Courses
Whether you're preparing for licensure, expanding your professional skills, or advancing your medical career, our specialized courses provide the practical education and expert support to help you succeed.
PPS CONSULTING Group
At PPS Consulting Group, we develop training programs for physicians and healthcare professionals who want to grow and work with confidence in the United States healthcare system. Our course offering continues to grow. These are the programs currently available.
Managed Care Fundamentals Program
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A program designed for physicians and healthcare professionals who want to fully understand the managed care model and work with confidence in the United States healthcare system. Ideal for physicians joining the Florida market.
Special Offer $299
What it includes:
- Fundamentals of Medicare Advantage and Florida Medicaid Managed Care.
- HEDIS, Star Ratings, and care gaps.
- Utilization management and prior authorizations.
- The role of the primary care physician in the managed care model.
- Risk adjustment (RAF and HCC) and MEAT documentation criteria.
- Preparation for practice and for the job interview.
Investment: Individual: $350. For groups and organizations, we prepare a tailored quote.
Coming soon: more training programs for healthcare professionals.
ATENCIÓN PRIMARIA Y CUIDADO GESTIONADO
PROPÓSITO DE ESTE MANUAL Este manual de adiestramiento está diseñado para médicos, enfermeros practicantes y médicos asistentes que son nuevos en el cuidado gestionado de EE.UU., Medicare Advantage, Medicaid Gestionado de Florida, métricas de calidad, ajuste de riesgo, HEDIS, manejo de utilización, autorización previa y atención primaria basada en valor. Está escrito como una guía de estudio, avanzando desde conceptos básicos hasta una comprensión práctica avanzada, con ejercicios de autoevaluación al final de cada módulo.
PRIMARY CARE AND MANAGED CARE
This training manual is designed for physicians, nurse practitioners, and physician assistants who are new to U.S. managed care, Medicare Advantage, Florida Managed Medicaid, quality metrics, risk adjustment, HEDIS, utilization management, prior authorization, and value-based primary care. It is written as a study guide, progressing from basic concepts to advanced practical understanding, with self-assessment exercises at the end of each module.
Advanced Managed Care Program
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A program designed for experienced physicians and healthcare professionals who already understand the managed care model and want to master it at an advanced, operational level — risk adjustment, quality, value-based economics, contracting, and compliance. Ideal for physicians growing their role and taking on risk in the Florida market.
Recommended prerequisite: the Managed Care Fundamentals Program, or equivalent hands-on managed-care experience.
Special Offer $299
What it includes:
- Advanced CMS-HCC / V28 risk adjustment, RAF calculation, and RxHCC (Part D).
- Advanced documentation and MEAT, RADV audit readiness, and SDOH / Z codes.
- Star Ratings, technical HEDIS, CAHPS / HOS, and closing care gaps at scale.
- Utilization, post-acute care and transitions, and care-management billing (CCM, TCM, RPM, and behavioral health).
- MA plan economics and the MLR, physician compensation, and building a panel financial model.
- Contracting models, the value-based ecosystem (ACO / MSSP / LEAD), and Special Needs Plans (SNPs) and dual-eligible care.
- Prior authorization rules (CMS-0057-F) and compliance (the False Claims Act and the 60-day rule).
- Advanced clinical cases, practice-transformation leadership, and a final practice-readiness self-assessment.
Format: 17 modules across four parts, self-paced, available in English and Spanish, with interactive tools and a certificate of completion.
Investment: Individual: $350. For groups and organizations, contact us for pricing.
Managed Care Avanzado
Manual Completo — 17 Módulos Para Médicos con Experiencia · Florida 2026
Advanced Managed Care
Complete Manual — 17 Modules For Experienced Physicians · Florida 2026
