PMMC enables revenue strategies for hospitals and health systems with the industry’s most integrated and accurate revenue cycle management and managed care platform
Optimize Recovery with Payor Scorecards and Workflow Management
ARTICLE: While part one of this series focused on identifying reimbursement variances and understanding payor contracts, this follow-up explores how to sustain those gains and take your strategy further. By tracking denial rates, payment speed, and contract adherence, your team gains valuable leverage when addressing issues or renegotiating terms.
Three Ways to Improve Your Billing Performance
ARTICLE: Billing efficiency plays a crucial role in maintaining the financial health of any business. With increasing downgrades, hospitals need to code at the same angle. Being aware of trends and how to stop them can help your organization improve billing performance. By understanding key metrics and refining your processes, you can ensure accurate, timely billing while maximizing revenue opportunities.
Unlocking Value in Payor Negotiations
ARTICLE: Negotiating with payors is one of the most complex responsibilities in healthcare finance. Healthcare systems grapple daily with intricate contracts, tightening margins, and the critical need to stay compliant with shifting healthcare regulations. These negotiations are essential for balancing revenue streams, reducing inefficiencies, and securing long-term financial sustainability.
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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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