Key Takeaways Practices rarely decide to leave a billing vendor over one incident. It’s usually the accumulation of smaller, unresolved issues that eventually forces the decision. The reasons span the entire relationship, claims accuracy, communication, compliance, even how patients experience billing, not just one type of failure. Several of the most common reasons have nothing […]
How to Use a Medical Claim Scrubber: A Step-by-Step Walkthrough
Key Takeaways A medical claim scrubber reviews CPT codes, modifiers, diagnosis codes, and claim structure before submission to flag errors that lead to denials Different specialties produce different types of claim errors — the same pre-submission review process surfaces different issues depending on the claim context AI-powered claim scrubbers identify relationships between coding elements that […]
What Is a Claim Scrubber and Why It Matters More Than Ever
Key Takeaways A claim scrubber reviews coding and claim data before submission to identify errors that lead to denials AI-powered claim scrubber software can detect more complex issues than traditional rules-based tools Effective claim scrubbing improves clean-claim rates and reduces rework across the revenue cycle Early validation supports faster reimbursement and more predictable cash flow […]
PGM Billing Launches ICD-10 Codes by Medical Specialty Database
Key Takeaways New ICD-10 codes by medical specialty database helps providers and billers find the right diagnosis codes faster Supports more accurate coding, cleaner claims, and fewer denials Organized by specialty to reflect real-world documentation and payer expectations Part of PGM Billing’s broader approach to improving revenue cycle performance Accurate ICD-10 coding plays a central […]
PGM Billing Launches AI-Powered Medical Claim Scrubber Through RevAIant Partnership
Key Takeaways PGM Billing has partnered with RevAIant to introduce AI-driven claim scrubbing capabilities The solution helps identify coding errors and denial risks before claims are submitted Earlier validation supports stronger clean-claim rates and fewer downstream corrections The AI-powered medical claim scrubber provides immediate feedback without requiring PHI Billing teams gain greater confidence in claim […]
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 […]
PGM Undergraduate Scholarship Recipient: Cameron Casciano, Syracuse University
PGM Billing, a leading integrated physician and laboratory billing, practice management and revenue cycle management service provider, congratulates Cameron Casciano, the recipient of the second PGM Undergraduate Scholarship. The PGM scholarship was open to undergraduate students pursuing a career in computer science with a demonstrated interest in the healthcare industry. Casciano, the 2017 recipient, is […]
PGM’s Credentialing Specialist Justine Marquard Contributes Credentialing Article to Becker’s ASC Review
Justine Marquard, credentialing specialist at Physicians Group Management, has contributed a column to ambulatory surgery center (ASC) publication Becker’s ASC Review. The story is titled “10 Best Practices for ASCs to Ensure Successful Credentialing.” To view the column, click here. Becker’s ASC Review features general business, legal and clinical guidance on topics including joint ventures, […]
New Case Study: Concierge Practice Outsources Medical Billing to PGM Billing
A new case study is now available for download in our Library. The case study details the experience of Private Physicians Medical Associates, a mid-sized concierge practice in Newport Beach , Calif., that selected AmazingCharts as its electronic medical records software and then outsourced its medical billing to PGM Billing to help overcome many challenges, […]