Start Your PPEC Readiness Map
Answer 20 questions and see where your center is carrying friction across census, documentation, authorizations, therapy coordination, billing evidence, and survey readiness.
The 20 questions
Read through the questions to orient your thinking. Then request a readiness review and we'll walk through them together.
How many PPEC locations do you operate?
How many children are currently enrolled across those locations?
What is your typical average daily census?
Which best describes your care model?
Skilled nursing only · Skilled nursing plus therapies · Mixed/varies by child
Which therapies do you deliver or coordinate?
PT · OT · Speech · Respiratory · Developmental · Behavioral · Other
How are therapy services documented today?
Inside your main record · Separate therapy system · By outside providers · On paper · Not consistently
How do you track daily attendance today?
Do you track nursing, therapy, transportation, absences, and partial-day attendance separately?
How do you track authorizations today?
What do your authorizations usually include?
Days · Units · Hours · Transportation · Therapy · Nursing level · Mixed service components
How often do authorization renewals create operational stress?
Where do plans of care, orders, consents, incident reports, transportation logs, and therapy records live today?
Which documents most often go missing, expire, or arrive late?
What most often delays billing or creates payment uncertainty?
How do claims move today?
Billing vendor · Clearinghouse portal · Internal biller · EDI system · Payer portal · Manual process
What tools are currently part of the workflow?
EHR · Billing system · Spreadsheets · Paper binders · Shared drive · Email · Portal · Custom system
Who needs access to the operating record?
Administrator · Nurse · Therapist · Biller · Owner · QA · Transportation · Family/guardian · External partner
Do you need family/guardian communication in the first rollout, later, or not in scope?
What is the biggest pain right now?
Census visibility · Documentation completeness · Authorization tracking · Therapy coordination · Staff handoffs · Billing evidence · Audit/survey readiness
Which rollout style feels safest?
Companion layer first · Census/documentation cockpit first · Authorization and billing evidence first · Full migration later
Where do you fit?
Based on your answers, most PPEC centers fall into one of these five operating profiles. A readiness review maps yours precisely.
Skilled nursing documentation, attendance, and authorization visibility are the first value points.
One location or a simple operating model. Therapy coordination is limited or not yet in scope. The biggest pain is documentation completeness and authorization drift.
Nursing plus therapies — coordination across notes, documentation, authorizations, and daily attendance.
PT, OT, speech, and other therapies are part of the operating day. The challenge is coordinating across nursing and therapy documentation and keeping authorizations synchronized.
Documentation gaps, authorization drift, or billing evidence uncertainty are the primary pain.
Denials, payment delays, missing records, or billing uncertainty are creating operational stress. The operating record needs to improve before billing evidence catches up.
Standardization, cross-site visibility, QA queues, and leadership reporting.
Multiple locations need consistent documentation practices, shared visibility, and role-based workflows without each site operating on its own stack.
Existing EHR/billing/spreadsheet/paper workflows — companion mode before replacement.
Existing systems are too entrenched for a day-one full migration. Harbor starts as a companion layer — adding the operating record without requiring immediate displacement of current tools.
Ready to map your readiness?
Tell us about your center — we'll work through the 20 questions together and map a staged rollout path that starts where it makes sense.