PMMC Healthcare Revenue Cycle Blog
Stay up to date on best practices for healthcare revenue cycle management with PMMC's blog.
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.
Share
CMS Delays Cardiac Bundles, But Now is The Time To Plan
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.
Share
Can You Lower Hospital Chargemaster Prices Without Sacrificing Net Revenue? You Might Be Surprised
Executives in the healthcare industry are constantly looking for more accurate ways to manage and balance their pricing strategies.
Share
Dear Hospital C-Suite: Why Your Prices Matter To Me
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.
Share
What Does Machine Learning Mean for the Healthcare Revenue Cycle?
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.
Share
CMS March Madness: Bundled Payments Delayed But Game Continues
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.
Share
Gain an Edge in Payer Negotiations With Healthcare Contract Modeling
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.
Share
What are Best Practices for Denial Management?
Hospital denial management staff must understand who their "problem" payers are, which billing habits may be causing delays, and know exactly how much money the payer owes in order to better manage denials and drive cash back to the bottom line.
Share
4 Key Metrics You Should Track In Hospital Contract Management
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.
Share
JFK Health Selects PMMC For CJR Bundled Payment Analytics
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.
Share