PMMC provides revenue cycle management tools to healthcare delivery systems, acute care hospitals, critical access hospitals, academic physician organizations and multi-specialty physician groups. Helping find additional cash and creating efficient workflow processes allows clients to improve margins and continue to effectively serve their community.

The Revenue Maturity Matrix is a proven, four-phased approach that enables healthcare providers to improve the bottom line and become more competitive in today's healthcare environment.

Contract Governance

A successful revenue cycle maturity strategy begins with contract governance, or contract management. This ensures that your hospital is being reimbursed accurately for all the services provided and identifies which claims are being underpaid or denied. Measuring payer performance and understanding how payers compare to one another is a critical component to contract governance.

Payer Negotiations and Strategic Pricing

After healthcare providers have established contract governance, this historical data can now be leveraged to aggressively model payer contracts in real-time while using the same platform to develop a competitive rate setting strategy and understanding the impact on their current contracts and net patient revenues.

Pricing Transparency

Healthcare providers can utilize the same platform that drives contract governance, modeling and rate setting to deploy a successful patient engagement strategy for pricing transparency and consumerism. In healthcare today, this means giving patients the means to price shop for healthcare services.

Value Based Reimbursement

Healthcare providers will be challenged in gaining a competitive advantage as the market shifts from fee-for-service to value-based reimbursement. PMMC enables healthcare providers to lead with a high value and high volume strategy by incorporating current contract governance and risk assessment.

PMMC provides revenue cycle management tools to healthcare delivery systems, acute care hospitals, critical access hospitals, academic physician organizations and multi-specialty physician groups. Helping find additional cash and creating efficient workflow processes allows clients to improve margins and continue to effectively serve their community.

The Revenue Maturity Matrix is a proven, four-phased approach that enables healthcare providers to improve the bottom line and become more competitive in today's healthcare environment.

Contract Governance

A successful revenue cycle maturity strategy begins with contract governance, or contract management. This ensures that your hospital is being reimbursed accurately for all the services provided and identifies which claims are being underpaid or denied. Measuring payer performance and understanding how payers compare to one another is a critical component to contract governance.

Payer Negotiations and Strategic Pricing

After healthcare providers have established contract governance, this historical data can now be leveraged to aggressively model payer contracts in real-time while using the same platform to develop a competitive rate setting strategy and understanding the impact on their current contracts and net patient revenues.

Pricing Transparency

Healthcare providers can utilize the same platform that drives contract governance, modeling and rate setting to deploy a successful patient engagement strategy for pricing transparency and consumerism. In healthcare today, this means giving patients the means to price shop for healthcare services.

Value Based Reimbursement

Healthcare providers will be challenged in gaining a competitive advantage as the market shifts from fee-for-service to value-based reimbursement. PMMC enables healthcare providers to lead with a high value and high volume strategy by incorporating current contract governance and risk assessment.

Patients placed in the wrong bed status with improper documentation results in massive revenue loss and patient dissatisfaction.

Physicians can’t keep up with constantly changing criteria needed to admit patients to the hospital, and hospitals spend tons of money and resources fixing bed status issues retrospectively.

AdmissionCare provides the admitting physician with automated admission criteria - such as MCG - integrated directly into the EHR workflow to help document medical necessity that increases payer reimbursements and reduce denials.

How does it work?

• Integrate into the clinician's EHR workflow
• Determine the most appropriate bed status for each patient at admission
• Synchronize payer criteria with the clinician's documentation
• Collect revenue for the care provided, while avoiding costly denials

EvidenceCare is a unique type of clinical decision support system (CDSS) with its EHR-integrated and content-agnostic platform that empowers better care decisions by improving clinical workflows.

Founded in response to the professional experience of emergency physician Dr. Brian Fengler, the platform provides clinicians with evidence-based insights and measurable outcomes that improve hospital margins.

Based in Nashville, Tennessee, EvidenceCare is a 2x honoree of the INC 5000 list of fastest growing companies, a 2x Fierce Healthcare Best Product winner, and one of Modern Healthcare's Best Places to Work in Healthcare.

EHR Integrated on the front end of the clinician workflow

EHR Integrated on the front end of the clinician workflow