PCG's Healthcare Blog & Updates
Our PCG Blog is intended to provide education to the Healthcare Market on AI claims software, claims review, claims adjudications, medicare fraud, medicare waste, lawsuits and settlements, medical coding, medical billing, and more! We provide statistics, links, downloadable content, and so much more every month!
CPT Code 90837 description, examples, modifiers, places of services, and helpful tips for cleaner claims for both payers and providers.
Quick and easy to read guide on how to hire, fire, and retain your health plan employees.
We review the 2024 CAHP Conference, what it is, how it went, and if it's right for your plan to attend the next year.
CPT code 82310 description, modifiers, case uses, bundled codes, and images illustrating everything you need to know to process claims or submit claims within compliance.
CPT Code 88365 descriptions, usages, modifiers, places of service, bundled codes and tips on how to adjudicate or submit cleaner claims. Backed by AMA licensing info.
CPT code 88323 descriptions, case usages, financials, bundled codes, CCI edit considerations, and more. Learn about the code as well as how AI coding scrubbers can help with efficiency, accuracy, and compliance.
Guidance on the usage of AI for healthcare prior authorizations for payers and providers in 2024-2025 and beyond. We will continually update and improve this blog as new developments occur.
CPT Code 51703 definition, usage, modifiers, financial details, and more. Click to learn about the complicated insertion of bladder tube.
01996 cpt code is Daily hospital management of continuous spinal drug administration. Learn about it's history, definitions, cms statuses and more.
Latest medicla coding changes, latest medical coding claims information, a look at our quarterly newsletter to our clients, all information obtained from; CMS, AMA, and the WHO.
CPT code 99214 defined, explained per CMS and AMA guidelines, with pictures and helpful tips on how to avoid denials.
The history and latest updates on the cyber attack of ChangeHealthcare owned by United Healthcare Group.
Explore how AI can help your health plan reduce costs and increase compliance with AI claims auditing.
Cano Health files for bankruptcy. Who are they? Why did it happen? What's the fallout?
AI and EI discussion. Can it happen? Yes, find out how. Should it happen? Here what we, an AI company, say about it.
CPT 20220 definitions, case uses, bundles, financials, and how to get clean claims through the use of AI.
Violation tracker of UnitedHealth Group's continued fraudulent activities and fines.
Explore how a 2014 article on mental health fraud still has the same issues in today's healthcare. Read it and be amazed that 9 years later the same problems exist. Examine history or you're doomed to repeat it.
AI has been in healthcare since 1995. Learn how it has grown and how PCG software's predictions were spot on. Also includes statistics on denials, fraud, and compliance.
Summary of Biden's new AI Executive Order for healthcare and how it will impact your plan.
Learn the basics, definitions, and rules regarding Modifier 79.
Description of the CMS R 131 form with FREE download of the form.
How and when to use modifier 78 to ensure optimal approval rates and compliance.
CPT Code 49000 description, usages, modifers, bundled codes, and guidance.
57410 cpt code definitions, pictures explaining the code, and usages.
Full description and case usage examples of cpt code 00952.
Brief overview of the benefits of having a full 3-year claims audit can do for your independent physician association (IPA).
10 reasons why AI in healthcare billing will only grow; benefits, examples, and the #1 ai in healthcare billing option for clinics, dentists, and FQHCs.
Short summary on the latest Biden strategy to reduce Part D spending with an out-of-pocket enrollment option for medicare advantage part D plans.
Comprehensive Guide to CPT Code 99386: Meaning, Usage, definitions, examples, visuals, and AI-Driven Advantages.
CPT Code 99213, everything you need to know; usage, modifiers, places of service, bundled codes, who uses it and how to use it. AI medical coding options that can help with code look-ups as well.
What is an IPA healthcare? IPA definition, examples, guides, and information for providers to choose the right IPA as well as IPAs to implement new changes to be more attractive to new providers.
Become a pro with 11104 cpt code, learn the impact of cpt code 11104 and get examples. Learn how AI can help you with cpt 11104.
Charge Capture process; helpful summaries, tips, and AI tools that can improve your current process or set it up for success.
If you own and operate an online medical coding coursing and/or coaching site, you need to offer not just results but cutting-edge technology. The coding books while useful in 2020, are not outdated with AI medical coding softwares now available. This could be the differentiator you need to increase sales.
Quick summary of AAPC HealthCon 2023, future AAPC events, and how to learn what you missed.
FREE Downloads, videos, and guides; coding careers, salaries, comp plans, 30-day action plan to decrease denials, and so much more!
The impact and strategies to avoid denials from gender and diagnosis errors in your medical billing practice or RCM agency.
CMS Payer Audit descriptions, information, statistics, and how to avoid or survive a CMS audit.
Medicare Administrative Contractor origins, descriptions, benefits, and complaints.
What is a CCI edit, when was Ncci founded, updates, checkers, AI software, and examples?
Modifier 24 descriptions, appropriate vs inappropriate usages, examples, and how iVECoder makes understand modifiers easier than ever before.
CMS and AMA guidelines for CPT 99202, CPT 99203, all new patient consult cpt codes, established patient codes for consults, how to remain compliant, and increase your approvals for consults.
AI medical coding software can increase approval rates, increase workflow efficiency, and help you save $1,000s of dollars per month in denials. Explore how AI medical coding can be used by medical billers, medical coders, and even medical staff and managers to avoid denials, and even negotiate contracting for RVUs based on your GPCI settings.
Explore the financial impact of medical billing errors on healthcare budgets, taxpayers, and payers.
Find out why Opioid costs containment is so important to providers, plans, patients, and taxpayers.
Editorial highlighting the questionable motives, and potential issues and hurdles for Kaiser and Geisinger acquisition to go "smoothly."
Our COO, Ms. Andria Jacobs (RN, MS, CEN, CPHQ)with 30 years of experience shines a light on how to identify and fight back against the growth of home healthcare fraud in America.
We look at a 2020 false diagnosis fraud and beg the question... What did he do? Why? and Where is Dr Zamora now?
Learn how providers can focus on value-based care initiatives to increase their contract negotiation power with plans and avoid big tech or big health buyouts.