PMMC’s PHYSICIAN PRO gives physicians the ability to monitor payor contract performance, identify payment issues, and pursue claim appeal opportunities in an efficient manner.  Harding noted that, “Although we are still in the early stages of implementation, we have been pleased with the assessments so far that found multiple registration errors.  The situational needs were identified and we are working to correct those erroneous registrations.  Also, we were able to find a large underpayment and are working diligently with the payor to recuperate that loss.”  The system is the best suited solution to help Franciscan Medical Group manage their payor contract inventory. 

Cyndi Davis, Vice President of PMMC Physician PRO services said, “PMMC Physician PRO allows our clients the ability to recognize, quantify, and improve business office processes in an efficient manner.  For Franciscan Medical Group, our goals are multi-faceted.  Initially, we want to confirm the client understanding of contractual rates and terms.  Having the ability to easily recognize trends and patterns related to coding, posting, and registration errors will improve front-end processes to ultimately improve accuracy and contribute positively to the revenue cycle.  Pricing transparency and omission of lower of charge or term issues will immediately improve revenue.  Creating a streamlined process for underpayment recovery will provide ongoing return on investment.  Lastly, leveraging gained knowledge will improve payor relationships and ultimately result in more favorable contractual agreements.”

The Franciscan Health System’s 1,500-member medical staff of physicians and other providers represents nearly every specialty in medicine.  Franciscan Medical Group is a fundamental part of the Franciscan Health System.  Composed of a network of primary-care and multi-specialty facilities with over 50 clinics that are affiliated with the Franciscan hospitals, Franciscan Medical Group physicians work tirelessly to find the best treatments that cater to individuals’ healthcare needs.   

PMMC is a Microsoft-certified software development and consulting company.  Since 1986, its innovative software and consultants have assisted more than 400 hospitals and 20,000 physician clients improve their financial operations through enhanced contract management, payment verification, cost accounting, financial decision support and consulting services. For more information, contact Robby Shaul, 704-543-8103