Outpatient - OPPS

The Outpatient Prospective Payment System (OPPS) is the system through which Medicare decides how much money a hospital or community mental health center will get for outpatient care provided to patients with Medicare. Reimbursement is based on Ambulatory Payment Classification (APC) assignment.

Correct APC assignment is critical to the health of your organization. Coding audits, as well as using the proper tools will, allow financial and compliant stability.

The ReviewMate platform assists medical coding auditors analyze specific elements affecting APC assignment and reimbursement.

In addition to ReviewMate's standard features for auditing, our OPPS module features:

All auditing account types are considered part of the core of ReviewMate's auditing system that covers many features such as:

Any particular questions or inquiries? We'd like to hear from you.