Moffitt Cancer Center Enhances Operational Efficiency and Financial Health with PMMC's Revenue Recovery Software

Moffitt Cancer Center stands as a beacon of medical excellence and compassionate care, housing 218 beds dedicated to patient treatment. With a team of more than 300 board-certified oncology specialists, their extensive network of healthcare professionals enables the center to provide comprehensive services across every stage of cancer treatment, from diagnosis to recovery. 

Moffitt has achieved significant success in their revenue recovery efforts, specifically with managing claim denials and underpayments. As a partner to Moffitt, PMMC's software aids the team in surpassing their goals for operational efficiency and financial excellence. 

The Challenge

The revenue recovery team at Moffit was tasked with hours of manual time to go back after the billing process was complete to find lost revenue and a way to recover more. The team was looking for a solution to combat significant claim denials and underpayments.

The need for customization to identify where to focus efforts was highlighted by the Moffitt team. When looking for a partner, Moffitt wanted a team that would provide a helpful customer experience and streamline their operations. "It's like trying to find a needle in a haystack," says Nikeesa Roussel, supervisor of revenue recovery operations, "PMMC helped us see how payments were trending and shined a light on areas our team should focus." 

The Solution

Moffitt Cancer Center implemented PMMC's contract management and analytics tools to discover revenue recovery opportunities in denied or appealed claims. This integration included detailed patient-level export tables in reports, specifically targeting underpayment and denial recovery, while adding functions to identify high variance accounts. 

The flexibility of the software allowed Moffitt to meet their unique needs. The PMMC team also developed custom reports for line-level CPT denial tracking and overturn success rates to prioritize workflow effectively. Roussel shared that "the PMMC team worked with us to provide a full understanding of the depth of their software's capabilities and helped build out custom views and custom reports to meet our needs."

"PMMC's custom solutions have transformed our approach, automating tasks that previously required manual effort. The analytics tools feel like having an extra team member, allowing us to track payments and generate insightful reports effortlessly," says Roussel. "This was extremely impactful when reporting at a higher level, with the ability to illustrate recovery efforts visually to via graphs and charts." 

The Results

The implementation of PMMC software at Moffitt Cancer Center has led to quantitative and qualitative improvements in identifying and prioritizing revenue recovery opportunities. "The support and advanced tools provided by PMMC have been instrumental in transforming our revenue recovery efforts," says Roussel. "PMMC's high level of of communication and sense of urgency added to the success of our efforts." 

"The collaborative process between Moffitt's Revenue Cycle Operations and PMMC has maximized the benefits of tools and analytics," says Roussel. "Their focus on customer service and responsiveness has been incredibly helpful in attaining our annual revenue recovery goals and overall having a positive impact on the success of our revenue cycle."