Medical Management Plus, Inc.

Medical Management Plus, Inc. is a Birmingham, Alabama-based healthcare compliance and analytics firm specializing in Medicare Fee-For-Service (FFS) data and expert guidance. We empower hospitals and health systems to cultivate success with their Medicare business through our Grow, Compare, and Protect (GCP) Analytics Model. Leveraging RealTime Medicare Data (RTMD) insights, we provide comprehensive assessments, trending analysis, and targeted reviews, ensuring optimal compliance and revenue protection. Our team’s expertise in Medicare rules, regulations, and coding practices, combined with data-driven solutions, helps clients navigate the complexities of FFS reimbursement. RTMD data, including Inpatient Discharges, Outpatient Hospital Services, and CMS 1500 Professional Services, provides a full-census, non-modeled view of Medicare claims. We are committed to environmentally conscious practices.

We focus on compliance with medical necessity of services as defined through Medicare documentation, coding and billing rules, and regulations. We deploy a client specific plan through our Medicare Compliance Assessment Tool (MedCAT) . We use expert Data Analysis (Client Market and Peer Compare) and Targeted Reviews for client-tailored education. We provide a “big picture” summary of risks and findings to hospital administration and managers. MMP is powered by RTMD data, the most current and comprehensive Medicare FFS data available.