Physician Practice Management Software

The first, complete practice management system that's priced to fit your size.
It's everything you need to run your business, minus the bill.

Overview

PGM has developed a full practice management solution like no other. Our cloud-based system packs in the critical functions and features that today's practices require to effectively manage patients, streamline the billing process and increase productivity. And it's all for free. Not only will you get paid faster, but you keep more of your hard-earned money.

Dashboard

Drive your business from our intuitive, customizable dashboard. Get a high-level snapshot of the data you value most upon system startup. Choose from accounts receivable, billed charges and collections, denials, productivity, top CPT codes by volume, patient notes and much more. Add, remove and edit components with just a few clicks. It's all the critical information you want right away, displayed and easily assessable in one place.

Scheduler

Take control of your schedule. Easily manage patient office flow with multi-provider, multi-location and multi-resource scheduling capabilities. Customize user views and schedule all procedure rooms, nurses, doctors, equipment or any combination of resources. Appointment search to quickly match patient appointment requests with the provider's calendar. Additionally, the scheduling interface allows you to schedule multiple resources for the same appointment time, as well as other customizable tools to help you simplify the process and reduce staff time required to schedule each appointment.

It's everything you need to run your business,
minus the bill

Financial Workflow

Charge Capture & Entry
Claim Submission
Remittance
Denial and A/R Management

Charge Capture & Entry

Enter and capture charges, set up common codes and improve claim accuracy — all with ease. The system comes ICD-10 ready, reducing the potential for denials. And it accepts data from all EMRs, eliminating the interoperability barrier that hinders effective information flow, adaptation and compliance.

Claim Submission

Clean claims go out faster,so you get paid quicker. Our scrubbing tool checks claims for accuracy and completeness, reducing the need for second and third attempts at submission. Staff spend less time reworking claims, more time collecting.

Remittance

Never lose track of the status of payments and instantly identify issues that delay payments. Our system's remittance management functionality shines a light on those claims needing additional attention. It also shows where staff may require more training and education.

Denial and A/R Management

Keep money from slipping through the cracks by maintaining a close eye on the status of denials and days in A/R. Organize denials and no-response follow-up claims by payer, denial reason, age of claim and more. Know which accounts to prioritize so staff time and money captured is maximized.

Reporting

Understand your business inside and out with our reporting and analytics functionality. Customizable and easy-to-assess metrics and graphs deliver the deep dive into your financial performance needed to keep your organization thriving. Capture and deliver key data and metrics for benchmarking and regulatory reporting. There are hundreds of standard reports to choose from or you can customize reports to meet specific needs and objectives. Drill down into your data quickly and deeply, achieving clearer visibility into operations and claims status — all updated in real time.

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EMR Integration

Our system is designed to work with any EMR. You read that right: any EMR. As a fully integrated software system that includes HL7 capabilities, information passes seamlessly between our solution and your EMR. If an issue arises with communications between systems, our service technicians will create an effective bridge that keeps data flowing.

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Rules Engine

Payer rules and regulations change on daily basis (or close to it). The PGM team continuously monitors communications from payers, updating our claims rules engine following the announcement of changes or additions. This powerful scrubbing tool reduces the likelihood of denials occurring and often eliminates the potential for repeat denials.

Pricing

Basic

$199.99/month

per provider

0 – 100 Claims^*

24/7 anywhere Cloud access
Software Updates
System Access - 3 Users per Provider
Practice Dashboard
Patient Scheduling
Charge Capture and Management
Practice Analytics & Reporting
Paper Claims
Paper Patient Statements
Patient Collection Letters
Claim Scrubbing
Online Tutorial Library
Technical Support
Electronic Claims and Electronic EOBS (ERAs)
Patient Eligibility

Pro

$399.99/month

per provider

101 – 500 Claims^*

24/7 anywhere Cloud access
Software Updates
System Access - 3 Users per Provider
Practice Dashboard
Patient Scheduling
Charge Capture and Management
Practice Analytics & Reporting
Paper Claims
Paper Patient Statements
Patient Collection Letters
Claim Scrubbing
Online Tutorial Library
Technical Support
Electronic Claims and Electronic EOBS (ERAs)
Patient Eligibility

Pro Plus

$699.99/month

per provider

501 – 1500 Claims^*

24/7 anywhere Cloud access
Software Updates
System Access - 3 Users per Provider
Practice Dashboard
Patient Scheduling
Charge Capture and Management
Practice Analytics & Reporting
Paper Claims
Paper Patient Statements
Patient Collection Letters
Claim Scrubbing
Online Tutorial Library
Technical Support
Electronic Claims and Electronic EOBS (ERAs)
Patient Eligibility

Onetime setup fee: $1000.00

This fee includes 10 hours of system training during setup.

^* Overages on claim volume will be billed at $.40 per claim

Additional Services Offered

Batch Eligibility – $48 per month
Manage EDI Enrollment Process between Client and Northstar’s preferred vendor
Batch Statement Printing and Mailing – $.78 per statement
- Through Northstar’s preferred clearinghouse
Patient Payment Portal
- Through Northstar’s preferred clearinghouse

Requests for Report Customization in billing system
Data Field Customization in billing software
Live web software Training
HL7 EMR Integration
- Pricing varies
CSV File Integration
- Pricing varies

*If client is able to use the NorthStar HL7 and / or CSV specification, no additional fee is required. Pricing applies only if additional customization is necessary.

See our solutions in action

Schedule a Demonstration

When starting our laboratory we relied heavily on PGM for guidance on everything from credentialing and coding to managing insurance payments to patients. Their knowledge and expertise in anatomical pathology billing has greatly contributed to the success of our company. I highly recommend PGM to any lab, and we look forward to continuing our long term partnership with PGM.

Dr. Shahrukh JovindahIcon Pathology

PGM has been instrumental in helping us manage Acculab's billing and revenue cycle. They are a trusted partner, and have played a pivotal role in our continued growth and success.

Acculab
Brandon WoodwardCFO

PGM has a smooth and efficient approach to implementation. My dedicated account representative was extremely knowledgeable about everything from improving my fee schedule to developing a list of frequently used procedure codes that could improve my payer reimbursement. PGM guided my office staff and I through every step of the billing hand over.

Jordan M. Garrison Jr. MDJersey City, NJ

PGM’s system tracks data so effectively that we can conduct detailed analyses to determine the health of each of our locations as well as the productivity of the providers.

A2 Medical GroupLeesburg, VA

PGM’s fully integrated practice management software combined with their back office billing solution gave our practice the resources to spend our time doing what we do best.

Office ManagerPrivate Physicians Medical Associates