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Strategic Consulting

Strategic Consulting
Strategic Pricing Analysis
Charge Master Rate Setting
Net Revenue Modeling
Contract Negotiation
Collection Recovery
Online Pricing

Inc. 5000
 
Strategic Consulting Services
Strategic Pricing Analysis  Print 

Hospitals must consistently find the right balance for setting their retail prices or charges.  PMMC's analyst have access to market comparative data for indepth side-by-side evaluation of a hospital’s charges in comparison to its local market and/or national benchmarks. One type of comparative data is our Online Pricing service.  PMMC Online Pricing Overview

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Chargemaster Rate Setting  Print 

The Chargemaster Rate Adjustment Modeling develops specific line item changes to the organization’s Chargemaster retail-prices to achieve specific objectives such as net revenue targets, overall price increase targets and service specific pricing relative to market.  Due to the number of charge codes in the Chargemaster and the complexity associated with the inter-relationship between charge codes and billing (DRG codes, Service Groups, etc), manually adjusting the Chargemaster rates is not efficient or effective. This is the fundamental reason PMMC developed a software application for Chargemaster Rate Adjustment Modeling. PMMC RevenueMaster Overview

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Net Revenue Modeling  Print 

Hospitals routinely make rate adjustments to their Chargemaster items.  PMMC's Net Revenue Modeling measures the financial impact of these Chargemaster rate adjustments (price changes) using the organization's payer contractual terms and other key modeling constraints. The goal is to identify the charge-based sensitive areas of reimbursement and to quantify the change in reimbursement that results from modeling the Chargemaster rate charges and the related retail pricing strategy.

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Contract Negotiation  Print 
PMMC has modeling tools and consulting support to help hospitals negotiate contracts with commercial payers.  Rates can be developed based on desired level of discount or relative to other benchmarks such as Medicare payment values.  PMMC can conduct the entire negotiation or simply provide the necessary analytical support.
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Collection Recovery Services  Print 

Beyond auditing and monitoring the payors’ activities, PMMC also offers an engagement to identify and collect contractual underpayments from the primary payor on a retrospective basis. The advantage of this service is that it requires little client involvement, no upfront cost and the pay-off is often substantial.   Click here for an electronic brochure of PMMC's Recovery Service

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Online Pricing  Print 
How do your hospital’s charges compare today?   What an important question in today’s healthcare marketplace. With the move to providing a more transparent and defensible pricing strategy, how can you not be wondering where you stand in your competitive marketplace?   PMMC Online Pricing Overview
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