Services

Financial Analytics

PCS provides highly successful program management and subject matter expertise for Military Health System activities directly supporting the Planning, Programming, Budgeting, and Execution cycle, and the evaluation of federal resources and programs that require coordination across multiple agencies. PCS associates have consulted on the allocation of medical appropriations for 9,000+ critical programs valued at more than $3B. Our projects have included the use of advanced change management techniques, communication methods, and technical expertise in programming and planning concepts.

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Medical Billing & Collections

PCS uses a proactive and innovative approach to medical billing that maximizes collections and produces "clean and solvent" revenue, compliant with federal regulations. Our revenue cycle management team provides clients a revenue recapture program that significantly alleviates unnecessary denials and appeals, resulting in quicker reimbursement without delays. Our process significantly reduces the number of claims typically turned over to collection agencies and decreases Days in A/R, thus producing greater revenue to our clients in a more timely manner. Our clients have enjoyed a decrease of Days in A/R from >68 to <35 within three months of implementing our solution.

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Medical Claims Processing

PCS provides comprehensive medical claims processing for The Veterans Health Administration. PCS Associates utilize multiple VA platforms, including eCams and FBCS, to accurately and efficiently process authorized and unauthorized claims for all eligible Veterans. We currently provide this service to all VA VISNs, processing millions of claims annually.

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Referral Management

PCS supports the Department of Defense with medical referral management services. Our services include assisting patients and medical providers by ensuring timely receipt of medical referrals for a wide range of services, including medical and surgical specialists, labs, emergency departments, and hospitals. PCS provides the expertise needed to ensure that all referrals meet the time-sensitive needs of the patients and their providers while also establishing relationships with all providers and service organizations within the communities we serve.

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Medical Coding/CDI/HIM

Principle Choice Solutions understands the key to accurate medical records and billing starts with pristine documentation and medical coding.

We are trusted and respected healthcare revenue cycle experts and have vast experience providing medical coding, Clinical Documentation Improvement (CDI), and Health Information Management (HIM) expertise and services to all sizes and specialties of healthcare organizations.

Our coding team of experts has averaged just above 98% in coding accuracy and has enabled clients to decrease their Discharged Not Final Billed (DNFB) from an average of 14 days to below 3 days.

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Program Management

PCS provides customized program management and subject matter expertise for providers and healthcare organizations. Our program management experts target client’s specialized needs with effective communication, responsiveness, and accessibility. We focus on providing a unique, efficient, and evidence-based approach to handling all types of internal and external projects.

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Customer Service

Principle Choice Solutions offers extensive call center services to the Department of Veteran Affairs (VA) for all VISNs. Specifically, our associates provide a full range of quality customer service on behalf of the VA for Veterans and the medical providers within the Community Care and Champ VA programs.

We accurately and efficiently assist Veterans and providers in understanding medical claim and payment status, ensuring eligibility for reimbursement, and process changes and updates regarding claims submitted for reimbursement. We also provide a 72 Hour Notification Hotline to support the Centralized Authorization Emergency Care (CAEC) program for the VA to begin the crucial coordination of care for Veterans seeking emergency treatment at community hospitals.

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