About Prospective payment specialists
Prospective Payment Specialists: Customized Revenue Cycle Management Solutions for Hospitals, Physicians and Health Systems
Prospective Payment Specialists (PPS) is a leading provider of customized revenue cycle management solutions for hospitals, physicians and health systems. With over 20 years of experience in the healthcare industry, PPS has established itself as a trusted partner to healthcare providers across the United States.
At PPS, we understand that managing revenue cycles can be a complex and time-consuming process. That's why we offer comprehensive solutions that are tailored to meet the unique needs of each client. Our team of experts works closely with clients to identify areas for improvement and develop strategies that optimize revenue while minimizing costs.
One of our core services is coding and billing optimization. We have a team of certified coders who are trained in all aspects of medical coding, including ICD-10-CM/PCS, CPT/HCPCS Level II, DRG/APC assignment and more. Our coders work closely with clients to ensure accurate coding and billing practices that maximize reimbursement while minimizing compliance risks.
In addition to coding and billing optimization, we also offer denial management services. Denials can be costly for healthcare providers both in terms of lost revenue as well as administrative costs associated with appeals. Our team works diligently to identify root causes of denials so they can be prevented in the future.
Another key service offered by PPS is charge capture optimization. This involves ensuring all charges are captured accurately at every point along the care continuum – from admission through discharge – so nothing falls through the cracks.
We also provide consulting services related to regulatory compliance such as HIPAA/HITECH regulations or CMS guidelines on value-based care models like MACRA/MIPS/QPP etc., which helps our clients stay up-to-date on changing regulations while avoiding penalties or fines due non-compliance issues.
At PPS we believe in transparency when it comes to pricing our services; therefore we offer competitive pricing models based on performance metrics such as net collection rates or days outstanding AR (Accounts Receivable). This ensures our clients receive maximum value from their investment without any hidden fees or surprises down the road.
Our commitment towards quality service delivery has earned us an excellent reputation among healthcare providers nationwide; this is reflected by numerous testimonials from satisfied customers who have experienced significant improvements in their financial performance after partnering with us at Prospective Payment Specialists (PPS).
In conclusion, if you're looking for customized revenue cycle management solutions designed specifically for your hospital system or physician practice then look no further than Prospective Payment Specialists (PPS). With over two decades worth experience providing top-notch service delivery coupled with competitive pricing models based on performance metrics like net collection rates/days outstanding ARs - there's no better choice than PPS!