Case Study
Pricing Strategy for Revenue Neutrality and Market Competitiveness
See how a healthcare organization improved price transparency, validated chargemaster pricing, and stayed competitive within its market. Learn how data-driven modeling and structured processes helped ensure accurate, defensible pricing and better patient trust.
Blog
Overcome Staffing Challenges with Recovery Services
Staffing shortages are straining hospital revenue cycles, but recovery services offer a flexible solution. Augment teams, reduce burnout, and improve collections by outsourcing underpayments and denials—boosting cash flow without adding headcount.
News
PMMC Named RCM Leader for Rural Hospitals
PMMC has been named the benchmark leader in back-end revenue cycle outsourcing for rural hospitals by Black Book Market Research. See how their solutions help providers tackle denials, recover revenue, and strengthen financial performance.
Blog
Modeling Payer Proposals to Maximize Return and Cash Flow
Modeling payer proposals helps hospitals analyze contract terms, forecast financial impact, and negotiate stronger agreements. With advanced analytics, organizations can improve cash flow, reduce risk, and maximize revenue in a complex payer landscape.
Case Study
Commercial Payer Contract Modeling Generates Millions
See how a leading Northeast health network models 100+ payer proposals annually, validates reimbursement with confidence, and drives millions in value using contract modeling software. Read how they turn complex negotiations into measurable results.
White Paper
Using Analytics to Drive Payer Negotiations
76% of hospitals say their analytics fall short in payer negotiations. This whitepaper reveals what you’re missing and how to close the gap. Learn how to break down silos, improve insights, and strengthen your negotiation strategy.
Blog
Simplifying Chargemaster Reviews for Better Results
Simplify your chargemaster review to strengthen pricing, ensure compliance, and boost revenue. Learn how data-driven strategies and modern tools can improve transparency, streamline processes, and deliver more accurate patient estimates.
Blog
The 2026 Playbook for Hospital Revenue Leaders
Healthcare price transparency is evolving in 2026. Learn how new CMS rules impact compliance, payer negotiations, and revenue strategy—and how hospitals can turn transparency data into actionable insights that improve financial performance.
Blog
The Real Cost of Inaccurate Patient Estimates
Inaccurate patient estimates quietly impact revenue, trust, and operations. Learn how improving estimate accuracy with advanced tools helps hospitals reduce financial risk, enhance patient satisfaction, and streamline revenue cycle performance.
Case Study
Recovery Services – Increase Collections & Improve Reimbursement
With limited staffing time to review claims and variances occurring due to complexity and ongoing changes in contractual rates and terms, one mid-west hospital sought to increase cash flow through a retrospective recovery engagement. This would build on their successful internal review process and their current contract management system.
Blog
Consumerism in Healthcare: A Look to the Future
Healthcare consumerism is reshaping how hospitals compete. Learn how to attract and retain patients through better experiences, strategic pricing, and strong brand positioning in a market driven by transparency, choice, and convenience.
Blog
4 Proven Tactics to Optimize Payer Negotiations Using Analytics
Payer negotiations are more complex than ever. Discover four proven strategies using revenue cycle analytics to model scenarios, improve contract insights, and strengthen your team’s approach to drive better financial outcomes.
Blog
From Dollars to Sense: Strategic Pricing Challenges & Solutions
Strategic pricing is key to hospital profitability but often overlooked. Learn how CDM solutions, modeling, and data-driven strategies help overcome pricing challenges, reduce denials, and optimize revenue while staying compliant and competitive.
Blog
EMR versus RCM Vendors: What’s the Difference?
EMR or cloud-based RCM—what’s right for your hospital? Compare key differences, pros and cons, and critical factors for managing payer contracts. Learn how the right choice can improve insights, streamline workflows, and boost reimbursement accuracy.
Blog
3 Ways to Improve Your Billing Performance
Billing inefficiencies can lead to missed revenue opportunities. Learn how tightening guidelines, improving process adherence, and optimizing charge capture help hospitals align with benchmarks, reduce downgrades, and maximize reimbursement.
Blog
How Hospitals Strengthen Payer Negotiations Using Analytics
Master payer negotiations with a data-driven approach. Learn how accurate data, cross-team collaboration, and payer scorecards—powered by revenue cycle analytics—help hospitals reduce denials, improve reimbursement, and drive financial stability.
Blog
3 Reasons to Use Analytics to Win Better Payer Contracts
Insurers have the data advantage—do you? This article shows how advanced analytics and contract modeling deliver accurate insights, real-time visibility, and a single source of truth to improve negotiations and maximize reimbursement.
Case Study
Increase Reimbursements and Upfront Collections
See how a Southeast medical center increased point-of-service collections by up to 1,000% and uncovered underpayments through automation and analytics. Learn how improved estimates, contract visibility, and workflow changes drove stronger financial performance.
Webinar
How Leading Hospitals Use Data to Command Better Payor Contracts
Navigating payer negotiations is complex—but the right data makes all the difference. Join this webinar to learn how advanced analytics can strengthen your strategy, uncover opportunities, and drive more informed, successful negotiation outcomes.
Blog
Optimize Recovery with Payer Scorecards and Workflow Management
Optimizing reimbursement takes more than billing. Learn how payer scorecards, automation, and analytics-driven workflows help improve performance, reduce denials, and create a more proactive, efficient revenue cycle.
Blog
How CDM Solutions and Revenue Cycle Analytics Drive a 15% Increase in Net Revenue
Strategic pricing can boost net revenue by up to 15%. Learn how CDM solutions and revenue cycle analytics help target high-impact areas, avoid risky increases, and optimize pricing decisions for stronger financial performance.
Blog
Top 3 Ways to Boost Revenue Recovery with Analytics
Struggling with lost revenue? Discover three proven ways to improve recovery using healthcare analytics. Learn how to manage variances, prevent denials, and strengthen contract oversight to boost accuracy and financial performance.
Case Study
Streamline Workflow & Optimize Cash Flow with RecoveryAI®
PMMC’s progressive Artificial Intelligence (AI) solution, RecoveryAI®, is an advanced AI solution that prioritizes accounts based on collectability, giving team members a clear starting point when contacting payers about outstanding bills.
Webinar
Balancing Payor Variances: Hear Hospital Experts
Hospital leaders from Cabell Huntington and Covenant Health join PMMC experts as they share real-world strategies to reduce denials and improve reimbursement. Gain expert insights to optimize workflows, balance staffing, and strengthen revenue cycle performance.
Blog
How to Maximize Reimbursement with Revenue Cycle Analytics
Reimbursement variances drain revenue, often impacting 2–4% of the bottom line. Learn how analytics, denial management, and data visualization help hospitals identify root causes, prioritize high-value opportunities, and accelerate recovery.
Case Study
Turning Underpayments into Opportunity: An $8.6M Win
See how a Midwestern health system recovered $8.6M by tackling denials and underpayments with advanced analytics and expert support. Discover the strategies that improved efficiency, corrected billing issues, and strengthened overall financial performance.
Blog
Timely Filing Denials are Surging
Timely filing denials are up 267%—putting revenue at risk. Learn how revenue cycle analytics helps you identify root causes, prioritize claims, automate workflows, and renegotiate contracts to protect cash flow and reduce costly delays.
Blog
Leveraging Medicare Benchmarks in Contract Negotiations
Medicare benchmarks offer powerful insight for payer negotiations. Learn how to compare reimbursement rates, identify gaps, and use data-driven analytics to strengthen contracts, improve financial planning, and maximize net revenue.
Case Study
Driving Operational Efficiency and Financial Performance with Revenue Recovery
A leading healthcare organization partnered with PMMC to enhance revenue recovery by addressing claim denials and underpayments. Using advanced contract management and analytics tools, they streamlined workflows, automated tasks, and identified high-value opportunities.
Blog
Why a Safety-Net Review Could Save You Millions
Denials and underpayments can cost millions. Learn how a safety-net review uses analytics and AI to uncover hidden revenue, reduce false variances, and improve workflows—helping your team recover more and strengthen financial performance.
Blog
Keep AR Under Control with Revenue Cycle Analytics
AR is rising—up 21% year over year—putting cash flow at risk. Learn how revenue cycle analytics can help you track aging AR, reduce denials, and take proactive steps to improve collections and strengthen financial performance.
Webinar
Price Transparency in 2025: What you Need to Know
Prepare for 2025 CMS Price Transparency updates with confidence. Join this expert-led session to learn how to audit compliance, leverage MRF data, and strengthen payer negotiations to drive better financial outcomes.
Blog
Modernizing Revenue Recovery Through the Power of AI
AI is transforming revenue recovery. Discover how advanced tools help prioritize high-value claims, automate workflows, and boost collections. Learn how to reduce manual effort, improve efficiency, and accelerate cash flow with smarter recovery strategies.
Blog
Protecting Yourself & Your Team from Phishing Attacks
Phishing attacks are on the rise—putting data, finances, and operations at risk. Learn practical steps to protect your team, secure sensitive information, and strengthen defenses against evolving cyber threats.
Case Study
Solutions for Improved Financial Management and Patient Experience
Facing regulatory changes and EAPG adoption, a healthcare organization partnered with PMMC to improve patient estimates, streamline recovery, and ensure compliance. See how advanced tools drove productivity, growth, and multi-hospital expansion.
Blog
Insurance Payment Delays Are Rising—What It Means For You
Payer delays are rising—payments now take 42% longer year over year. Discover what’s driving the trend, the financial impact on your organization, and how to use analytics and smarter workflows to protect cash flow and speed up reimbursement.
Webinar
Building a Strong Financial Safety Net: Hospital Expert Insights
Improving revenue cycle processes is critical for healthcare organizations aiming to maximize reimbursement and address financial challenges. This session focuses on tackling common denial trends, fostering stronger relationships with payers, and implementing proactive strategies to capture every revenue opportunity.
Blog
Optimizing Payer Negotiations for Hospitals
Strengthen payer negotiations with data-driven strategies. Learn how advanced analytics, contract modeling, and clear visualization empower hospital finance teams to improve reimbursement, reduce risk, and drive stronger financial outcomes.
Blog
As We Approach 2025, Healthcare Organizations Need to be Prepared
Prepare for 2025 with key insights from 2024. Learn how rising denials, cybersecurity risks, ER downgrades, and payment delays are shaping healthcare—and how data-driven strategies can protect revenue and strengthen financial stability.
Blog
Navigating the Rising Tide of Prior Authorization Denials
Prior authorization denials are rising—driving delays and revenue loss. Learn how analytics, smarter workflows, and cross-team collaboration can reduce denials, improve efficiency, and protect your organization’s financial performance.
Blog
7 Ways to Turn Contract Data into Actionable Insights
Turn contract data into smarter decisions. Discover seven proven ways to use analytics, modeling, and automation to improve negotiations, uncover revenue opportunities, and drive faster, more strategic outcomes across your organization.
Blog
Decoding Lesser-of Charges Insights with Revenue Cycle Analytics
Lesser-of charges are rising—impacting hospital revenue. Learn how revenue cycle analytics can help identify risks, optimize pricing, and align contracts to reduce revenue loss and improve reimbursement performance.
Blog
Building Stronger Cybersecurity After a Major Breach
The Change Healthcare breach exposed critical cybersecurity risks. Learn how to strengthen defenses with Zero Trust strategies, employee training, and proactive safeguards to protect data, maintain trust, and ensure business continuity.
Webinar
Executive Edge Series: Engaging Employees for the Long Run
Improving retention starts with stronger leadership and aligned teams. Explore practical strategies to boost engagement, identify challenges early, and build a culture that drives productivity, collaboration, and long-term success.
Blog
The Ultimate Guide to Your Next CDM Software Review (Chargemaster)
A successful CDM review requires balancing price transparency, market position, and net revenue impact. Learn how analytics, scenario modeling, and strategic pricing can optimize chargemaster decisions and protect financial performance.
Blog
Combat High Dollar Account Denials with Revenue Cycle Analytics
High-dollar denials are rising—now driving major revenue loss. Learn how revenue cycle analytics can help you identify root causes, improve workflows, and protect high-value claims before they impact your bottom line.
Blog
Shaping the Future of Healthcare Consumerism
Healthcare consumerism is reshaping patient expectations. Discover how hospitals can improve access, engagement, and transparency while strengthening brand strategy and delivering better patient experiences in an increasingly competitive market.
Blog
Impact of the Change Healthcare Breach and Analytics
The Change Healthcare breach disrupted payments and exposed major risks. Learn how analytics and automation can help quantify impact, streamline recovery, and strengthen financial resilience in the face of ongoing disruption
Blog
Pricing Transparency Evolves: Ensuring Compliance with Regulations
Stay ahead of evolving CMS price transparency rules. Learn how new standards, stricter enforcement, and data requirements impact compliance—and what hospitals must do now to avoid penalties and ensure accurate, accessible pricing data.
Webinar
Executive Edge Series: Putting Consumerism to Work for You
Join this insightful discussion on the evolving healthcare landscape and the growing importance of patient experience. Learn why meeting consumer expectations matters and how organizations can deliver more personalized, impactful care experiences.
News
PMMC Announces Executive Edge Series
Join PMMC’s exclusive 2024 leadership series designed for healthcare executives. Gain insights from industry expert and discover proven strategies to strengthen performance and drive results.
Blog
Maximizing Payer Contracts with Healthcare Contract Modeling Software
Contract modeling software helps hospitals analyze complex payer agreements, forecast reimbursement, and negotiate from a position of strength—driving better rates, improving cash flow, and maximizing revenue with data-driven insights.
Blog
ER Downgrades: Using RCM Analytics to Stop Revenue Loss
ER downgrades are quietly driving revenue loss. Learn how RCM analytics can uncover hidden discrepancies, identify payer trends, and help your team take action to recover revenue and protect financial performance.
News
PMMC President Robby Shaul Honored as Top 100 Innovator & Entrepreneur
PMMC President Robby Shaul named a Top 100 Innovator & Entrepreneur, recognizing his leadership in advancing healthcare finance. Discover how his vision has driven growth, innovation, and stronger financial outcomes for providers.
Blog
The CFO’s Predicament and Pathway to Innovation
As executive roles evolve, innovation is no longer optional. Explore how leaders can drive growth through vision, collaboration, and continuous learning—while reducing transactional work to focus on strategy and long-term success.
Blog
Unlock Hidden Revenue in Low-Balance Accounts
Low-balance accounts may seem small—but they add up. Learn how revenue cycle analytics and automation can uncover hidden revenue, streamline workflows, and turn overlooked balances into a consistent source of recovery.
Blog
Co-sourcing as a Hybrid Approach to Financial Management
Insourcing or outsourcing? Discover how co-sourcing offers a flexible, cost-effective approach to healthcare finance. Learn how hospitals can balance control, access expertise, and improve efficiency while strengthening revenue integrity and performance.
Webinar
Executive Edge Series: Driving a Culture of Innovation
Looking to sustain innovation in your hospital? Explore strategies inspired by leaders outside healthcare to keep ideas flowing, strengthen long-term growth, and stay ahead in a rapidly evolving industry.
Webinar
Hospital Pricing Strategies: Real Data & Real Results
This PMMC Expert Webinar will focus on showing the ‘how’ and the ‘impact’ of modeled changes on your hospital pricing using real data and showing real results. If you've been wanting to see real scenarios to get the most out of your pricing strategy, we are here to help you.
Blog
CMS Price Transparency Updates for 2024: Navigating Compliance, Avoiding Fines
CMS price transparency rules continue to evolve—and penalties are rising. Learn what’s changed for 2024, how fines are assessed, and the key steps your organization can take to stay compliant, reduce risk, and protect revenue.
News
PMMC Gains HFMA Peer Review for over 10 Years
The Healthcare Financial Management Association announced that, following rigorous review, PMMC has once again achieved the “Peer Reviewed by HFMA®” designation for its denial management software and its patient estimation solution products within its revenue cycle management platform.
Webinar
CMS Price Transparency Preparation: Be Informed, Be Compliant, Avoid Fines
Don't risk costly fines or compliance issues. Get the information and insights necessary to protect your organization's financial well-being. CMS has rolled out a phased plan for 2024 regulations. Learn how to keep and stay compliant and avoid fines.
News
New Chief Sales Officer Brings Extensive Healthcare Experience
Meet PMMC’s new Chief Sales Officer, bringing 30+ years of healthcare leadership and a client-first mindset. Learn how his team-driven approach and industry experience will help drive growth, strengthen partnerships, and support client success.
Blog
Counting the Cost of Inaccurate Patient Estimates
Inaccurate patient estimates can lead to lost revenue, compliance risks, and poor patient experiences. Learn how modernizing estimation processes and leveraging advanced technology can improve accuracy, strengthen collections, and support price transparency.
Blog
Quarterly Business Intelligence Report: Navigating the Denial Storm
Denials are rising as payer policies tighten, threatening hospital revenue. This report highlights key denial trends, root causes, and strategies to improve denial management, strengthen processes, and protect financial performance.
Blog
Pricing Transparency Laws and the Need for Reliable Estimator Software
CMS price transparency laws demand accurate, timely patient estimates. Learn how reliable estimator software ensures compliance, improves collections, reduces disputes, and enhances patient trust while streamlining workflows and financial performance.
Blog
How Revenue Recovery Services Solve Staffing Shortages
Staffing shortages don’t have to slow collections. Learn how recovery services—through outsourcing, augmented support, and contingency models—help reduce burnout, improve efficiency, and boost revenue without adding headcount.
News
PMMC Deploys New Client Survey
PMMC launched a quick, in-app survey to capture real-time client feedback and enhance product performance. See how this initiative helps refine user experience, strengthen outcomes, and ensure solutions evolve with client needs.