Prospective Payment Specialists, a 20-year-old hospital consulting firm, has worked for more than 2,000 hospitals throughout the country and serves four of the seven largest US hospital systems. From teaching hospitals and large urban hospitals to community and critical care access facilities, and with healthcare law firms, too, PPS provides compliance based solutions to chargemasters and provides RAC/MIC/ZPIC and billing/coding validation services.

Our mission has always been to assist our hospital clients in adapting to the changes that frequently occur within the Prospective Payment System and from most payors. We accomplish this by utilizing consultants who have specialized backgrounds, concentrating exclusively on either CDM or coding validation. This approach allows PPS to provide our clients with expeditious and highly accurate results in the forms of compliant billing, better revenues and improved cash flows.

PPS is a group of clinical, coding experts offering an array of services around the chargemaster, MS DRGs, APCs, and compliance issues. We also offer value-added services to hospitals and their legal counsels for a variety of related issues.