Contact Us Client Login 800-543-8176 CATEGORIES FOLLOW US SUBSCRIBE PMMC Healthcare Revenue Cycle Blog Stay up to date on best practices for healthcare revenue cycle management with PMMC's blog. CONTRACT MODELING | REVENUE CYCLE ANALYTICS 3 Reasons Why Hospitals Should Use Analytics to Drive Payer Contracts By: Greg Kay October 21st, 2021 Insurers are swimming in data that gives them a steady stream of insights into their markets and the healthcare providers with whom they contract. Unfortunately, most providers don’t have access to the same level of business intelligence. That lack of reliable information on payer performance puts healthcare organizations at a disadvantage. Read More Share The Ultimate Guide to Your Next Chargemaster Review By: Tara Bogart September 4th, 2020 The Chargemaster (CDM) review is one of the most important initiatives for a hospital prior to the new fiscal year and requires a balancing act between price transparency demands and net revenue impact. It's a huge undertaking and if you manage the Chargemaster at your hospital, your team is likely small with limited resources. This action plan is designed to help guide the way and ensure your next Chargemaster review is successful! Read More Share Key Metrics for Contract Management The proper use of healthcare contract management software can make a difference of 2-3 percent net revenue. Thus, the proper use of a contract management system should be considered “mission critical,” from a financial perspective, but it often does not receive the attention it deserves. This whitepaper explains how applying metrics to healthcare contract management helps assure all accounts receive appropriate attention, thus ensuring revenue integrity. Email* How to Maximize Reimbursement with Contract Management Analytics By: Jena Seymore July 13th, 2020 According to the American Hospital Association, the financial impact to hospitals from COVID 19 has been about $200 billion over the last four months, or about $50 billion a month. Read More Share Improving Payer Contract Negotiations: Managed Care Experts Share How By: Brad Josephson June 17th, 2020 It’s no secret that negotiating payer contracts has always been a challenge for healthcare providers. With the recent shift toward consumerism, changing patient behavior, and the revenue fallout from the COVID-19 pandemic, uncertainty is at an all-time high. To address this uncertainty, PMMC brought together three Managed Care experts. And we do mean experts – every panelist has had at least 25 years of experience. The panelists didn’t hold back from addressing the real challenges our hospitals face today in terms of revenue and reimbursement. It was shocking to learn that from March 1 to April 15, hospitals were losing $1 Billion per day due to the drop in elective procedures during the height of the COVID-19 outbreak. In just one hour, we covered everything including how to handle this revenue loss with payers, the impact of the rise in telehealth, and how to use predictive analytics and scorecards to manage and predict all these shifting dynamics in reimbursement. Read More Share How Hospital Revenue Cycle Leaders Are Managing COVID-19 By: Greg Kay April 27th, 2020 As people across the country have shifted to working from home due to the COVID-19 outbreak, hospital revenue cycle leaders are doing their best to maintain "business as usual" while recognizing that they face unique challenges. PMMC recently hosted a virtual roundtable with two revenue cycle leaders at AnMed Health (based in Anderson, SC) and The Shepherd Center (based in Atlanta, GA). Our goal was to provide a forum for revenue cycle leaders to share their challenges and best practices for managing a team remotely and keeping up with payer collections. With over 100 healthcare providers in attendance, Samantha Evans from AnMed Health and Sheila Morris from the Shepherd Center offered some great advice and really spoke to what revenue cycle leaders are going through during this difficult time. Below you will find background on our revenue cycle panelists and their responses to the roundtable questions. Read More Share EMR versus RCM (Revenue Cycle Management) Vendors: What’s the Difference? By: Bradley Olin November 4th, 2019 For healthcare providers looking to make improvements to their revenue cycle, they should consider how they plan to manage their payer contracts and all of its data. Read More Share Contract Modeling Software or Microsoft Excel: Which is Better? By: Bradley Olin September 5th, 2019 What are the Pros and Cons of contract modeling software versus using Excel for modeling and negotiating payer contracts? Negotiating payer contracts is one of the most important functions of Managed Care within hospitals and health systems. When done correctly, new contract terms can sometimes save healthcare organizations millions of dollars in reimbursement. Read More Share Top 5 Revenue Cycle Management Companies (And How to Choose) By: Chad Shields June 12th, 2019 With over 400 hospitals and health systems nationwide equipped with the latest revenue cycle management (RCM) software through an integrated platform, PMMC is recognized as a leading provider of RCM software and services. Read More Share The 9 Steps of Healthcare Revenue Cycle Management Explained By: Greg Kay May 3rd, 2019 The healthcare revenue cycle is used by hospitals and health systems to manage all of the administrative and clinical data that comes into the hospital every day. Read More Share Top 3 Benefits of Healthcare Revenue Cycle Management By: Bradley Olin April 25th, 2019 We live in a fast-paced digital world where literally every second, data is being shared from person to person across various networks. Because of this shift, businesses need to have access to the latest and greatest technology for not only serving their customers directly but also to allow their own employees to improve the financial performance of their company. Read More Share Request A Demo 15720 Brixham Hill Avenue Charlotte, NC 28277 (704) 543-8103 Solutions About PMMC Copyright 2021 PMMC. All Rights Reserved. Terms of Use | Privacy Policy | Design by IMPACT