PCG's Healthcare Blog & Updates

Continually updating you on the Change Healthcare cyber attack, UnitedHealth Group response, and it's impact on healthcare and patients.

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.

Learn about J7999 cpt and J7999 related HCPCS codes, as well as the usage of J7999 with Avastin and it's biosimilars.

Take a quick look at Optum's 2022 buyouts and the recent buyout of NY-based Crystal Run Healthcare. See if you are next in line for a possible acquisition and how to avoid it.

Explore why AI medical claims are here to stay, how to utilize them, and how not to take the human element out of claims and patient outcomes.

How AI can help identify opioid abuse, and fraud, as well as how AI can help reduce the cost of Opioid addiction-related costs to the US Healthcare system.

FREE info and downloads of the 2023 newly released diagnosis and medical billing codes. Learn the initial impacts of these changes to your practice.

Explore recent DME Fraud cases, strategies, and statistics.

Learn about hospital readmission costs, and strategies to avoid future costs and penalties and death

Learn what CARC and RARC stand for, as well as the impact they have on payers, providers, and the healthcare system.

Find out the strategies to reduce duplicate medical billing for payers and providers

Learn how to avoid surgery center denials and how to counsel your staff or centers from a management perspective.