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Outpatient Review Services

Outpatient OPPS and CAH Reviews

Outpatient 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 in the OPPS and CAH environment.

Our consultation services include record reviews, medical and hospital staff education, updating and maintaining the chargemaster, review of the cost payment system for CAH and helping to reduce loss through denial management. 

Outpatient Compliance Review

ACS compliance reviews are designed to include all aspects of outpatient coding, billing and documentation in all outpatient department areas.

This in-depth review of outpatient accounts encompasses the whole picture of an episode of care. Extensive education is provided to the department heads and other staff members from the coding and billing departments. At the conclusion of the review, an exit conference is conducted to discuss findings and determine recommendations for improvement. 

Additional Outpatient Department Reviews

Need to start with a review of a single outpatient department? ACS conducts focused reviews for the following departments:

  • Emergency Department
  • Drug Administration Coding and Billing
  • Interventional Radiology & Cardiac Cath
  • Outpatient Surgery & Pain Management
  • Outpatient Rehab (PT-OT-ST)
  • Ancillary Services (Radiology, Laboratory, Respiratory, etc.)
  • Radiation Oncology
  • Chemotherapy Oncology Department
  • Ambulatory Surgery Centers