Medicaid Reimbursement   

PCG has more than 10 years of national experience with school-based Medicaid engagements and has recovered more federal Medicaid money for our school district clients than any other vendor in the country.

PCG works with over 1,000 school districts throughout the nation, from large urban to small rural districts, on Medicaid claiming for direct health services, transportation, targeted case management, and administrative outreach activities. We have a proven record of success in assisting State Medicaid agencies with their statewide school-based programs.

Unparalleled Approach to Customer Service
In order to best serve our clients, PCG has established offices and professional staff in 21 states. We believe that it is best to manage projects from local offices with a connection to our client and the community, not from remote locations or large claims processing facilities. PCG's Medicaid billing and compliance experts ensure that our clients receive the highest level of Medicaid reimbursement for their school-based services. Dedicated  representatives are available throughout the duration of each project to provide comprehensive training and ongoing audit support and guidance.

Medicaid Legal and Regulatory Assistance
PCG retains experienced professionals to provide consulting services that assist our clients in complying with state and federal Medicaid billing requirements. By performing on-going reviews of federal audit reports and collaboration with state Medicaid agencies, PCG is able to assess school districts' exposure to compliance issues, advise best practices, and help you retain maximum reimbursement.

Encouraging the Use of Technology
PCG provides our clients with comprehensive service and offers the option to implement time-saving technology.  Integrating Internet- and Palm-based technology solutions into Medicaid reimbursement projects reduces the burden on school staff, saves time, and facilitates compliance.

• EasyTRAC™ facilitates Internet- and Palm-based documentation of health-related services to students. Clinicians can easily and conveniently document services at any time without the need for scanner forms and paper logs.  Over 12 million services have been documented within EasyTRAC™, while more than 1,000 Palms are in use.
• EasyAOC™'s online time study approach and random moment methodology allow for convenient documentation of administrative outreach activities that comply with federal statistical requirements.  EasyAOC™ eliminates the paper chase and the lengthy time study training required for administrative claiming.

 Attachments

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