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APC Reimbursement

APC Reimbursement Reviews help hospitals achieve accurate payments, improve cash flow, prevent denials and delayed payments.  ACS is committed to the facilitation of accurate outpatient coding, billing and documentation improvement for compliance with CMS regulations.

  • Achieving optimal reimbursement through complete documentation and accurate application of ICD-9-CM, CPT, and HCPCS Level II codes
  • Educating the medical staff and hospital staff regarding documentation to support medical necessity of services ordered and performed.
  • Updating and maintaining hospital charge master
  • Outpatient Prospective Payment System Education and Training
  • Revenue Cycle Denial Management for the Outpatient Prospective Payment System
  • Expert training and charge audits for the following outpatient departments & services:

o   Emergency Department

o   Outpatient Observation

o   Outpatient Surgery

o   Interventional Radiology & Cardiac Cath

o   Laboratory & Pathology

o   Radiology & Nuclear Medicine

o   Outpatient Chemotherapy

o   Radiation Oncology

o   Drug Administration Services (all outpatient centers)

o   Hyperbaric Oxygen Therapy & Wound Clinic services

o   Outpatient Rehabilitation  (PT-OT-ST)

o   DSMT & MNT

o   Respiratory & Pulmonary services

o   Cardiac Rehab and Pulmonary Rehab