Case Studies
Whitepaper: Revenue Integrity - Getting Your Hospital Paid for the Care Provided
This whitepaper explains how applying metrics to healthcare contract management helps assure all accounts receive appropriate attention, thus ensuring revenue integrity.
Baptist Health Creates Patient Estimates Through an Integrated Revenue Cycle Contract Management Process
Learn how Baptist Health creates accurate patient estimates through an integrated revenue cycle contract management process and improves patient satisfaction.
Lake Charles Memorial Uses Contract Modeling to Negotiate Better Payer Contracts
Learn how Lake Charles Memorial uses contract modeling software to negotiate better payer contracts, saving them time and money in the revenue cycle.
Whitepaper: Maximizing Reimbursement with Hospital Contract Management
Learn tips to maximize reimbursement with your hospital's contract management system.
Lake Charles Memorial Uses Hospital Contract Management to Collect $800,000 in Underpayments
Learn how Lake Charles Memorial uses an accurate hospital contract management system for underpayment collection and denial management.
Adena Health System Saves Millions in Revenue Cycle with Contract Modeling
Learn how Adena Health System uses contract modeling to predict the impact of reimbursement terms, helping the revenue cycle save millions of dollars.
View PDFOhioHealth Increases Collections by More Than $6 Million with Patient Estimates
Learn how OhioHealth generates accurate patient estimates to increase price transparency and increased point of service collections by more than $6 million.
Increasing Collections at Maury Regional Medical Center
Through the use of PMMC’s contract management solution, Maury Regional Medical Center gained the ability to monitor the overall performance of its payer contracts so that the organization could negotiate improved reimbursement in future contracts. The solution also allows Maury Regional Medical Center to identify and validate underpayments, and gives the organization the ability to track and recover those amounts from the primary insurance company.
Underpayment Recovery at Liberty Hospital
Liberty Hospital sought out to free up cash flow by undergoing a retrospective recovery engagement that complements their existing contract management system. “PMMC CONTRACT PRO and the complementary recovery engagement have worked well for Liberty Hospital. It has helped us accelerate cash recovery, improve overall contract performance, and identify process improvements," said Erin Parde, CFO.
Developing Defensible Pricing at Trinity Hospital Twin City
Trinity Hospital Twin City needed to develop defensible pricing for the CDM and get pricing in line with local competitors. “It was good just to get a price for everything. We looked at Ohio as a whole, then our local market, and lastly we looked at four other Critical Access facilities. I was able to lower prices and increase prices while seeing the impact,” said Halli Sell, Director of Revenue Cycle.
Maury Regional Medical Center How to Increase Reimbursements and Upfront Collections
Maury Regional Medical Center identified opportunities to collect underpayments from its contracted payers and improve point-of-service collections. This translated into a 13% growth in total patient collections and a nearly 650% return on investment in the first year alone. "Patient Access now has a more proactive role in cash collections and the revenue cycle. Two years ago, 5% of our patient collections were at the time of service. Through process changes we increased this to 12-15%. By incorporating PMMC's patient estimation system, we have seen this increase to 22-26% each month," said Rodney Adams, Director of Pre-Service and Patient Access
