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.