CHARLOTTE, N.C., May 5 /PRNewswire/ -- The Medical College of GA, Augusta, Ga.; University Physicians, Inc., Denver, Colo.; and Massachusetts General Physician Organization have contracted with Preferred Medical Marketing Corporation (PMMC) for software and contract management support services to improve identification of contractual managed-care underpayments. Industry research suggests that managed-care payers often underpay provider invoices by as much as 10 percent.
After a thorough review, these academic faculty practice groups contracted with PMMC, a software service company for health care providers, to use PMMC Physician PRO software to help identify underpayments from managed-care companies; to implement these critical payment auditing systems; and to add comprehensive payer decision support and reporting capabilities. PMMC’s services and tools help both physicians groups and medical institutions precisely monitor their financial reimbursement, identify underpayments from various payers and negotiate improved reimbursement provisions based on the historical results.
PMMC Physician PRO contract management applications interface with all billing systems to audit actual payments versus expected reimbursements, identify outstanding balances, and explain how reimbursements were calculated, potentially eliminating costly payer disputes. The integrated SIMULATOR module also allows physician groups to evaluate proposed contract terms before signing them. Built on the Microsoft SQL Server 2000 platform, PMMC systems offer the ability for robust decision support beyond the basic auditing functionality.
“Large physician organizations understand they must audit reimbursement, identify and then recover underpayment that is owed to them according to the complex terms of their unique payer agreements. They understand that their current systems and processes either do not accurately calculate this reimbursement or are too cumbersome for employees to use long term,” says Jim Hunter, Vice President of Business Development. “User friendly, financial decision support services and tools are critical today as physicians focus on managing their revenue.”
Preferred Medical Marketing Corporation is a Microsoft-certified software development and consulting company which determines, refines, and implements strategies for health care providers to cope with managed care and payer reimbursement issues. To find out more about PMMC’s software and consulting services, call Greg Kay at 704-543-8103 (http://www.pmmconline.com/).
Preferred Medical Marketing Corporation
CONTACT: Greg Kay of Preferred Medical Marketing Corporation,+1-704-543-8103
Web site: http://www.pmmconline.com/
