Plan on knowledge that makes a difference.

Fee-for-Service Claiming

In an age of shrinking budgets, you want to ensure your district is optimizing the federal reimbursement you’re entitled to for the delivery of health services to your eligible students. Our financial experts offer a comprehensive range of services to support your fee-for-service claims processes, including:

• Transforming service documentation to required billing formats for submission to the state.
• Reviewing data for billing compliance.
• Tracking service submission, processing, payments, and final claim adjudication.
• Performing checks to determine Medicaid eligibility status.
• Providing detailed reporting and payment processing.

Revenue Optimization Services

PCG provides Medicaid revenue recovery and special education management services to more U.S. school districts than any other company, helping them increase revenue while lightening their administrative burden. Our financial experts can help your school district identify opportunities to optimize reimbursement from a variety of state and federal programs by:

• Providing detailed analysis to determine opportunities for additional revenue / reimbursement.
• Reviewing current processes and reimbursement to determine any audit risks.
• Ensuring that your district receives every dollar it’s entitled to—and maintain that reimbursement through any audits or reviews.

Special Education Improvement Services

Our dedicated consultants, who include special education specialists, administrators, and former teachers, can provide valuable strategic guidance to help you achieve better results for your students with disabilities. We’ll work with you to determine the right support for your needs, which may include: