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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.

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Patient Estimates

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

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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Contract Modeling

3 Reasons Why Hospitals Should Use Analytics to Drive Payer Contracts

Insurers are swimming in data that gives them a steady stream of insights into their markets and the healthcare providers with whom they contract. Unfortunately, most providers don’t have access to the same level of business intelligence. That lack of reliable information on payer performance puts healthcare organizations at a disadvantage.

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The Ultimate Guide to Your Next Chargemaster Review

The Chargemaster (CDM) review is one of the most important initiatives for a hospital prior to the new fiscal year and requires a balancing act between price transparency demands and net revenue impact. It's a huge undertaking and if you manage the Chargemaster at your hospital, your team is likely small with limited resources. This action plan is designed to help guide the way and ensure your next Chargemaster review is successful!

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How to Maximize Reimbursement with Contract Management Analytics

According to the American Hospital Association, the financial impact to hospitals from COVID 19 has been about $200 billion over the last four months, or about $50 billion a month.

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