PGM

PGM Billing – One of Top 5 Medical Billing Companies in America

jonc — Fri, 10 Feb 2012 16:45:46 PST

(Lyndhurst, NJ) January 2012 – PGM Billing, a healthcare technology and service company, has been nominated as one of the “Five Best Online Medical Billing Service Companies” by Money and Business Magazine. The recognition honors PGM’s commitment to providing best in class medical billing services to physicians and healthcare facilities across the United States. The complete list of honorees for the survey can be found online at www.moneyandbusiness.com.

Albert Saviano, President and CEO of PGM Billing, said, “We are both delighted and thankful for having received such a distinction. This nomination highlights our commitment to servicing our clients to the highest market standards.”

Money and Business Magazine recognizes leading businesses in their fields, based on sector relevant criteria and customer surveys. Consideration for the award was based on a number of criteria that included HIPAA compliance standards, years in business, technology infrastructure, scope of services, and customer surveys. Private companies and nonprofits, as well as publicly held businesses, were included in the analysis.

In addition to this recent nomination, PGM has been awarded a number of other industry distinctions since inception in 1981, including a spot on highly coveted INC 500|5000 Fastest Growing Companies list. The Inc. 5000 list represents one of the most important sectors of the American economy, independent entrepreneurs.

ABOUT PGM

PGM Billing is a leading provider of medical billing and practice management software and services to physicians and healthcare facilities nationwide. PGM’s product offerings are based on proprietary web-based practice management software and integrated back-office service operations. The Company was founded in 1981 and currently serves over 350 physicians nationwide. Clients include solo practices, group practices, municipalities and laboratories in more than 50 different specialties. To learn more about PGM Billing, please call us at (877) 751-7515 or visit us at www.pgmbilling.com.

PGM Inclusion in Inc. 5000 List

admin — Thu, 01 Sep 2011 11:52:12 PDT

PGM Joins Some of America’s Most Successful Entrepreneurs on the 2011 Inc. 5000 List
(Belleville, NJ) – August 24, 2011. PGM, a healthcare technology and service company, has been included in Inc. 5000, an exclusive ranking of the nation’s fastest growing private companies. The Inc. 5000 list represents one of the most important sectors of the American economy, independent entrepreneurs.

With 46% growth in revenue over a three year span, PGM ranked 3580th overall, 317th in the Healthcare sector, and 359th in the NY metropolitan area. PGM’s success is a reflection of its commitment to provide innovative, affordable technology solutions to healthcare providers and practices across the nation. In line with this commitment, PGM continues to find ways to make its end-to-end medical billing, and practice management solutions even more efficient and affordable for its clients.

“We’re delighted to be recognized by Inc. Magazine as one of America’s top 5000 fastest growing companies and we thank our customers for making this possible. It was a year of increased focus for us with hundreds of new customers, nationwide expansion, and a growing team of dedicated and talented professionals,” said Chris Saviano, Vice President of Business Development at PGM.

PGM joins Spirit Airlines, Honest Tea, and Dunkin Donuts among other prominent brands featured on this year’s list. As a leader in today’s highly competitive Healthcare IT industry, PGM has built its success upon the constant pursuit of client satisfaction. It is this simple ideology that drives PGM to continue to find ways to make its end-to-end billing, and practice management solutions even more efficient and affordable to its clients.

Complete results of the Inc. 5000, including company profiles and an interactive database that can be sorted by industry, region, and other criteria, can be found at http://www.inc.com/inc5000/.

About PGM
PGM Billing is a leading provider of medical billing and practice management software and services to physicians and healthcare facilities nationwide. PGM’s product offerings are based on proprietary web-based practice management software and integrated back-office service operations. The Company was founded in 1981 and currently serves over 300 physicians nationwide. Clients include solo practices, group practices, municipalities and laboratories in more than 50 different specialties. To learn more about PGM Billing, please call us at (877) 751-7515 or visit us at www.pgmbilling.com.

About Inc. Magazine
Founded in 1979 and acquired in 2005 by Mansueto Ventures LLC, Inc. is the only major business magazine dedicated exclusively to owners and managers of growing private companies that delivers real solutions for today’s innovative company builders. Inc. provides hands-on tools and market-tested strategies for managing people, finances, sales, marketing, and technology. Visit us online at www.inc.com.

PGM in 25 States

admin — Tue, 26 Jul 2011 07:37:41 PDT

PGM Expands National Presence with Clients in 25 States
With Arizona, PGM has now attained the milestone of 25 states with active clients, as part of its successful national expansion plan, the innovative medical billing and healthcare IT company based in Belleville, N.J. announced.

“We are one of a select group of revenue cycle management and medical billing companies with a truly national presence,” said Al Saviano, president of PGM. “In the past year alone, we added clients in 10 new states. We have the capacity and capabilities to services clients in all 50 states. Our 2 year goal is to serve healthcare professionals in every state in the country.”

Saviano credits PGM’s continued growth to its cost saving and revenue enhancing back office services and cutting-edge, web-based billing platform. “In today’s environment, In-house billing rarely makes sense from an economic and financial point of view. Our cloud based practice management system backed by our first in class medical billing service allows us to extend our value proposition to clients in all parts of the country.” Said Al Saviano, President of PGM.

About PGM Billing
PGM Billing is a leading provider of medical billing and practice management software and services to physicians and healthcare facilities. PGM’s product offerings are based on proprietary web-based practice management software and integrated back-office service operations. The Company was founded in 1981 and currently serves over 300 physicians nationwide. Clients include solo practices, group practices, municipalities and laboratories in more than 50 different specialties. To learn more about PGM Billing, please call us at (877) 751-7515 or visit us at www.pgmbilling.com.

Medicare Fraud: Abuse of the System & Means of Struggle

admin — Sun, 15 May 2011 18:12:02 PDT

There are many different kinds of Medicare fraud yet the goal is always the same – to rook money from the Medicare program. Generally Medicare fraud is challenging to track as not all fraud is detected and not all suspicious claims prove to be fraudulent. That is when Medicare abuse is in place. It occurs when physicians or suppliers fail to follow best medical practices, resulting in unnecessary costs to Medicare such as improper payments, or medically irrelevant services. In fact, Medicare fraud – estimated now to total about $60 billion a year – has become one of, if not the most profitable, crimes in America..

Significant decrease of fraud will cut costs for families, businesses and the federal government. Instead it will increase the quality of services for those in need of care. The U.S. Department of Health and Human Services (HHS) and U.S. Department of Justice are proactively cooperating to help eliminate fraud and investigate fraudulent Medicare (and Medicaid) operators who are cheating the system. On January 24, 2011, HHS announced new rules authorized under the Affordable Care Act that will help prevent defrauding the Medicare program. These rules serve to protect patients and legitimate doctors as well as other providers. They include: enhanced screening and other enrollment requirements (rigorous screening process for providers enrolling Medicare in order to keep fraudulent providers out of the program), stopping payment of suspect claims (the program can temporarily stop enrollment of a category of providers or of providers within a geographic area that has been identified as high risk), new resources and sharing data to fight fraud, new tools to prevent fraud, expanded overpayment recovery efforts, enhanced penalties to deter fraud and abuse, stiff new rules and sentences for criminals, greater oversight of private insurance abuses.

According to federal law, a healthcare provider filing a false claim for medical services that not provided, weren’t rendered in full, or that were medically unnecessary, can be subjected to 5 years of prison, a $250,000 fine as an individual and $500,000 for a corporation, or both. In case of making false statements, or covering up material, offenders will pay a $10,000 fine, and serve a 5 years prison sentence, or both. Soliciting monies or services, or receiving them, in exchange for gifts, financial rewards, or services that Medicare covers, is also a crime. Penalties for this could include a fine of $25,000 and/or serve 5 years in prison. If a prosecutor can prove that the violator used certain forms of media (TV, Internet etc.) to advance such deceit to the public, they can end up in jail for 5 years, plus become liable to pay a $1,000 fine. Finally, according to the recent passage of the Kennedy-Kasselbaum Act, if the offender schemes to defraud any healthcare agency, they may draw penalties of up to 10 years of imprisonment, plus any court costs, fines, or financial penalties the court deems fit to assign them. If an injury occurs due to such schemes, the sentence may get up to 20 years plus fines. In case of death the penalty may turn into a life term in prison.

Physicians can take 2 simple steps to avoid accusation of Medicare fraud or abuse in the future: billing audits and keeping detailed and accurate patient records. Conducting regular audits may disclose contradictions that should be investigated and corrected immediately. Detailed and accurate records will assist any investigator in determining whether a medical billing issue was fraud or a mistake, and will help eliminate any mismatch quickly. Ultimately, the easiest way to elude prosecution of healthcare fraud is keep up with the relevant laws, regulate your billing practices, and immediately deal with errors discovered during routine audits.