A crucial component of designing cost-effective solutions for healthcare payer and provider organizations is the ability to seamlessly integrate with the functionality and capabilities of third-party software packages. PCG Software is committed to building strong affiliations with companies who share the same mission of Advancing Profitability for Healthcare.
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Through the pioneering use of Internet and related technologies, CERECONS has engineered breakthrough solutions that meet real-world healthcare management needs. The company offers a new paradigm in physician network management by allowing all care-chain participants to seamlessly connect and collaborate on patient health.
CERECONS’ flagship software offering of the same name, dramatically increases the efficiency of healthcare delivery and creates compelling value for participants in each regional healthcare community. Health plans, medical groups, hospital administrators, physicians and patients benefit from simplified healthcare transaction processing and communications.
www.cerecons.com
Government Management Services, Inc. (GMS) was founded to assist healthcare industry personnel search a comprehensive database containing information on healthcare individuals and entities that have been excluded from federal healthcare programs as well as adverse actions taken by licensing boards of State governments. The database GMS created for this purpose is called the Fraud and Abuse Control Information System (FACIS).
FACIS was designed to assist Compliance Officers, Risk Managers, Human Resources and Medical Staffing Services Personnel in precluding employment of an excluded individual or entity where reimbursement is sought from any federal healthcare program such as Medicare, Medicaid, and Tri-Care.
www.facis.com
HealthCare Information Management, Inc. (HCIM) delivers technology solutions and consulting to the managed care industry. HCIM’s products include:
- SymKey®, advanced auto-adjudication
- SymKey® Kwik Actions – work navigation
- ScanClaims™, complete work-flow and inventory management
- Appeals Manager™, automate appeals & grievances
- P4P – Data Management Solution
HCIM consultants are trained and certified! Our services include software application implementation services such as; project planning, business rules configuration, interface/integration of third party applications, conversions, custom software development, report development, testing, and technology/business assessments.
www.hcim.com
HMO Affiliates uses custom software to electronically detect pharmacy charge overpayments. When it finds these overpayments, it then contacts the pharmacy or PBM and recovers the money. It will also consult on pharmacy contracts to maximize profits by optimizing contract provisions.
- Post-payment pharmacy recoveries
- Pharmacy contract consulting
albert.sauer@hmoaffiliates.com
Personable PC Solutions has offered cost-effective and easy-to-implement solutions for healthcare data management since 1996. We get high marks from our clients for our friendly, efficient support.
- Eligibility Manager® - Eligibility reconciliation
- Cap Check™ - Reconcile capitation payments received
www.personablepc.com
Our relationships with market leaders have enabled us to bring together the necessary technology, software, people and processes to extend our ability to create complete solutions for our clients. For more information on PCG Software’s established relationships with other affiliated software solutions, please contact info@pcgsoftware.com. |
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