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COVID-19 Vaccine Codes

Updated December 22, 2020: The COVID pandemic has had tremendous emergent impact upon medical care, testing and supplies.  In response, the AMA’s CPT Editorial Panel has had to rapidly create and establish new CPT codes for COVID reporting, tracking and analysis to support data-driven planning and resource allocation. On December 12, 2020, the Pfizer COVID […]

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Proposed Evaluation and Management Coding Changes for 2021

It has taken 30 years, but the AMA and CMS have performed a complete overhaul of the Evaluation and Management (E/M) documentation and coding guidelines and they are set to be implemented January 1, 2021.  The hope is that the burden associated with meeting the 1995 or 1997 guidelines will finally be lifted and patient […]

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HCPCS CS Modifier Guidelines Related to COVID-19 Testing for Community Health Centers

Updated 8/27/2020 The Family First Coronavirus Response Act (FFCRA), which went into effect March 18, 2020, waives cost-sharing (i.e., coinsurance and deductibles) by patients receiving COVID-19 testing-related services, as well as the testing itself. This Act applies to group and individual health plans including Medicare, Medicare Advantage, Medicaid, CHIP, and private payers. The Coronavirus Aid, […]

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Coding Guidelines for SARS-CoV-2 (COVID-19)Testing in Health Centers

Updated 12/22/2020 On May 24, 2020 the Department of Health and Human Services presented a COVID-19 Strategic Testing Plan to Congress which describes, among other things;  detailed information on various testing methodologies; medical device and test availability; and, research and advice designed to inform the government as plans for re-opening the country are made and […]

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Community Health Center Telehealth Services covered by Medicare during the COVID-19 Public Health Emergency – Highlights from the latest Medicare Learning Network

Updated 10/6/2020 On April 17th, CMS released the much anticipated Medicare Learning Network Matter article (SE20016) as guidance for health centers regarding telehealth reimbursement during the COVID-19 and 1135 Waiver Public Health Emergency (hereafter “COVID PHE”). Health centers had been waiting for this directive since March 17th when expanded language around Medicare billing was provided […]

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PMG Announces New Client – Shalom Health Care Center in Indianapolis, Indiana.

PMG Inc., the nation’s leading full-service revenue cycle management company dedicated exclusively to FQHCs and CHCs, announces its newest Provider Enrollment client, Shalom Health Care Center in Indianapolis, Indiana. PMG’s comprehensive suite of services PMG is providing Shalom Health Center with services including confirmation of the enrollment status of all providers with all payers that […]

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PMG Response to COVID-19

As the COVID-19 Pandemic continues to impact our daily lives, the health and well-being of our employees and clients is our top priority. To ensure the safety of our employees and teams, and the communities in which we work and live, PMG has instituted a work from home policy for employees in all offices.  We […]

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2020 OACHC Annual Conference

PMG will be in Columbus next week attending the OACHC Annual Conference. We specialize in revenue cycle management for FQHCs and offer full outsourcing, revenue cycle analytics for denial management and avoidance. PMG can help you increase revenue, enhance cash flow, and reduce your overall cost-to-collect. Stop by booth # 47 to learn more! Meet […]

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Join Us at the 2019 Financial, Operations Management/IT (FOM/IT) Conference

Visit PMG in Booth # 416 to learn more about our revenue cycle solutions designed specifically for FQHCs. Explore our Revenue Cycle Solutions We have a successful track record of improving the financial and operational condition of every one of our clients. Because we have served the FQHC market for over 20 years, we have […]

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