Introduction:

Payors, Providers & Managed Care Consultants (PPMCC) is a full service consulting firm offering a wide range of financial, operational, systems/technology/IT
and regulatory compliancy services and expertise to Hospitals, Medical Centers, Physician Groups and Managed Care Organizations since 1991.

Because of our extensive experience with hospitals, large medical practices, ancillary services, managed care, and regulatory compliance issues, our team of
principles and consultants can provide consulting services on an ad-hoc basis to clients, or on an interim management basis.

While not exhaustive or all inclusive, the listing below is intended to provide an overview of PPMCC's extensive capabilities. Depending on the availability
and duration, our team of consultants may be utilized for specific consulting projects that include the following:

    • Financial/Revenue Cycle

      • Comprehensive Hospital and Large Medical Group Revenue Cycle Process Improvement Engagements
        o APC Compliancy and Revenue Optimization/Recovery
        o Billing and Coding Alerts
        o Capture of Medicare Underpayments
        o Charge Capture Analysis
        o Financial/Business Office Assessment/Improvement
        o Insurance Follow-up Services, Managed Care Payment Verification, and Contract Modeling
        o Managed Care Contract Negotiations/ Revenue Analysis and Recovery
        o OPPS Revenue Analysis and Optimization
        o Registration Process Improvement
        o Self Pay Collections
        o Strategic Pricing

    • Other Select Services Available

      • Board, community, and management education retreats
      • Certificate of Need (CON) preparation and submission
      • JCAHO/Medicare and other regulatory compliance review and preparation
      • Organizational Development/Human Resource Support/Recruitment
      • Operational Assessments/Preformance Improvement Plans
      • Physician Relations/Recruitment/Credentialing/Management
      • Strategic Planning/Business Planning & New Product Development/Market Feasability Studies

 

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