Company Profile
Company Overview
PMMC: Driving financial performance.
PMMC provides revenue cycle management tools to healthcare delivery systems, acute care hospitals, critical access hospitals, academic physician organizations and multi-specialty physician groups. Helping find additional cash and creating efficient workflow processes allows clients to improve margins and continue to effectively serve their community.
• Patient Estimates
Our point-of-service payment solution allows clients to increase cash collections and reduce patient bad debt by determining patients’ expected payment prior to service. Interactive Workflow Messaging integrates the registration, scheduling, benefit verification, estimate generation, financial ability to pay, and collection through an automated workflow process.
• Contract Management
Our contract management applications model rates and terms, track revenue and activity, audit according to contract terms, collect underpayments, and monitor contract performance. The tool assists providers to audit reimbursement from payors by matching actual payments for services against the negotiated charge.
• Comparative Pricing
Our web-based, analytical tool provides comparative reports using the latest Medicare data to evaluate a hospital’s charges compared to the market. Identifying specific procedures and making strategic rate adjustments allows clients to manage market position for both hospital and physician services.
• Net Revenue Modeling
Our net revenue modeling measures the financial impact of chargemaster rate adjustments using the client’s payer contractual terms and other key modeling constraints. It identifies charge-based sensitive areas of reimbursement and quantifies the change in reimbursement that results from modeling the chargemaster rate charges and the related pricing strategy.
• Lost Revenue Recovery
Our contingency-based recovery service identifies and collects contractual underpayments from the primary payor on a retrospective basis.