All Medical Care Is Local

Patients want to get to know their doctor. Doctors want to know the other primary care doctors or specialists to whom they refer or from whom they receive referrals.

FACT: Selecting, training, contracting and credentialing an effective provider network takes time, expertise and resources.

FACT: All networks are not the same.

FACT: If you're looking for financial performance for your medical or workers' compensation plan, adopting or creating the right network is the best possible place to start.




"Good contracts are like good fences: they make for good neighbors."










"More things go right with a good contract than could ever go wrong without one."






"Credentialing is a process to make sure doctors who put their hands on your patients are trained and qualified to do so."





"All information provided by a doctor is verified to prevent possible fraud or abuse."

Patients who are happy with the clinical and interpersonal skills of their doctors comply more readily with treatment and return to work and other daily activities with confidence. They also get well much faster. Doctors who have confidence in their local network peers tend to refer appropriately and accept patients in a timely manner. All of this adds up to a tremendous savings in excessive procedures that don't have to be provided, wage loss that is not paid, oversight that does not have to be conducted, and productivity that is not lost.

None of this happens by accident.

Contact PMG for assistance in:
  • Leasing an existing network
  • Forming a new network
  • Leasing a new network

    • Other PMG network-related services include:
  • Credentialing
  • Contracting

    • Contracting

    Putting together contracts that meet the needs of both medical providers and payers isn't always easy. But if you want a network that works, responds and does what needs doing without a lot of hassle, contracting is where it all begins.

    You won't see the actual work that it takes to forge good agreements, but you will see the results. That's why we fashion our agreements with the utmost care. We set standards to ensure that each contract is fair and protects both parties. We research applicable laws to make sure that everyone remains in compliance. And we carefully wrap it all up with lists of duties and responsibilities that clearly spell out what each of us needs to do in order to give our patients the kind of timely, professional care that they deserve.

    Contracts can be tedious and time-consuming. But it seems that more things go right with a good contract than could ever go wrong without one, or worse yet, with a bad one. Spending time forging good agreements also shows our providers that we care and that we mean business…good business for everyone involved.
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    Credentialing

    The PMG Credentialing Review Committee consists of select physicians and risk managers who review applications, documents and past histories to ensure that each provider meets our initial criteria, and continues to do so through periodic recredentialing reviews.

    Credentialing involves collecting and inspecting the applications, licenses, certificates and other necessary statements provided by doctors who want to participate in a particular program or plan. The second step, verification, involves independently verifying all of the information provided by the doctor in order to prevent possible fraud or abuse.

    PMG's reviews meet or exceed accreditation standards for Primary and/or Secondary Verification of:

    1. Licensure
    2. Board Certification or completion of residency and graduation from an accredited medical school (as appropriate)
    3. DEA registration (as appropriate)
    4. Specialty
    5. Hospital affiliations
    6. Workers' compensation experience, if applicable
    7. Practice experience
    8. Call coverage
    9. Professional liability insurance
    10. Professional recommendation
    11. Authorization
    12. Supporting documentation which includes:
    a. Copy of malpractice/liability insurance
    b. Copy of state license
    c. Copy of board certification
    d. Copy of DEA registration
    e. Letter of delineation of privileges from primary hospital
    f. Copy of HCFA certification for each on-site Lab/Radiology
    g. Explanation of responses as required on application
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    Provider Network Administration

  • Credentialing
  • Contracting
    • The PMG Provider Network
    Quality Assurance
    Medical Oversight
    Bill Review
    Reporting & Outcomes
    Managed Behavioral Health

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