PMMC enables revenue strategies for hospitals and health systems with the industry’s most integrated and accurate revenue cycle management and managed care platform
Timely Filing Denials are on the Rise. Here's What You Need to Know
ARTICLE: Timely filing denial rates are hitting revenue cycle teams harder than ever, with a staggering 267% increase YoY for timely filing denials on appeals. This surge is more than just an unsettling trend; it represents significant revenue loss and operational inefficiency. To protect your organization’s bottom line, addressing this issue requires both immediate action and strategic contract renegotiations.
Leveraging Medicare Benchmarks in Contract Negotiations
ARTICLE: It’s critical to understand how your organization stacks up against industry benchmarks since this can significantly affect preparations for contract negotiations and your bottom line. Through analysis, we've found reimbursements to be approximately 200%-215% of Medicare.
How Leading Hospitals Use Data to Command Better Payor Contracts
WEBINAR: Navigating payor negotiations can be a challenging task for healthcare organizations, but with accurate data and advanced analytics, you can transform these challenges into opportunities.
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The Most Accurate and Integrated Solution for Revenue Cycle Management & Managed Care
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Negotiate more favorable payer contracts by modeling the net revenue impact
Learn how contract modeling analytics can help with your next big payer negotiation!
The PMMC Approach
Since 1986, PMMC‘s mission is to continuously improve the financial performance of healthcare organizations through high-value revenue cycle software and services. PMMC‘s roots are in consulting, but the company has evolved into a leading revenue cycle management software provider for hospital and physician contract management, contract modeling, strategic pricing, price transparency, and value-based reimbursement. PMMC‘s differentiator in the revenue cycle market is its calculation engine, which drives accurate reimbursement from all payers to the healthcare provider. This is at the core of all PMMC‘s solutions and is a key factor in the company‘s longevity and success.
Our hospital clients see significant financial improvement by leveraging an integrated and accurate revenue strategy known as the Revenue Maturity Matrix across four key areas of the revenue cycle:
2.Payer Negotiations & Strategic Pricing: Aggressively model payer contracts in real-time while leveraging the same platform for a competitive rate setting strategy and understand the impact on current contracts and net patient revenue.
3.Pricing Transparency: Deploy a successful patient engagement strategy for pricing transparency and consumerism by providing accurate patient estimates.
4.Value-Based Reimbursement: Provide a competitive advantage to our clients as the market shifts to alternate payment models and value-based care by incorporating current contract governance and risk assessment.
With over 36 years of experience, PMMC has unmatched expertise in the revenue cycle and provides forward-thinking strategies and insights for healthcare providers and payers. Here's a few more resources to connect with us.
Explore our engaging blog articles to stay updated on the latest revenue cycle trends, patient estimates, patient experience, emerging technologies, and practical tips that can empower your organization to succeed in today's ever-evolving healthcare landscape.
Master Your Hospital Revenue Cycle and Patient Estimates with Expert Insights
Our collection of on-demand webinars offers in-depth knowledge, actionable strategies, and real-world hospital success stories to help you optimize your revenue cycle management and patient experience.
The Path to Financial Transformation and Excellence
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