. Additionally, our dedicated staff handles all patient phone requests, billing inquiries and necessary follow-up calls.
Management Reports – PGM provides your practice with the most advanced 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. For more information on reports, click here.
Form Development – PGM will work with your staff to develop customized practice forms such as superbills.
Remote Access – We provide Internet access to all of your account information, giving you 100% direct visibility over patient data, current charges and balances, as well as financial performance.