PMMC Healthcare Revenue Cycle Blog

CMS Delays Cardiac Bundles, But Now is The Time To Plan

Posted by Brad Josephson on Jun 6, 2017 3:30:11 PM

Due to complications with timing, the Centers for Medicare and Medicaid Services (CMS) has delayed implementation of the three new episodic payment models (EPM) and Cardiac Rehabilitation (CR) incentive program until January 1, 2018.

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Topics: CMS

Can You Lower Hospital Chargemaster Prices Without Sacrificing Net Revenue? You Might Be Surprised

Posted by Tara Bogart on May 18, 2017 12:06:12 PM

Executives in the healthcare industry are constantly looking for more accurate ways to manage and balance their pricing strategies.

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Dear Hospital C-Suite: Why Your Prices Matter To Me

Posted by Chad Shields on Apr 18, 2017 9:00:00 AM

It’s no secret that healthcare prices have skyrocketed over the last 20 years.

It seems like everyone has a personal story (or knows someone) who has had sticker shock for a healthcare service.

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What Does Machine Learning Mean for the Healthcare Revenue Cycle?

Posted by Fred Sheffield on Mar 30, 2017 2:11:36 PM

There’s no denying that Big Data is everywhere in our day-to-day lives.  By some estimates, there has been more data created in the past 2 years than in all of human existence combined. 

The rapid evolution of technology is aiding the vast amount of choices we have in the consumer world to leverage machine learning in an effort to study our habits and predictively deliver what we are looking for, when and where we need it.

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CMS March Madness: Bundled Payments Delayed But Game Continues

Posted by Brad Olin on Mar 24, 2017 9:00:00 AM

CMS called a timeout this week on some of their mandatory bundled payment programs.

But that doesn't mean the value-based reimbursement game has been cancelled. 

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Gain an Edge in Payer Negotiations With Healthcare Contract Modeling

Posted by Brad Olin on Mar 16, 2017 3:15:00 PM

With tens of thousands of line items and hundreds of carve-out clauses in fee-for-service and percentage of charge contracts, managing reimbursement terms with government and commercial payers can be a tough task if you don’t have the right tools. Just like anything else.

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Denial Management Best Practices for Hospitals

Posted by Brad Olin on Mar 7, 2017 3:00:59 PM

Rather than starting off this blog with a cliché ice breaker like “Webster’s dictionary defines denial management as…,” let’s dive right into it. What is denial management? How can it help your hospital? Does it really work? Let me tell you right now, the answer is yes. But here’s why.

In short, denial management in healthcare refers to a system where a patient’s claim for a medical service gets denied by the payer.

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4 Key Metrics You Should Track In Hospital Contract Management

Posted by Brad Olin on Mar 2, 2017 3:00:00 PM
We live in a modern world where businesses have grown increasingly competitive. It doesn’t matter if your business is small or large, new or already established.

And the healthcare industry is no exception.

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JFK Health Selects PMMC For CJR Bundled Payment Analytics

Posted by Brad Josephson on Oct 31, 2016 2:50:54 PM

We're pleased to announce that PMMC has been selected by JFK Health, based in Edison, NJ,  for bundled payment analytics to manage the costs for the Comprehensive Care for Joint Replacement (CJR) Model.

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Webinar: MetroHealth Adapts to Price Transparency Legislation with Online Patient Estimates

Posted by Brad Josephson on Oct 13, 2016 2:14:43 PM

Be sure to join PMMC next Tuesday, October 18th for a webinar featuring The MetroHealth System, to learn how they are navigating price transparency requirements by offering online, self-service patient estimates.

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