Prospective Payment Specialists

Hospitals and Health CareCalifornia, United States11-50 Employees

From HIM coding, auditing to chargemasters and RAC support, Prospective Payment Specialists (PPS), a 25-year-old hospital consulting firm, has helped more than 3,500 hospitals and health systems throughout the country achieve compliant revenue cycle management. From large systems, teaching hospitals, large urban hospitals to community and critical care access facilities, PPS provides compliance based solutions in three major practice areas: 

• Chargemaster: Comprehensive Reviews, Ongoing Maintenance, Complete Chargemaster Outsourcing, Strategic Pricing, and Price Comparisons – all consultants are RN’s, MT’s CPC’s and have completed hundreds of reviews.

• Coding: Audits, Validations, Education and Contract Coding – all consultants are RHIAs, RHITs or CCSs with a minimum of ten years of experience 

• RAC Services: Proactive Reviews, Mock Audits and Appeals Support – we have excellent resources in this area including a former RAC subcontractor and a Medicare Administrative Law Judge.

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