Helping healthcare professionals nationwide focus on patient care and organizational growth.

New eDelivery Patient Billing Solution

Medical Billing and Revenue Cycle Management Services

PGM is a full-service medical billing and revenue cycle management company that helps physicians and clinical laboratories across all 50 states reduce claim denials, accelerate collections, and streamline practice operations. We manage claims submission, medical coding, denial management, payer credentialing, and financial reporting so providers can focus on patient care. Since 1981, PGM has served more than 30 specialties, from solo practices to large group practices and independent laboratories.

Proof in Numbers

  • 8% average improvement in collection, growth adjusted

    PGM clients typically see measurable collection gains within the first billing cycle, driven by cleaner claim submission and faster follow-up on unpaid accounts.

  • $1 billion in gross claims billed annually

    PGM processes claims across physician and laboratory clients in all 50 states, spanning more than 30 specialties.

  • 61 million accessions/visits processed annually

    Our platform handles high-volume laboratory and physician billing at scale without sacrificing accuracy or turnaround time.

  • Up to a 50% reduction in denials

    PGM’s claim scrubbing process identifies coding errors, missing information, and payer-specific requirements before submission — catching issues that would otherwise result in denials.

  • Two-time increase in successful appeals

    When denials do occur, PGM’s billing specialists manage the appeals process, resulting in significantly higher overturn rates compared to industry averages.

  • 100% payor reach

    PGM submits claims to all commercial insurers, Medicare, Medicaid, and specialty payers — so no revenue is left on the table due to payer coverage gaps.

  • Reduced Billing costs based on collections not payroll

    PGM’s fee structure is tied to what you collect, not a fixed headcount cost — meaning your billing expense scales with performance rather than overhead.

  • 39 year track record

    PGM has operated continuously as an independent medical billing company since 1981, giving clients the stability and institutional knowledge that newer vendors can’t match.

  • Over 30 specialties

    PGM serves physician practices and clinical laboratories across a broad range of specialties — from primary care and surgery to complex procedural and laboratory billing disciplines.

  • Serving all 50 states

    PGM manages payer relationships and compliance requirements across every U.S. state, supporting practices and laboratories regardless of where they operate.

Best-in-Class Medical Billing Software &
Services for Healthcare Professionals

Markets We Serve

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.

Free Medical Claim Scrubber Tool

PGM’s Medical Claim Scrubber is a free tool that analyzes claims before submission and flags errors that commonly lead to denials — including missing modifiers, incorrect diagnosis codes, and payer-specific rule violations. It’s available to any provider at no cost and requires no login.

Why Healthcare Providers Choose PGM

PGM was founded in 1981 by Albert Saviano, a former CFO and Controller for hospitals in New Jersey and New York, and former Director of the NJ Medical School Faculty Practice Program. PGM has operated continuously as an independent medical billing and revenue cycle management company for more than 45 years.

PGM’s leadership team brings deep, direct experience in healthcare finance and operations. Chief Operating Officer Martha Culver previously served as Associate Vice President at St. Luke’s-Roosevelt Medical Center. Senior Vice President of Practice Management Roey Hine brings more than 25 years of physician billing experience, with extensive background in credentialing, fee analysis, and compliance.

PGM’s billing specialists, credentialing professionals, and coding staff serve physician practices and clinical laboratories across all 50 states. The company’s technology infrastructure includes its proprietary Northstar practice management platform, AI-driven claims intelligence through its RevAIant partnership, and a free Medical Claim Scrubber tool available to any provider.

See our solutions in action

Try our new billing software
Free Tool

Try our live Medical Claim Scrubber demo and identify claim issues before submission.