“We have been extremely impressed with the PMMC team in particular, their responsiveness and knowledge.“
“We performed a due diligence assessment of Contract Audit Management companies and decided to go with PMMC for three reasons. First, PMMC's pricing was competitive with the other companies we evaluated. Two, they were the only company willing to do a "trial run" with a couple of our payers before proceeding with the agreement. Since we have never used a Contract Audit Management company before, it was an important advantage in selling the idea to our Board. Thirdly, the data we have been able to present to the payors has been very enlightening, both to us and the payors. For the first time, we have the data to challenge the payors on underpayments and in negotiating improved reimbursement rates. After nearly four years in partnering with PMMC, we continue to find underpayments on several of our payors when performing our ongoing paid claim analysis. In addition, since merging with our hospital this past year, the payor data we are able to review has been helpful in jointly working with the hospital in assessing managed care contract negotiations."
Now in our 45th year, ADS has an unparalleled history of stability in the industry. Practices and enterprise groups in every specialty, including behavioral health/ substance use disorder settings, laboratories of every type, and imaging centers, rely on our AI-architected, rules engine-driven MedicsPremier platform to ensure maximized claims, out-of-network alerts, eligibility verifications, for our patient responsibility estimator, proactive Denial Preventer®, NCCI editing, and so much more. Analytics, dashboards, and KPIs are user-defined and exportable to Excel. Other options include insurance discovery and automated prior authorizations. MedicsPremier is available in our cloud or your server. If preferred, ADS RCM is ideal for outsourced revenue cycle management and services. ADS RCM also uses the MedicsPremier platform.
Optum is a health services and innovation company on a mission to help make the health system work better for everyone. Optum combine data and analytics with technology and expertise to power modern health care. Optum delivers intelligent, integrated solutions that help to modernize the health system and improve overall population health.
ModMed Gastroenterology, formerly gMed®, a ModMed company, provides the gastroenterology industry with an integrated health IT platform for private practices, ambulatory surgery centers and hospitals. Data-driven products and services include an EHR system, endoscopy report writer, practice management solution, patient engagement portal, value-based care solution, data analytics platform and revenue cycle management service.