Tangible Benefits Produced by the Xact Engine
The accuracy of the Xact Engine℠ is not just a technical specification; it’s the catalyst for transformative financial and operational benefits across your organization.
Confidence in Your Numbers
Eliminate the doubt and uncertainty in your financial processes. With calculations you can trust, you can make strategic decisions with confidence, from negotiating payer contracts to forecasting revenue. Stop second-guessing your data and start acting on it.
Foundation for PMMC Services
The Xact Engine℠ is the driving force that makes PMMC’s software and services effective. Its accuracy provides the reliable foundation needed to achieve optimal results, streamline processes, and secure your financial health.
Drastically Reduced Financial Stress
Accurate contractual reimbursement analysis significantly reduces the stress and manual effort associated with revenue recovery. Know exactly how payers should have paid versus how they did. This allows for precise variance analysis, identifying underpayments, incorrectly bundled services, and improper denials with certainty.
Enhanced Payer Performance Management
Leverage precise data to monitor payer trends and performance. Identify which payers are consistently underpaying or denying claims and use this data-backed intelligence to hold them accountable and improve contract terms in future negotiations.
Accurate Analytics and Reporting
The quality of your analytics is determined by the quality of the underlying data. The Xact Engine℠ ensures your reports—from high-level dashboards to granular claim details—are built on a foundation of accuracy, giving you true insight into your financial performance.
The Engine in Action: A Journey from Contract to Cash
This process transforms revenue recovery from a manual, forensic exercise into an automated, exception-based workflow driven by unparalleled accuracy.
The process of transforming revenue recovery lies in leveraging advanced automation and intelligent data analysis to uncover financial discrepancies with precision. Traditional, manual methods of auditing and revenue recovery are often time-consuming and riddled with inefficiencies, leaving organizations struggling to address errors effectively. By integrating cutting-edge technology, this process shifts from reactive troubleshooting to proactive resolution, ultimately streamlining operations.
This reimagined approach not only increases efficiency but also drives financial outcomes. When revenue recovery becomes an automated and exception-based workflow, efforts are better directed toward high-value opportunities, minimizing losses, and optimizing resources. The result is a more resilient and profitable organization capable of thriving in an increasingly complex financial landscape. By letting the technology handle the heavy lifting, teams are free to work strategically, ensuring that every dollar owed is identified and recovered with unmatched efficiency. With accuracy and automation at its core, this process redefines how organizations approach revenue optimization.
Contract Loading
Your unique, complex payer contracts are loaded into the system by PMMC experts. The Xact Engine℠ uses this as its primary source code for all subsequent calculations, ensuring alignment with your negotiated terms.
Claim Adjudication: As claims are processed, the engine calculates the expected reimbursement for every single line item based on the contract terms. This creates a precise “should have been paid” amount before the payer’s remittance is even received.
Variance Analysis
When the payer’s EOB/835 file arrives, the Xact Engine℠ performs an immediate, automated comparison between the expected reimbursement and the actual payment.
Intelligent Flagging
Any discrepancy—underpayment, denial, or incorrect bundling—is automatically flagged and routed. Because of the engine’s accuracy, your team knows these are real, recoverable variances, not “false positives.”
Informed Action
Your team is now equipped with precise, defensible data to appeal denials and recover underpayments efficiently. The engine has done the heavy lifting of identifying real variances and calculated the exact financial impact.
