PPR Healthcare Solutions, an IL Corporation, established in 2002, is a boutique firm that partners with small and large healthcare organizations to build solutions that enhance operational effectiveness, improve clinical documentation, strengthen revenue integrity and decrease overall compliance related risks. Our core solutions are centered around creating sustainable solutions for our “clients” as opposed to a one size fits all approach.
Services provided by clinicians must be captured accurately so that they can be submitted to the payer compliantly, regardless of the payment model. Inaccurate coding can result in denied claims, lost revenue, or an underestimation of the future costs needed to care for a patient. As value-based care continues to gain popularity in accurate coding can impact the financial health of an organization.
Our coding professionals hold one or more certifications through the American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC) as well as have 20 or more years experience in assigning or auditing coded data. Many have served in director level positions and have managed coding teams. Additionally, 100% of our coding teamwork work in Midlothian, IL office as opposed to out of their home offices. In the past we have provided the following coding services:
In the past we have provided the following CDI services:
Having a Clinical Documentation Improvement (CDI) program is now just as important as having a Compliance program. While there are many benefits of having a CDI program, the most common are improved quality of care, compliance, accurate code assignment, and reduction in claims and/or medical necessity denials
Our CDI solutions are created by a team as our experience has demonstrated that a CDI program is more successful if it can benefit from a “clinical” and “coding” partnership. Our team of Registered Nurses (RN’s) and Clinical Documentation Improvement Practitioners (CDIP’s) have over 40 years of experience in a variety of health care settings. In the past we have provided the following CDI services:
In the past we have provided the following CDI services:
Adhering to the Office of Inspector (OIG’s) Compliance program guidance is more than having a written compliance program in a binder. Ensuring that the organization is complying federal rules and regulations to prevent fraud and abuse is an ongoing process. In other words, compliance must be more of an active rather than a passive process.
No matter where you are in the compliance program journey, our team can partner with you to determine what your needs are. If you have an existing program, we recommend starting with a risk assessment conducted by a Certified Healthcare Compliance (CHC) professional! This face-to-face assessment, typically a 3-day process (depending on the size and structure of your organization), results in a written actionable report.
In the past we have provided the following compliance services:
Ongoing education plays a pivotal rule in the success of an organization’s compliance program. Educational must be quality to be effective and meet the needs of diverse learners. When participants are engaged in education, they are more likely to be compliant.
Our education team has over 30 years’ experience creating and delivering educational programs for healthcare organizations and have experience facilitating training for academic institutions. Further, we can deliver content face to face, virtually or pre-recorded. Lastly, we can curate a customized training center for your organization to house any training that we create for you.
Our trainers are well-versed in a variety of tools and resources that can make the education experience rewarding and add value to the organization. Lastly, our trainers are also professional speakers.
“The Growth Motivator™” Dr. Lisa L Campbell® offers training, seminars, workshops, and presentations to help individuals and businesses reach their full potential. In the past, she has provided coaching for new leaders, diverse leaders and has led teams in improving their emotional intelligence.
Schedule a one on one meeting with Dr. Campbell to help you create a custom solution for your organization.