Found 451 results

For Health Plans

Managed care plans are under more regulatory scrutiny than ever before. Meanwhile, they face the business challenge of controlling Medicaid costs without sacrificing patient outcomes. At PCG, we’ve worked in the Medicaid program integrity environment for more than three decades. Our team will work w...

/health/for-health-plans/

James Dachos

Mr. Dachos, an Associate Manager in our Healthcare Financing Solutions division, has 12 years of Medicaid and Healthcare experience with PCG. He leads PCG’s Emergency Medical Services (EMS) division... James Dachos Associate Manager Health Mr. Dachos, an Associate Manager in our Healthcare Financing...

/leadership/health/james-dachos/

Public Consulting Group presents at HCBS Conference on using data analytics, best practices to reduce client abuse/neglect

BALTIMORE, August 27, 2018 – Better use of data analytics and “best practices frameworks” can address what a government inspector general recently called “a systemic problem” of abuse and neglect of elderly and disabled people in home and community based services (HCBS), new research by Public Consu...

/news-perspectives/public-consulting-group-presents-at-hcbs-conference-on-using-data-analytics-best-practices-to-reduce-client-abuseneglect/

PCG and the Georgia Department of Education Win Learning Impact Platinum Award for Their Work on the 50-State CASE Registry Service.

At this year’s Learning Impact Leadership Institute IMS Global, recognized Public Consulting Group (PCG) and the Georgia Department of Education (GA DOE) with a Learning Impact Platinum Award At this year’s Learning Impact Leadership Institute IMS Global , recognized Public Consulting Group (PCG) an...

/news-perspectives/pcg-and-the-georgia-department-of-education-win-learning-impact-platinum-award-for-their-work-on-the-50-state-case-registry-service/

Administrative Service Organization Services

Coding Training and Compliance Review Services Coding and documentation requirements, along with compliance regulations, change all too frequently. To keep our clients abreast of changes in coding, documentation, and compliance, PCG has developed a series of training and compliance tools that can be...

/health/for-state-insurance-departments/administrative-service-organization-services/

Institutional Rate Setting and Support

Institutional Rate Setting Services and Support Services Institutional services, such as inpatient and outpatient hospital, skilled nursing facility, and nursing facility services are a significant spend and driver of healthcare costs. Medicaid and other state agencies need, and should adopt, paymen...

/health/for-health-plans/institutional-rate-setting-and-support/

Institutional Rate Setting and Support

Institutional Rate Setting Services and Support Services Institutional services, such as inpatient and outpatient hospital, skilled nursing facility, and nursing facility services are a significant spend and driver of healthcare costs. Medicaid and other state agencies need, and should adopt, paymen...

/health/for-state-insurance-departments/institutional-rate-setting-and-support/

Institutional Rate Setting and Support

Institutional Rate Setting Services and Support Services Institutional services, such as inpatient and outpatient hospital, skilled nursing facility, and nursing facility services are a significant spend and driver of healthcare costs. Medicaid and other state agencies need, and should adopt, paymen...

/health/for-state-health-medicaid-agencies/institutional-rate-setting-and-support/

Physician Services Supplemental Payment Strategies

Physician Upper Payment Limit (UPL) Supplemental Payment Strategies Medicaid agencies across the country grapple with ensuring sufficient access to primary, specialty, and dental care services to the Medicaid population. By implementing a Physician Medicaid Supplemental Payment strategy, Medicaid ag...

/health/for-provider-organizations/physician-services-supplemental-payment-strategies/

Physician Services Supplemental Payment Strategies

Physician Upper Payment Limit (UPL) Supplemental Payment Strategies Medicaid agencies across the country grapple with ensuring sufficient access to primary, specialty, and dental care services to the Medicaid population. By implementing a Physician Medicaid Supplemental Payment strategy, Medicaid ag...

/health/for-state-health-medicaid-agencies/physician-services-supplemental-payment-strategies/