Marshfield Clinic Partners With PMMC to Improve Payer Contracting Process
CHARLOTTE, N.C., July 5 /PRNewswire/ -- Preferred Medical Marketing
Corporation (PMMC), a leading provider of financial applications and
related software services for health care organizations, announces a new
contract with Marshfield Clinic, a Wisconsin-based group medical practice,
to assist with contract monitoring.
Marshfield Clinic involves more than 700 physicians in 80 medical
specialties at 41 centers. Marshfield Clinic is teaming up with PMMC to
improve its understanding of the complex reimbursement terms associated
with its payer contracts, enhance their contract negotiation process and
monitor payer compliance.
PMMC assists medical groups by accurately calculating the expected
reimbursement per the payer's contract when the bill is generated. PMMC
provides this support through its proprietary contract management system,
PMMC Physician PRO, and its team of contract analysts. PMMC's analysts
import the reimbursement terms into PMMC Physician PRO, where the
client-specific rates, terms and pricing policies are maintained to ensure
the claim is initially priced and later paid correctly. By fully defining
each payer's contractual terms in PMMC Physician PRO, Marshfield Clinic
will be able to identify reimbursement variances. These variances can be
sorted to Key Performance Indicator groups for process improvement
strategies or collection of underpayments.
"PMMC Physician PRO successfully provides medical groups with the
opportunity to better control their managed care environment. PMMC strongly
supports its software's capability with knowledge of physician
reimbursement and insight into improving the overall revenue cycle
management process. We believe Marshfield Clinic is well positioned for
success," said Greg Kay, Senior Vice President, PMMC. "Marshfield Clinic is
one of the largest private, multi-specialty group practices in the United
States. PMMC Physician PRO assists groups such as Marshfield Clinic to
proactively evaluate the performance of their existing contracts, and based
on the analysis of that data; improve their contractual terms during future
negotiations."
PMMC Physician PRO utilizes Microsoft .NET and Microsoft SQL Server as
its technology and database platform. It can be deployed as a web-based
solution or locally installed and operated. PMMC applies Six Sigma
principals to monitor payer performance, measure reimbursement accuracy,
reduce registration, coding, and posting errors, and improve contract
negotiations as key components of the overall revenue cycle. PMMC,
headquartered in Charlotte, N.C., has assisted more than 300 hospitals and
15,000 physicians improve their financial operations. (www.pmmconline.com)
SOURCE Preferred Medical Marketing Corporation
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