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PMMC Healthcare Revenue Cycle Blog
Stay up to date on best practices for healthcare revenue cycle management with PMMC's blog.
Strategic Pricing & Chargemaster
How to Simplify Your Chargemaster Review for Strategic Pricing and Price Transparency Compliance
The Chargemaster (CDM) review is more than a regulatory checklist—it’s a strategic lever for driving net revenue, improving compliance, and building trust with patients. As pricing regulations evolve and market competition intensifies, healthcare organizations must streamline their CDM processes while ensuring alignment with financial and transparency goals. This blog offers a concise, actionable guide to help revenue leaders achieve that balance.
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CMS & Transparency | Patient Engagement | Patient Estimates
The Real Cost of Inaccurate Patient Estimates in Healthcare
Hospitals today face critical revenue cycle challenges, from staffing shortages to updating legacy billing systems. Yet, inaccurate patient estimates often go overlooked, quietly draining revenue, eroding trust, and causing operational inefficiency. Ensuring accurate estimates isn't just beneficial—it's essential for financial health and patient satisfaction.
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Optimizing Payor Negotiations with Proven Strategies for Hospital CFOs
Healthcare organizations face a growing array of challenges—from fluctuating reimbursement rates and evolving payment models to the increasingly intricate landscape of payor contracts. The financial stakes have never been higher, requiring healthcare finance teams to shift from traditional negotiation methods to more strategic, data-driven approaches.
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Unlocking Value in Payor Negotiations
Negotiating with payors is one of the most complex responsibilities in healthcare finance. Healthcare systems grapple daily with intricate contracts, tightening margins, and the critical need to stay compliant with shifting healthcare regulations. These negotiations are essential for balancing revenue streams, reducing inefficiencies, and securing long-term financial sustainability.
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3 Ways to Improve Your Billing Performance
Billing efficiency plays a crucial role in maintaining the financial health of any business. With increasing downgrades, hospitals need to code at the same angle. Being aware of trends and how to stop them can help your organization improve billing performance. By understanding key metrics and refining your processes, you can ensure accurate, timely billing while maximizing revenue opportunities.
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Strategic Pricing Drove Up To a 15 Percent Increase in Net Revenue
Effective pricing strategies are critical for driving profitability in healthcare organizations. Organizations that take a strategic approach to chargemaster adjustments often see significantly better results—reporting between a 2 to 15 percent increase in average net revenue year-over-year (YoY), compared to just 3 percent for those without such strategies. Here’s how these targeted adjustments lead to substantial growth and why they matter.
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Timely Filing Denials are on the Rise. Here's What You Need to Know
Timely filing denial rates are hitting revenue cycle teams harder than ever, with a staggering 267% increase YoY for timely filing denials on appeals. This surge is more than just an unsettling trend; it represents significant revenue loss and operational inefficiency. To protect your organization’s bottom line, addressing this issue requires both immediate action and strategic contract renegotiations.
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