PMMC Healthcare Revenue Cycle Blog
Stay up to date on best practices for healthcare revenue cycle management with PMMC's blog.
Ensuring Payer Contracts Are Being Maximized with Contract Modeling
Contract modeling software can help healthcare decision-makers look beyond their revenue cycles and adapt to industry trends to maximize profitability. Partnering with an experienced contract modeling system provider like PMMC is also helpful for evaluating payer contracts and ensuring that they’re being fully maximized. Let’s further examine contract modeling software, including why hospitals need them and the benefits they provide.
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Modeling Payer Proposals to Maximize Return and Cash Flow
Over the last several years, hospitals and healthcare groups have been ravaged by pandemic-related revenue losses. According to the American Hospital Association, in 2021 alone, U.S. hospitals lost approximately $54B in net income. Despite that, hospital leaders strive to achieve an economic resurgence by reducing operating expenses, streamlining operations, and perhaps most importantly, restructuring payer proposals to maximize their returns.
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Overcome Staffing Challenges with Recovery Services
Most hospitals have been feeling the effects of ongoing staffing challenges. Hospitals across the nation are struggling to hire and retain both frontline care providers and administrative talent like accounting personnel.
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Counting the Costs of Inaccurate Patient Estimates
Since early 2020, hospitals have been contending with unprecedented challenges that have negatively impacted their revenue and profitability. Throughout 2022, 53% of hospitals had negative margins, according to the American Hospital Association, and even those projected to end the year with positive margins are still recouping from the financial hurdles of the last few years.
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Reimbursements & Recovery | revenue cycle contract management
Modernizing Revenue Recovery Through the Power of AI
A revolutionary new AI tool is poised to change how healthcare organizations manage revenue recovery and protect cash flow.
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PMMC Recognizes April Miller from Pennsylvania Mountains Healthcare Alliance (PMHA)
We would like to congratulate April Miller, Director of Contracting and Payor Relations at PMHA, as PMMC's Star of the Month!
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PMMC Recognizes Sheila Morris from Shepherd Center as Star of the Month
We would like to congratulate Sheila Morris, Revenue Cycle Director at Shepherd Center as PMMC's Star of the Month!
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PMMC Recognizes Sylvia Palomo from Texas Children’s Hospital as Star of the Month
We would like to congratulate Sylvia Palomo,Payer Compliance Manager, Managed Care Contracting at Texas Children's Hospital as PMMC's Star of the Month!
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Star of the Month: Mary Bongiorno, Director of Admission and Financial Clearance at MetroHealth
We would like to congratulate Mary Bongiornio, Director of Admission and Financial Clearance at MetroHealth as PMMC's Star of the Month for January!
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Star of the Month: Gina Aiello, Chargemaster Specialist at Saratoga Hospital
We would like to congratulate Gina Aiello, Chargemaster Specialist at Saratoga Hospital as PMMC's Star of the Month for November!
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