Outpatient Facility Coding Services
MedCodex provides comprehensive outpatient facility coding for hospital-based services, ambulatory surgery, and ancillary departments. Our expert coders ensure accurate Ambulatory Payment Classification (APC) coding and compliance with the latest CMS Outpatient Prospective Payment System (OPPS) guidelines.
Services We Code
- Hospital outpatient department (HOPD) services
- Ambulatory surgery center (ASC) procedures
- Observation and 23-hour stays
- Ancillary services: lab, radiology, physical therapy
- Infusion and chemotherapy services
- Wound care and pain management clinics
Our Coding Approach
Our outpatient coders are well-versed in the UB-04 claim form and OPPS regulations. We apply the correct revenue codes, CPT/HCPCS codes, and condition codes to minimize claim errors and maximize reimbursement under APC groupings.
- Chart Retrieval: Secure electronic transfer of encounter data.
- Facility Coding: Accurate revenue code and CPT/HCPCS assignment.
- APC Validation: Ensuring correct APC group assignment.
- QA & Delivery: Multi-level review before returning coded data.
Compliance & Accuracy
Our outpatient coding team keeps up with quarterly CPT updates, annual OPPS rule changes, and CMS transmittals. This ensures your facility remains compliant and your claims are optimized for maximum reimbursement every billing cycle.
Why Facilities Choose MedCodex
- Deep expertise in OPPS, APC, and revenue code assignment
- Rapid scalability during high-volume periods
- Seamless integration with your EHR and billing system
- Detailed weekly performance reports
- Dedicated outpatient coding specialists assigned to your account