Provider Reimbursement Consultants is a National consulting firm that specializes in:

  • HIM Coding (Facility and Physician) Reviews, Support, & Education
  • ICD‑10‑CM/PCS, CPT, & E&M Code Assessments and Education
  • Charge Master Reviews, Maintenance, and Education
  • Strategic Pricing Analysis and Pricing Transparency Projects 
  • Clinical Documentation Improvement Assessments
  • Special Focused Compliance Reviews, Audits, and Education

Providing Consulting Services to Health Care Providers

with a Focus on Compliance, Education, Accuracy, and

Optimal Reimbursement. 

Due to PRC‘s longevity in the industry, we have had the opportunity to help hospitals navigate through the original implementation of the Inpatient Prospective Payment System (i.e., DRGs) in 1984, as well as the Outpatient Prospective Payment System (i.e., APCs) in 2000.  We understand the dynamics and challenges of the healthcare industry, and we are dedicated to providing Coding, Compliance, and Clinical Documentation related consulting services to organizations like yours.  All of our reviews focus on COMPLIANCE, as well as your receipt of ACCURATE and OPTIMAL REIMBURSEMENT.  Our reviews also put a major emphasis on providing your facility with EDUCATION that is specifically based on our review findings.

PRC’s staff is comprised of 100% full-time employees. This includes the support staff in the home office, corporate management, and the consultants who conduct the Reviews and projects; everyone is fully committed to our clients’ success. Therefore, we do not have any part-time employees, nor do we use the services of any independent contractors. The level of expertise, and the depth of experience of our staff is a standard for others to follow. Each consultant is fully credentialed, licensed, experienced, and specially trained, and is a member in good standing with their professional organization.

We Are Here to Help You Succeed​