Revenue leakage from denials, underpayments, and missed charges—combined with limited visibility and aggressive payer tactics—drives significant, often unquantified losses.
Revenue Cycle Management Built for CFOs
Hidden Revenue Loss
Investment or Just More Tools?
Investing in more tools instead of the right ones drives up costs, burdens staff, and limits real progress in revenue cycle performance.
Margin Pressure
Rising costs, declining reimbursement, and siloed data limit visibility and make it difficult to protect and optimize margins.
Margin Compression, Payer Aggression, and Revenue Leaks
Your Guide to Fighting Back
As a CFO, you’re tasked with driving revenue from all angles while navigating competing priorities, security risks, and large-scale changes. PMMC offers a suite of solutions designed to help you overcome these challenges and meet your revenue goals.
- Intelligent Solutions: Whether your organization needs comprehensive CDM work, an Estimator+ solution, Recovery+ services or specialized needs we are here to help you meet your revenue goals.
- Revenue Predictability: PMMC offers data-driven insights through advanced analytics and tailored strategies for more accurate forecasting and performance analysis.
- Competing Priorities: We help align our resources strategically, ensuring critical tasks are prioritized to maintain progress.
- Security: PMMC implements frameworks and best practices to safeguard sensitive information and reduce risks.
- Bandwidth: PMMC offers solutions for efficient resource allocation to maintain productivity and address staffing shortages
- Large-Scale Changes: PMMC ensures smooth transitions through strategic planning and change management, minimizing disruption. Our team is here to support and provide guidance so that your team is never alone.
With PMMC as your partner, you can streamline operations and manage change effectively, ensuring your organization remains resilient and financially strong.
Technology that Elevates. Experts who Care.
PMMC combines advanced technology with dedicated experts to deliver measurable results. Our innovative tools and software streamline financial processes, enhancing accuracy and efficiency to empower your team. Working alongside you, our compassionate professionals listen to understand your unique needs, providing tailored support and expert insights. This powerful combination helps healthcare organizations optimize revenue, reduce costs, and achieve superior financial performance.
Harness the Power of Advanced Analytics for Success
- PMMC’s analytical tools provide CFOs and executives with immediate visibility into authorization obstacles and insurance gaps, empowering strategic financial oversight. The platform strengthens your revenue cycle by preventing denials and securing financial clearance before care is delivered.
- With tailored tracking and reporting that integrates into your existing infrastructure, PMMC helps you reduce revenue leakage, mitigate financial risk, and ensure long-term stability for your organization.
- Our analytics include insight into many different areas, including:
Reserves Report
- Regularly generate comprehensive reserves reports to monitor and track outstanding claims.
- Provide detailed insights into reserves allocation, ensuring accurate financial planning and enhanced cash flow forecasting.
Service Line Performance
- Analyze profitability across departments to identify high-performing specialties.
- Evaluate cost-to-collect metrics for specific service lines to improve resource allocation.
Payer Contract Benchmarking
- Compare reimbursement rates across different payers to strengthen negotiation leverage.
- Track contract compliance to ensure payers are honoring agreed-upon terms.
Patient Propensity to Pay
- Utilize scoring models to identify patients who may require financial assistance or payment plans.
- Segment patient populations to tailor collection strategies and improve upfront payments.
Pricing Strategy & Market Positioning
- Conduct competitive price analysis to ensure your services are aligned with market rates.
- Model the financial impact of potential price changes on overall net revenue.
Underpayment Recovery Tracking
- Identify discrepancies between expected and actual payments in real-time.
- Monitor the success rate of appeals to streamline the recovery of missed revenue.
Payer Scorecards
- Develop detailed scorecards to evaluate payer performance based on key metrics such as timeliness, denial rates, and reimbursement accuracy.
- Use the insights to negotiate better contract terms and optimize payer relationships.
Custom Analytics
- Leverage tailored analytics to identify trends and uncover actionable insights specific to your organization’s revenue cycle.
- Customize dashboards to align with unique operational goals and improve decision-making efficiency.
Why Partner with PMMC?
PMMC’s approach to accuracy directly addresses the priorities and challenges CFOs face in managing healthcare finances. Here’s how our data-driven and intelligent solutions are designed to meet these needs:
- Ensuring Payment Accuracy to Reduce Revenue Leakage
With a 99.8% accuracy rate, powered by our Xact EngineSM and expert contract management services, CFOs no longer need to worry about discrepancies in claims or reimbursements. By capturing and processing 20+ data types, we provide a comprehensive and reliable financial picture, including the ability to calculate expected reimbursements, that uncovers hidden revenue opportunities.
- Minimizing Complexity to Improve Operational Efficiency
Healthcare finance is complex, but our proprietary processes and industry-leading speed to calculation simplify the workload, allowing CFOs to focus on strategic initiatives rather than operational bottlenecks.
- Delivering Actionable Insights for Better Decision-Making
Our advanced analytics not only review financial performance from multiple lenses but also deliver insights that empower CFOs to act confidently. By connecting detailed data to real-world trends, we help drive smarter, faster decision-making.
- Enhancing Forecasting with Comprehensive Intelligence
Combining internal, external, and market-based data ensures informed decisions and better financial clarity, reducing uncertainty in long-term planning.
- Supporting Financial Stability with Proven Accuracy
PMMC’s solutions provide results CFOs can trust, helping organizations achieve reliable payer performance and bring revenue in the door from multiple angles.
Triple E Service: Extreme Engagement & Excellence
At PMMC, our Triple E Service model—Extreme Engagement & Excellence—is designed to flex around your organization’s unique needs, team, and pace, ensuring you receive the exact level of support that works best for you. Our team is intentionally hired for their deep expertise in hospital revenue cycle operations and healthcare data analytics, so they understand your world and its challenges.
Maximize Your GPO Partnerships with PMMC
PMMC is proud to serve as a trusted partner for a variety of Group Purchasing Organizations (GPOs), helping members get the most out of their affiliations. We understand the unique challenges and opportunities that GPO relationships present for hospital CFOs and offer tailored solutions to ensure you are maximizing the financial benefits.
- Vetted Partnership & Value: GPO members can be confident they are getting a vetted partner, clear accountability, and exclusive promotions that deliver additional value.
- Personalized Assistance: Our dedicated team provides personalized support for CFOs with GPO affiliations, from analyzing payer contracts to aligning strategies with your organization’s goals.
- Expert GPO Collaboration: We are committed to fostering strong relationships with CFOs, delivering the insights and support needed to drive impactful financial results in collaboration with your GPO partners.
With PMMC, you can confidently move forward, knowing our expertise and precision will help you unlock the full potential of your GPO partnerships.