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National statistics show that approximately 20% of all commercial claims are paid incorrectly according to the provider’s initial understanding of contractual reimbursement terms and provisions. Once all of the contractual provisions and reimbursement methodologies have been completely defined, denial issues addressed, posting / registration issues identified, this figure often translates to contractual underpayment variances of 1% – 5% of net revenue.
PMMC’s revenue management solutions are designed to improve hospital’s financial performance by accurately calculating contractual revenue for efficient collection of reimbursement.
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