CDM Pricing Software

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CDM Pricing Software that Transforms Revenue

Balancing net revenue goals with rational, defensible pricing is a constant struggle. PMMC’s CDM Pricing Software is the definitive answer.

Our platform models price changes on your Charge Description Master (CDM) so you can understand their real-world revenue impacts before you make a single edit.

Stop reacting and start strategizing. Foresee the financial outcomes of your decisions, navigate “lesser of” complexities with confidence, and transform your chargemaster from a maintenance task into your most powerful strategic asset.

The core power of our CDM Pricing Software is its predictive capability. You no longer have to guess how changes will impact your revenue. Our platform simulates the financial future of any proposed CDM change, providing unparalleled clarity and control. See the net effect on your bottom line before you implement a single change, turning high-stakes decisions into confident, strategic moves.

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Pricing with Precision: Master Your Revenue Strategy

For too long, hospital finance teams have been forced to make critical pricing decisions with incomplete information. The traditional process involves applying a price increase, waiting months for claims to process, and then trying to decipher the impact from lagging revenue reports. This reactive approach is fraught with risk.

Unforeseen Revenue Loss: A gross charge increase can inadvertently push a claim into a “lesser of” scenario with a payer, raising prices for no reason.
Compliance Exposure: Without a clear, data-driven methodology, pricing structures can become irrational and difficult to defend during an audit.
Market Misalignment: Pricing decisions made in a vacuum can lead to being uncompetitive on key “shoppable” services, driving patients away.

CDM Pricing Software illuminates these blind spots, giving you the foresight to make strategic, data-driven decisions that protect and enhance your financial health.

Built for the Realities of Healthcare Finance

Our CDM Pricing Software was not designed in a vacuum. It was built by healthcare finance experts for healthcare finance professionals. We understand the unique pressures you face—the constant need to protect margins, the complexities of managed care contracts, and the demand for a rational, defensible pricing strategy.

PMMC is renowned for its accuracy in CDM financial modeling and pricing analysis. By leveraging reliable charge data and robust methodologies, you can ensure you have highly accurate projections, allowing you to optimize your CDM and make defensible pricing decisions with confidence.

This deep industry knowledge is embedded in every feature, from the way the Xact Engine^SM processes 835 files to the design of the executive dashboards. This is more than just software; it is a strategic partner in your revenue cycle success.

Learn About Accuracy

The Xact Engine^SM: The Heart of Our Accuracy

At the core of our CDM Pricing Software is the proprietary Xact Engine^SM, a powerful calculation and analytics tool designed for the complexities of healthcare finance. This isn’t a simple spreadsheet; it’s an engine built to deliver precision, consistency, and actionable intelligence.

The Xact Engine^SM enables you to:

Standardize Your View: It creates a standard view of chargemaster data, ensuring consistent and accurate pricing across your entire organization, which is critical for health systems managing multiple facilities. Our consultants work with your team to ensure success. To learn more about this process, check out our Strategic Pricing+ solutions.
Leverage Real Data: The engine utilizes standard 837/835 claims files to model the impact of changes against your actual historical data and payer performance, providing the most accurate forecast possible.
Measure Continuously: With near real-time data updates, you can allow for ongoing measurement of the financial impact of your CDM changes, ensuring that your desired results are being achieved post-implementation. Don’t wait weeks for updated data feeds – get them nightly so you’re ready to go every morning.
Integrate Your Resources: The platform integrates your reference materials into one tool for a seamless, efficient research experience.
Manage All CDMs: The software is designed to manage both Hospital (UB-04) and Professional (CMS-1500) CDMs, providing a unified solution for integrated health systems.

Learn More About Xact

Configured for Your Environment

Technology is only effective if it works within your existing ecosystem. Our CDM Pricing Software is configured to meet your specific needs for integration, ensuring a quick, secure, and error-free transfer of CDM changes and edits back to your core financial systems.

We integrate with more than 30 different patient accounting systems, including Epic, Oracle, Meditech and all major platforms. This seamless integration eliminates the risk of manual data entry errors and ensures that the strategic decisions you make in our software are reflected accurately and immediately in your host system.

From Maintenance Task to Strategic Powerhouse

True revenue integrity is about more than just fixing errors; it’s about proactive, strategic oversight. Our CDM Pricing Software elevates your chargemaster management from a reactive maintenance task to a high-level strategic function.

Expert Support

Our software is backed by PMMC’s team of CDM experts. We provide the support you need to understand findings and implement solutions for maximum ROI.

Proprietary Intelligence

Leverage our proprietary content and pricing intelligence to optimized reimbursement, and enhanced operational efficiency.

Enhance Collaboration

The software enhances efficiencies in workflow, collaboration, and communication across clinical and financial teams, making it easy to maintain and sustain a complete, correct CDM.

Price with Confidence and Defensibility

A defensible pricing methodology is non-negotiable. Our CDM Pricing Software is your best defense, providing the tools and data to ensure your pricing is logical, consistent, and compliant.

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Look Back at Changes: Ensure that your pricing changes did what they were supposed to do, letting you adjust for the future based on the real data.

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Create Rational Pricing: The platform’s modeling capabilities help you build a rational pricing structure where charges have a clear, documented logic based on cost, market data, or acuity.

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Document Your Strategy: The software provides a clear audit trail for why and how pricing decisions were made, offering invaluable support during an internal or external audit.

Is your pricing truly optimized?

Our software gives you the power to analyze your pricing integrity with unparalleled granularity. See where your pricing aligns with your strategy and, more importantly, where it doesn’t.

Service Line Analysis

Do you have service lines that need to be adjusted? Are you underpriced in your centers of excellence or overpriced on commoditized services? Our analytics provide the answers.

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Identify Opportunities

The software makes it easy to spot areas where you could be priced higher without negatively impacting net revenue or market position.

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Strategic Alignment

Ensure your prices on the ground match the high-level strategy set by leadership. Our tool helps bridge the gap between strategic goals and operational reality.

Advanced Analytics & Reporting

Example of PMMC's executive dashboard data in a screen floating on a teal background Data is only valuable if it drives action. Our CDM Pricing Software includes a robust suite of analytics and reporting tools designed to provide clear insights into performance and opportunities for both payers and effective contract management.

Gain clarity with detailed analytics, including:

Executive Revenue Dashboard: A high-level, at-a-glance view of key revenue metrics and trends for leadership.
Gross Revenue by Payer Insights: Understand your gross charge distribution across your different payers to inform contract negotiations.
Revenues by Contract & Charge Code: Drill down into the specifics of your revenue streams by individual contract or CPT code.
Charge Adjustment Optimization Modeling: The core modeling reports that show the projected impact of various pricing scenarios.
Net & Gross Revenue Impacts: Clear, concise reports forecasting the precise impact on both net and gross revenue.
Reimbursement Impacts: Analyze the financial effects of outlier hits under different pricing models.
Market Position Impacts: See how proposed changes will affect your pricing relative to your competitors and the broader market.

Let Our Experts Handle Your CDM

At PMMC, our experienced team is here to guide you through the complexities of CDM pricing with precision and expertise. We offer comprehensive services to handle your Strategic Pricing to take the load off of your team. From conducting a comprehensive assessment of your current charge structure to identifying key opportunities for improvement, we offer a hands-on, tailored approach to help you optimize your pricing strategy. By leveraging advanced analytics and benchmarking tools, we ensure that your CDM pricing aligns with market trends, regulatory requirements, and your organizational goals. Whether you need a robust strategy overhaul or targeted insights, our team is ready to partner with you every step of the way.

Strategic Pricing

Give your team advanced pricing intelligence.

Stop guessing and start knowing. Transform your pricing process from a reactive chore into a proactive, strategic discipline. With PMMC’s CDM Pricing Software, you can model the future, protect your revenue, and master your market.

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