Oklahoma Heart Hospital Physicians

“We performed a due diligence assessment of Contract Audit Management companies and decided to go with PMMC for three reasons. First, PMMC's pricing was competitive with the other companies we evaluated. Two, they were the only company willing to do a "trial run" with a couple of our payers before proceeding with the agreement. Since we have never used a Contract Audit Management company before, it was an important advantage in selling the idea to our Board. Thirdly, the data we have been able to present to the payors has been very enlightening, both to us and the payors.  For the first time, we have the data to challenge the payors on underpayments and in negotiating improved reimbursement rates...

After nearly four years in partnering with PMMC, we continue to find underpayments on several of our payors when performing our ongoing paid claim analysis. In addition, since merging with our hospital this past year, the payor data we are able to review has been helpful in jointly working with the hospital in assessing managed care contract negotiations." Mark Klakulak, Chief Financial Officer - Oklahoma Heart Hospital Physicians

The MetroHealth System

“We found, in PMMC, reimbursement analysis tools that detect under- and over-payments more efficiently. Also, their managed care modeling capabilities are able to respond to renegotiation proposals accurately and timely...PMMC offers management tools for both hospital and physician contracts under one umbrella. The interconnectivity of systems and a combination of cost-effectiveness along with functionality and ease-of-use for end-users were the fundamental values that motivated us to select PMMC’s contract management services...Implementation of software such as this takes commitment on both sides of the table. With the roll-out of the new PMMC system at MetroHealth, I see that PMMC is committed in time and resources to creating a quality, usable product.” Glenn Sigel, Managed Care Contracting - The MetroHealth System

Lahey Clinic

“With the ever increasing challenges of understanding the uniqueness of each payer’s physician fee schedule payment methodology, Lahey Clinic felt the need to partner with a leader in the Physician Contract Management field to ensure the payments received for the professional services provided mirrored the contracts terms.  After looking at multiple vendors, Lahey Clinic Inc, decided to select PMMC.  Members of the selection team at Lahey Clinic, Inc. were very impressed with all aspects of the PMMC presentation.  PMMC’s staff was extremely knowledgeable about PMMC Physician PRO and provided an impressive demonstration to the benefits of the PMMC Physician PRO Product.  The ability of a large physician group practice, such as Lahey Clinic, Inc. to review their specific patient claims against the expected payer reimbursement, therefore ensuring the accuracy of the payments received, is critical.  In addition to optimizing professional revenue, PMMC Physician PRO will assist Lahey Clinic, Inc. with individual payer contract negotiations, as it provides the ability to model specific payer reimbursement rates against other payers.  This will provide much needed information with individual payer contract negotiations.” Michael Gill, Senior Vice President, Revenue Finance - Lahey Clinic

UAMS Faculty Group Practice

“We think using PMMC will help us to achieve several objectives, including recouping revenue that is being underpaid, responding more quickly to variances that the system identifies, and providing up-to-date analysis of contract profitability and payer performance. In addition, the system will provide a sense of security to the physicians in our group that we are actively pursuing proper reimbursement and that we are always seeking to improve our internal processes.” Dennis Morrow, Asst. Director of Contracts & Billing Systems - UAMS Faculty Group Practice

Rush Health Associates

“Ensuring the accuracy of payments from third party payers is critical; and being able to bring issues to the attention of payers before they become widespread problems reduces cost for everyone and helps avoid relationship issues. Our experience with PMMC and their hospital-based product and the flexibility and comprehensiveness of their physician product put PMMC ahead of other products.” Brent Estes, President and Chief Executive Officer - Rush Health Associates

Brigham and Women’s Physicians Organization

“The BWPO was excited about adding PMMC Physician PRO to our existing cache of revenue cycle resources. We have made substantial investments to enhance our front end processing to ensure that we collect and submit accurate and timely billing information to our third party payers. PMMC Physician PRO helps us on the back end of the claims process to confirm that we are reimbursed according to our agreements and helps us recover underpayments when they occur. In addition, we expect the PMMC Physician PRO system to greatly enhance our reporting capabilities.” Kevin Bargon, Revenue Manager - Brigham and Women’s Physicians Organization

Physicians Practice Group

"I wanted to send a quick note and let you know that Donna is raving about how wonderful Tim is. He has been extremely helpful. He is proactive with any potential problems and keeps Donna well informed of upcoming updates, etc. He responds quickly to inquiries and demonstrates great follow up skills. Donna is very excited about working Tim and feels that we will have a better shop because of his involvement with our account. As an extra bonus, in addition to demonstrating a great deal of knowledge about the product he's extremely pleasant to work with as well. We wanted to be sure you knew how happy we are with his performance from a client perspective." Beverly Bella, Senior Reimbursement Manager - Physicians Practice Group