PMMC’s Estimator PRO increases pricing transparency and upfront collections

How do you help healthcare organizations navigate the biggest challenges in healthcare?

PMMC enables revenue strategies for hospitals and health systems with the industry’s most integrated and accurate revenue cycle management platform.

PMMC’s patient estimation system — Estimator PRO — provides patients with an accurate out-of-pocket cost estimate prior to service. Clear, accurate estimates drive more efficient patient registration processes, increase pricing transparency, reduce patient bad debt and increase upfront collections.

The platform, which includes a fully integrated price transparency solution with point-of-service and online patient estimates, exemplifies PMMC’s mission to continuously improve the financial performance of health- care organizations so that they have more resources to devote to patient care. Today, more than 500 hospitals use this platform and see an average 10 to 1 ROI.

Online patient estimates meet the new CMS price transparency mandate and improve the patient financial experience by providing real-time estimates for shoppable services directly from the hospital’s website. This includes estimates for multiple facilities within a health system and combined estimates for both hospital and physician fees.

What advice would you offer to healthcare leaders when choosing among vendors?

PMMC views the vendor-client relationship as a partnership, and we would advise healthcare leaders to ensure they are getting a partner that will ensure their success.

Our personalized approach to complexity means that all of our clients have a dedicated account manager.

When evaluating patient estimates, it’s important to partner with a vendor that has the ability to calculate accurate patient estimates, understands the impact of new regulations and can pivot quickly as new price transparency regulations go into effect.

PMMC is quickly preparing its clients to be compliant with the No Surprises Act that went into effect on Jan. 1, 2022, by evolving its point-of-service patient estimates to include line item charges.

What is some advice you can give providers for a successful implementation of a new product or service?

We recommend that healthcare providers have all of their resources aligned when preparing for an implementation — from executives to users to IT.

Our platform is driven by contract data, so it’s critical that data is loaded correctly and quickly so our clients can see an ROI as soon as possible. 

Our Project Management Office (PMO) walks clients through the implementation every step of the way. 

Quick Facts

• 9 years on the Short List
• 88% of peer reviewers say that PMMC Estimator PRO has resulted in enhanced productivity.

About PMMC

PMMC provides high-value revenue cycle software and services to improve the financial performance of healthcare providers. Our software and expertise focuses on payment accuracy and identifying more revenue opportunities across the revenue cycle.

PMMC helps hospitals with contract governance, payer negotiations, price transparency, and value-based reimbursement. Clients see, on average, a 10 to 1 return. on investment with software and services.

To learn more about HFMA’s Peer Review program, visit hfma.org/peerreview