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!
How to gain more providers, more members, and increase retention, all through this free payer marketing strategy guide.
Real-time article chronically DOGE's auditing of CMS and US Healthcare costs to help reduce the cost of healthcare and save taxpayer spending.
How to navigate the healthcare merger and acquisition market in 2025. Strategies, tips, real-life scenarios, and guidance from PCG's CSO who's been through them, on both sides of the table, and lived to tell about it.
Free guide for health plans, MSOs, and IPAs to prep for the incoming OIG audit.
Learn about CPT code 69210: removal of impacted earwax using specialized tools. Discover key details, documentation tips, common modifiers, and approved settings for accurate billing and reimbursement.
Discover why traditional CPT code books are outdated and costly compared to iVECoder's real-time, automated medical coding solution. Learn how weekly updates, affordable pricing, and workflow efficiency can revolutionize claims processing for health plans and billing professionals. Read now!
Health Plan strategies for natural disasters in terms of continuity of care, claims and authorization, and more. We hope these ideas and strategies help your organizaiton.
CPT Code 20610 descriptions, usages, modifiers, places of service, and examples with pictures and content. Learn about this aspiration and/or or injection of fluid from major joints today.
New HIPAA and PHI regulations in 2025 to help safeguard against Cyber Attacks. Who will pay the bill for these initiatives, and how or will this actually help?
Learn how California health plans now have to pay claims out in 30 calendar days instead of 30 business days, and the impacts they will experience and solutions they should consider.
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.