PMMC Chargemaster Pricing
Optimize hospital charges with a combination of data-driven modeling software and consulting expertise.
Overview
PMMC's Chargemaster solution helps hospitals and health systems optimize their pricing strategies and ensure chargemaster accuracy. The solution stands out by repricing historical claims data with proposed chargemaster prices and simulating them through actual payer contracts to produce an accurate revenue projection. This approach helps in addressing 'lesser of' clauses in contracts and standardizing charges across multiple facilities. It is offered as a combination of a software platform and expert consulting services.
✨ Key Features
- Strategic pricing modeling
- Net revenue impact analysis based on historical claims data
- Payer contract simulation
- Competitive rate comparison (local, state, and national)
- Charge standardization for multi-hospital systems
- Software combined with personalized consulting
🎯 Key Differentiators
- Unique methodology of repricing actual historical claims to model net revenue impact
- Hybrid software and consulting approach
- Part of an integrated platform of RCM solutions including contract management
Unique Value: Provides unparalleled accuracy in forecasting the net revenue impact of chargemaster changes by repricing historical claims against actual payer contracts, ensuring optimal and defensible pricing.
🎯 Use Cases (4)
✅ Best For
- Accurately forecasting net revenue impact of price changes by simulating against payer contracts
- Optimizing pricing to avoid 'lesser of' reimbursement issues
💡 Check With Vendor
Verify these considerations match your specific requirements:
- Organizations seeking a pure SaaS, self-service tool without a consulting component
🏆 Alternatives
Offers a more precise and reliable method for revenue modeling than solutions that use revenue usage models with sensitivity factors.
💻 Platforms
🛟 Support Options
- ✓ Email Support
- ✓ Phone Support
- ✓ Dedicated Support (Standard tier)
🔒 Compliance & Security
💰 Pricing
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