PCG Health helps state and local health agencies achieve their performance goals. Our seasoned professionals and proven solutions help agencies to increase program revenue, cut costs, and improve compliance with state and federal regulations. From behavioral health cost reporting to public hospital rate setting, PCG Health offers a wide array of consulting services to help state and local health agencies operate more efficiently and improve service to the populations they serve.
PCG Health helps state and local governments to develop, improve, and refine their system of services for individuals with mental health and substance abuse challenges and individuals with developmental disabilities. Services include:
- Cost Allocation Plans (CAP)
- Cost Reporting
- Medicaid Rebalancing
- Quality Management
- Random Moment Time Studies (RMTS)
- Rate Setting
- Revenue Enhancement
- Strategic Planning
- Waiver Design and Management
PCG Health consultants are experts at helping distressed or mismanaged financial operations to return to a level of fiscal vitality. We understand that each client requires a tailored approach that fits the needs of the agency and that is grounded in core financial management principals. These principals provide a path to improved outcomes and process for our clients. Services include:
- Business Process Functions
- Cost Allocation Plans (CAP)
- Random Moment Time Studies (RMTS)
- Revenue/Expense Reporting
- Budget Assistance
- Value Based Purchasing
Public Health provides services to our Federal Government clients through contract vehicles such as the GSA Federal Supply Service (FSS). The GSA FFS provides federal customers with the products, services, and programs to meet their supply, service, procurement, vehicle purchasing and leasing, travel and transportation, and personal property management requirements.
- Contract Number: SIN-520-4 Debt Collection NAICS 561440
- Contract Number: SIN-520-9 Recovery Audits NAICS 541211
From cost reporting and rate setting to state Medicaid rebalancing, PCG Health offers an array of consulting services that help long term care systems operate more efficiently and better serve the needs of their clients. Services include:
- Cost Reporting
- Money Follows the Person
- Rate Setting
- State Medicaid Rebalancing Services
- Revenue Enhancement Services
PCG Health consulting services help state and local governments interact more effectively with the Centers for Medicare & Medicaid Services (CMS) in order to better meet the needs of families and children they serve. Services include:
- Cost Allocation Plans (CAP)
- Health Benefits Advisor
- Health Care Reform
- Medicaid Administrative Claiming
- Medicaid Rate Setting Audit and Validation
- Medicaid Targeted Case Management (TCM)
- Medicare Part D Claiming and Recovery Services
- Medicare Part D and SPAP
- PERM Assistance
- Random Moment Time Studies (RMTS)
- Revenue Enhancement
- State Medicaid Rebalancing Services
- State Plan Design
- Training Services
- Waiver Design and Management
PCG Health offers physician group practices a wide range of services to improve the financial performance and compliance of their operations. PCG Health has skilled professionals and proven methods for improving claiming practices and operations management. Services include:
- Revenue Cycle Review
- Charge Capture Development
- Billing and Collection Services
- Coding and Documentation Improvement
- Rate sensitivity Analysis
- Reimbursement Negotiations
- Compliance Reviews
- Financial Reporting
From cost reporting and rate setting to emergency preparedness and strategic planning, PCG Health™ consulting services help state and local governments operate more effectively and better meet the needs of the populations they serve. Services include:
- Cost Allocation Plans (CAP)
- Cost Reporting
- Homeland Security - Emergency Preparedness
- Public Health Preparedness
- Random Moment Moment Time Studies (RMTS)
- Rate Setting
- Revenue Enhancement
- Strategic Planning - Feasibility Studies
- Supplemental Payment Program For Emergency Medical Services
From revenue management to strategic planning, PCG Health consultants help public and private hospitals and other facilities operate more efficiently and better serve the needs of their clients. Services include:
- Cost Reporting
- Rate Setting
- Revenue Management
- Strategic Planning - Feasibility Studies
PCG Health is one of the few firms in the country to have successfully assisted state Medicaid agencies and school districts with implementing new CMS processes. PCG Health has an in-depth understanding of OMB Circular A-87, which provides guidance on the permissibility of costs, and has assisted state Medicaid agencies to develop cost reporting forms that successfully capture all of the costs associated with providing health services in a school setting. Services include:
- Cost Reporting - Rate Setting
- Medicaid Claiming and Billing for Schools
- Random Moment Time Studies (RMTS)
- Massachusetts Behavioral Health Partnership
- New York Office of Mental Retardation and Developmental Disabilities
