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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.

Greg Kay

Blog Feature

Top 3 Trends in Denial Management

During our recent webinar session “Denial Management Essentials: The Metrics and Reporting Tools You Need to increase Revenue” we polled healthcare providers on several topics around denial management.

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Blog Feature

How Prevalent are Narrow Networks In Healthcare Today?

During our recent webinar session “Winning Strategies for Contracting in Narrow Networks” we polled healthcare providers on several topics around narrow networks. These questions provide insight as to how well your organization is prepared to manage narrow network negotiations. How would your healthcare organization answer these questions? Here’s how the live webinar attendees responded…   1. Is your organization currently part of a narrow network?

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Key Metrics for Contract Management

Key Metrics for Contract Management

The proper use of healthcare contract management software can make a difference of 2-3 percent net revenue. Thus, the proper use of a contract management system should be considered “mission critical,” from a financial perspective, but it often does not receive the attention it deserves. This whitepaper explains how applying metrics to healthcare contract management helps assure all accounts receive appropriate attention, thus ensuring revenue integrity.

Blog Feature

The 4 Components of Payer Negotiations

Laying the Foundation

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Blog Feature

What We Learned (Part 2): 8 Points on Narrow Networking That Every Hospital Needs to be Aware Of

This webinar has taught us a lot about a program in the healthcare industry commonly referred to as narrow networks. We learned about the pros and cons for adopting this type of system, the growing trend of employers offering this to their employees, and most importantly, the value of knowing the contracted terms before entering into these agreements. So, with that being said, what’s the biggest piece of advice we can take away from this presentation?:

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Blog Feature

What We Learned (Part 1): How Narrow Networks Impact Healthcare Providers

During our recent webinar session “Intro to Narrow Networks: What’s the Impact on Healthcare Providers?” we polled healthcare providers on several topics around narrow networks.

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Blog Feature

What We Learned (Part 1): What Hospitals Need to Know About Narrow Networks Before Joining

The path toward financial stability for healthcare organizations can be a bumpy road. Due to a surplus of big data, providers can utilize this information to search for any areas (aka. opportunities) where they can lower their costs by working together to create a solution that all parties can agree on. This process usually requires some give-and-take from both sides but the goal is to find new innovative means of lowering their costs, without sacrificing the quality of patient care. 

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Blog Feature

Webinar recap: Intro to Narrow Networks

Click here for a 20 minute intro session to Narrow Networks.

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Blog Feature

What We learned (Part 2): How Prepared are Healthcare Organizations for Value-Based Reimbursement?

During the recent national webinar session “Adapting To New Reimbursement Models - How To Measure Payer Performance And Maximize Revenue” we polled healthcare providers on several topics around value-based reimbursement contracts and payer performance and monitoring.

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Blog Feature

What We Learned (part 1): 7 points on new reimbursement methods that every revenue management team needs to know

Webinar recap: "Adapting to New Reimbursement Models: How to Maximize Payer Performance and Maximize Revenue"

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Blog Feature

5 Methods of Hospital Reimbursement

What are the Methods of Hospital Reimbursement? Discount from Billed Charges Fee-for-Service Value-Based Reimbursement Bundled Payments Shared Savings For healthcare financial staff, some cycles are so common they are taken for granted – day and night, seasonal changes, month-end close, year-end reporting. On one hand there is the age-old adage, ‘the only constant in life is change’ and on the other hand ‘the more things change, the more they stay the same’.  When providers approach the task of monitoring payer reimbursement, the doctrine of cycles certainly apply. 

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