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Helping Hospitals with Compliance and Revenue Cycle solutions for the past 21 years.

Prospective Payment Specialists has been providing compliance and revenue cycle services to over 2,600 hospitals for the past 21 years. From teaching hospitals to large urban facilities; from small regional medical centers to Critical Access hospitals, PPS provides compliance-based solutions for the revenue cycle with Chargemaster services, Billing and Coding Validation projects, RAC Appeals Support and contract coding assistance. PPS currently serves four of the largest hospital systems in the country.

 

Our mission has always been to assist our hospital clients adapt to the changes frequently occurring in the Prospective Payment System.

 

 

Introduction

Comprehensive Review
Implementation
Ongoing Maintenance
Charge Comparison
Strategic Pricing
Standardization
Physician Practice

 

 

Validation - Pre-billing
Validation - Post-billing
Contract Coding
ICD-10 Transition Services
Medical Necessity
Physician Practice

 

 

 

 

Appeals
Mock RAC Audits