The MetroHealth System Selects PMMC to Provide Self-Service Patient Estimates

November 29, 2016

PMMC, a leading revenue cycle management company, launched self-service patient estimates for The MetroHealth System to provide its patients with next-level price transparency.

JFK Health Engages PMMC for CJR Bundled Payment Analytics

October 18, 2016

PMMC, a leading revenue cycle management company, was selected by JFK Health for bundled payments analytics to manage the costs for the Comprehensive Care for Joint Replacement (CJR) Model.

PMMC Names Fred Sheffield as Chief Sales Officer

February 17, 2017

PMMC, ranked by Modern Healthcare Magazine as the nation’s fifth largest revenue cycle management company, officially announced at its Board meeting that Fred Sheffield has joined the company to lead the sales and marketing team to the next level of revenue growth.

PMMC Kicks off Chargemaster Pricing Reviews for Five Healthcare Organizations

February 28, 2017

PMMC, ranked by Modern Healthcare Magazine as the nation’s fifth largest revenue cycle management company, was recently selected by several hospitals and healthcare systems across the country to conduct a Chargemaster (CDM) review which will ensure accurate and fair pricing for its patients.

Banner Health Among Healthcare Systems Selecting PMMC for Underpayment Reviews

March 31, 2017

PMMC, a leading revenue cycle management company, was recently selected by several hospitals and healthcare systems across the country to conduct a payer underpayment review to return revenue back to the healthcare organizations’ bottom line.

PMMC Client Account Managers Earn Professional Certification in Revenue Cycle from the Healthcare Financial Management Association (HFMA)

April 20, 2017

PMMC, a leading revenue cycle management company, has announced that five members of its account management department recently earned the Certified Revenue Cycle Representative (CRCR) from the Healthcare Financial Management Association (HFMA).  

PMMC Launches Population Health Management Solution to Track Patients in Real-Time Across Care Pathway

April 28, 2017

PMMC, a leading revenue cycle management company, announces Care Path Navigator, a population health solution for healthcare providers to track patients in real-time across the entire care pathway in an effort to reduce spending within episodes of care.

JFK Health Succeeds in First Year of CJR Program with PMMC 

May 16, 2017

PMMC, a leading revenue cycle management company, helped JFK Health complete a successful first year in the Comprehensive Care for Joint Replacement (CJR) program by providing bundled episode analytics and a collaboration strategy with its physicians to reduce spend and earn a repayment from CMS.

PMMC Announces SOC 2 Compliance

July 1, 2017

PMMC, a leading revenue cycle management company, is excited to announce that as of July 1, 2017, they are now in compliance with all Service Organization Control (SOC) 2 Type II regulations, as enforced by the American Institute of Certified Public Accountants (AICPA).

PMMC Clients Finish in Top 10 Percent of Hospitals in First Year of CJR Program

October 25, 2017 

PMMC clients received average reconciliation payment of $178,000 – 80% higher than national average

Healthcare providers partnering with PMMC, a leading revenue cycle company, finished in the top 10 percent of all hospitals in the Comprehensive Care for Joint Replacement (CJR) program and received a higher financial incentive than the average participating hospital, according to the first year preliminary results announced by CMS.

PMMC’s Bundling Analytics to Help Healthcare Providers Navigate New BPCI Advanced Model

CHARLOTTE, NC – January 22, 2018 – PMMC, a leading revenue cycle management company, is equipping healthcare providers with the necessary bundled episode analytics to reduce spend in the newly announced Bundled Payments for Care Improvement Advanced (BPCI Advanced or the Model) by the Centers for Medicare and Medicaid (CMS). 

“The BPCI Advanced Model is a great opportunity for healthcare providers to gain some valuable experience in total-cost-of-care models before they become mandatory,” said Tara Bogart, VP of Consulting Services at PMMC. “For those healthcare organizations already performing well in the selected clinical episodes, it makes a lot of sense to apply to the program and take advantage of the cost savings.”   

PMMC’s bundled episode analytics reporting is the first step for healthcare providers in navigating bundled payment models such as BPCI. These analytics give providers the upper hand by allowing them to:  

        - Benchmark their current performance locally, regionally, and nationally

        - Identify spend reduction opportunities in the post-acute care process

        - Measure the actual episode to date versus budgeted payments using predictive analytics

BPCI Advanced, which is a voluntary episode payment model, will test a new iteration of bundled payments for 32 Clinical Episodes and aim to align incentives among participating health care providers for reducing expenditures and improving quality of care for Medicare beneficiaries.

According to CMS, “BPCI Advanced aims to encourage clinicians to redesign care delivery by adopting best practices, reducing variation from standards of care, and providing a clinically appropriate level of services for patients throughout a Clinical Episode.”

The deadline for submission of applications for the initial enrollment period is March 12, meaning healthcare providers must act quickly to understand their current bundle performance before applying for participation.


Considering Participating in the BPCI Advanced Model? 

Get A Free Bundle Evaluation Today!


About PMMC

PMMC provides high value revenue cycle software and services to improve the financial performance of healthcare organizations. Our software and expertise focuses on payment accuracy and identifying more revenue opportunities across the revenue cycle.

PMMC helps hospitals identify underpayments and denials, increase price transparency, and manage bundled payments. Clients see, on average, a 10 to 1 return on investment with software and services. For more information, visit www.PMMConline.com.

Mercy Health Selects PMMC as Strategic Partner for Contract Management and Modeling

CHARLOTTE, NC – February 16, 2018 – PMMC, a leading healthcare revenue cycle management company, was selected by Mercy Health, Ohio’s largest health system, as its strategic partner for contract management.

Mercy Health is made up of 23 acute care hospitals across Ohio and Kentucky and is one of the largest health systems in the United States with more than 33,500 employees.

“Our number one priority is delivering high-quality, cost-effective care to the communities we serve, especially the poor and underserved,” said Tom Golias, Chief Managed Care Officer at Mercy Health. “The strategic partnership with PMMC is the key to us becoming more targeted and efficient in our managed care function through the back-end of the revenue cycle and monitoring payer performance, which in turn, will allow us to continue to focus on serving the community.”

PMMC’s fully integrated hospital and physician contract management system, driven by its 99 percent data accuracy rate, gives Mercy Health the ability to analyze all of its claims and identify trends in contractual underpayments, overpayments, and denials with executive reporting and analytics.

This business intelligence gives Mercy Health a strategic advantage when negotiating new contract terms with its payers and allows them to understand the true value of a payer contract.

“Mercy Health is a prime example of a highly engaged health system taking a holistic view of the effects managed care has on the revenue cycle and understanding the significant impact it can have on the entire organization,” explained Roger Shaul, President of PMMC. “We look forward to helping Mercy Health improve their net revenue so they can continue to focus on their core mission.”

Over the next five years, Mercy Health will work in partnership with PMMC’s dedicated managed care experts to improve contract governance with process, accountability, and technology.

“This is an exciting announcement for both Mercy Health and PMMC,” added Tom Golias. “We chose PMMC because of their accurate solutions, expertise, and personalized approach as a partner. We look forward to seeing our managed care vision turn into reality.”

CLICK HERE to read the full news release.

Dartmouth-Hitchcock Selects PMMC to Manage Hospital and Physician Contracts

October 6, 2015

PMMC, a leading healthcare revenue cycle management company, was selected by Dartmouth-Hitchcock to manage payer contracts for both its hospital and physician group.

PMMC Ranked One of Largest Revenue Cycle Firms in U.S. by Modern Healthcare

September 17, 2015

PMMC, a leading revenue cycle management company, is once again named to Modern Healthcare’s list of Largest Revenue Cycle Management Firms. PMMC ranks No. 7 on the list of the top 25.