PMMC Revenue Cycle Solutions.

PMMC's healthcare revenue cycle management (RCM) solutions maximize revenue and increase productivity across the revenue cycle. PMMC's integrated revenue cycle solutions focus on accurate reimbursement, so your hospital gets paid correctly for the care you provide.

Learn more about how revenue cycle solutions can improve your healthcare organization's financial performance.

HFMA Peer Reviewed

PMMC has earned the HFMA Peer Review designation for its contract management and patient estimation products and is the only healthcare revenue cycle services company to be Peer Reviewed for both products. Among the survey results:

  • 92% of the participants agree or strongly agree they would recommend PMMC contract management
  • 87% of the participants agree or strongly agree they would recommend PMMC patient estimates

PMMC solutions empower the revenue cycle to accurately calculate expected reimbursement and more effectively manage revenue:

Contract Management

For Hospitals - Accurately calculate the payments contractually owed by the payer so your hospital gets reimbursed correctly. The robust accuracy engine handles all hospital payer contracts including, Commercial, Managed care, Medicare, Medicaid and Tricare.

For Physicians - Accurately calculate the payments contractually owed by the payer so your practice management system gets reimbursed correctly. The robust accuracy engine tracks errors related to global periods, multiple procedure/contiguous radiology reductions, modifiers, CCI edits, site-of-service, and reimbursement rule changes.

Contract Modeling

Gain an advantage when negotiating new payer contracts by modeling the thousands of various reimbursement code combinations to understand the anticipated impact the proposed payer contractual terms will have on your bottom line.

Denial Management

Integrate a denial management monitoring process with contract management for a full-reimbursement monitoring system.

Insurance Follow up

Collect lost revenue from inaccurately paid claims utilizing a balanced approach of proprietary contract management software and experienced auditors.

Comparative Charge Analysis

Quickly compare your prices against local competitive hospitals, state, and national averages to see where your hospitals stands in the market.

Strategic Pricing

Accurately calculate and model charge code rate adjustments to understand the true net revenue impact.

Patient Estimates

Provide your patients with an accurate estimate of their financial responsibility which ultimately increases collections and improves patient satisfaction.