California-based hospital consulting firm. Our focus: Chargemaster, DRGs, APCs, and compliance issues.
Since 1992, Prospective Payment Specialists has worked with more than 1,900 hospitals providing medical record based audits, chargemaster services, charging/billing practices, and medical necessity reviews. Every PPS consultant has a clinical background (MD, RN, MT), or possesses HIM Credentials (RHIA, RHIT, or CCS) and works daily with the compliance and financial aspects of their areas of responsibility. The company employs its own physicians as well, to provide education and medical necessity reviews.
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