New eDelivery Patient Billing Solution
8% average improvement in collection, growth adjusted
$1 billion in gross claims billed annually
61 million accessions/visits processed annually
Up to a 50% reduction in denials
Two-time increase in successful appeals
100% payor reach
Reduced Billing costs based on collections not payroll
39 year track record
Over 30 specialties
Serving all 50 states
Best-in-Class Medical Billing Software &
Services for Healthcare Professionals
Physician Billing
PHYSICIAN BILLING SOFTWARE AND SERVICES TAILORED TO THE UNIQUE NEEDS OF YOUR PRACTICE
Medical professionals all across the country face similar challenges. With decreasing reimbursements and increasing denial rates, physicians are seeing a serious impact on their bottom line.
PGM understands the complexities of healthcare management. Since 1981, our integrated practice management and revenue cycle solutions have helped physicians get paid moreand get paid faster.
Whether you are looking for a practice management system to help run your practice more efficiently or for full-service revenue cycle management, PGM’s products and service will improve day-to-day collections and cash flow whileproviding increased insight into practice performance.
Click below to learn more about our medical billing software and services.
Laboratory Billing
A TOTAL SOLUTION APPROACH TO LABORATORY BILLING SOFTWARE AND SERVICES
PGM has worked with clinical and reference labs for the past 35 years and developed one of the most effective lab billing, coding and financial management platforms on the market today.
With PGM’s products and services, clinical and reference labs can effectively manage high-volume, small-dollar claims, improve collection rates and gain revenue cycle management insight through in-depth financial reports.
Whether you are a startup or established laboratory, PGM will work closely with you to develop a customized billing strategy designed to meet the strategic business objectives of your business.
Click below to learn more about our laboratory billing software and services.
PGM is an integrated physician billing, practice management and electronic medical record service and solutions provider. Since 1981, we have supported physicians and laboratories with innovative solutions that help their organizations run more efficiently. Today we are one of the fastest growing health care service and technology companies in America.
Our technology-plus-service approach to practice management and medical billing maximizes the reimbursement process and streamlines operations. From our cloud-based practice management and revenue cycle management software to third-party integrations and full-service medical billing, PGM will work with your organization to tailor a total workflow solution that meets the growing and evolving needs of your business.
Let PGM help you improve practice performance with our medical billing, practice management and electronic documentation products and services.
Services
MAXIMIZE COLLECTIONS, REDUCE YOUR TIME TO PAYMENT, AND BETTER MANAGE YOUR EXPENSES
PGM's Medical Billing Services will help you increase your revenue and grow your bottom line. You work hard to balance the demands of medicine and business. It's no easy task ensuring your practice or laboratory delivers quality patient care, higher productivity and increased cash flow, all while trying to comply with ever-changing regulations and payer guidelines.
U.S. owned and operated, PGM provides practice management and medical billing solutions and services to Healthcare Professionals across America. PGM combines unparalleled service and cutting-edge technology to give medical providers the tools and resources needed to improve performance and streamline operations. From claim entry to denial follow-up and appeals, PGM manages every aspect of the medical billing process. Our incentive-based pricing ensures we get paid only after you get paid. With PGM, there are no startup costs, no investments in hardware or software, and no hidden or ongoing expenses.
Software
MEDICAL BILLING AND REVENUE CYCLE MANAGEMENT SOLUTIONS THAT EMPOWER YOU TO TAKE CONTROL OF YOUR BUSINESS
Powered by our advanced, cloud-based technology platform, PGM's Billing Software is a comprehensive, highly automated solution that boosts cash flow, streamlines workflow and improves financial transparency. Our intuitive software streamlines everything from scheduling and managing patient information to processing insurance claims and collecting balances.
And with our easy-to-use and learn analytics and reporting functionality, you have complete, real-time financial visibility at your fingertips. From transaction-level information to strategic management dashboards, PGM analytics was designed with ultimate flexibility in mind, allowing you to customize financial data around the metrics that matter most to your business.
Powered by our advanced, cloud-based technology, PGM Clarity our revenue cycle management software, is a comprehensive, highly automated solution that maximizes efficiency, improves cash flow, and increases financial performance. Benefit from no-hassle, easy-to-implement technology that is trusted by practices nationwide to support their billing processes.
- Best-in-class user experience built around a highly customizable and streamlined system workflow, helping to lower labor costs, and provide greater business efficiency.
- Enhanced rules engine help to ensure clean claim submissions, the first time, leading to fewer errors, and reduced denials.
- Robust reporting and analytics that puts the most important financial information at your fingertips.
- Interoperability with third party systems and applications, eliminating data entry and streamlining data integration.
NorthStar Practice Management System – Releases Action Codes
PGM Billing, a leading integrated physician and laboratory billing, practice management and revenue cycle management service provider, announces the release of enhancements to our Practice Management Software. Action Code checklists have been built into the system so users can track and monitor specific tasks performed at the claim level including appeal submission, claim correction, prior authorization requested, etc. By tracking these actions, the user can better manage the various tasks required to fully work a claim from initial submission to final payment.
Learn More
PGM ANNOUNCES New Improvements and additional capabilties with Document Storage FOR PRACTICE MANAGEMENT SOFTWARE
PGM Billing, a leading integrated physician and laboratory billing, practice management and revenue cycle management service provider, announces the release and enhancements to our Practice Management Software. Document Storage is now available on patient Accounts. The new document storage provides the user with the ability to upload and store certain critical documents as viewable image files for verification purposes. Several storage areas already designated include: Drivers License, Insurance card, Intake Sheets and TRF’s. Please contact our Sales team for more Information.
Learn More
PGM ANNOUNCES New Report and Functionality, for analyzing and predicting reimbursement
PGM Billing, a leading integrated physician and laboratory billing, practice management and revenue cycle management service provider, announces the release and enhancements to our NorthStar Practice Management Software. A new report called Adjudication Timeline has been added to help practices follow and predict current and future payments based on charge entry and claim production within specific time periods. The report can be filtered and sorted on several different criteria, helping to predict and analyze reimbursements based on previous adjudication patterns. Please contact our Sales team for more Information.
Learn More
PGM ANNOUNCES NEW IMPROVEMENTS AND ADDITIONAL CAPABILTIES WITH AUTOMATED WRITE-OFF AND ADJUSTMENT FUNCTIONS FOR PRACTICE MANAGEMENT SOFTWARE
PGM Billing, a leading integrated physician and laboratory billing, practice management and revenue cycle management service provider, announces the release and enhancements to our Practice Management Software. Automated Write-Offs and Adjustment functions are now available on patient and Insurance balances to simplify Accounts Receivable maintenance for practices. Automated functions allow users to determine unpayables and remove the balances from their AR. Adjustments can be performed on several different criteria, from denial codes, cpt codes, Insurance plans or patients etc. Please contact our Sales team for more Information
Learn More
See our solutions in action