Hospital Inpatient and Outpatient Coding

Both Inpatient and Outpatient coding greatly impacts the compliance and reimbursement success of a facility wherein the two have a different procedures, diagnoses, and reimbursement methodologies.

Inpatient Coding uses ICD-10-CM/PCS, and Outpatient coding uses CPT and HCPCS Level II Codes for procedures and services. For Reimbursement in the Inpatient setting, codes are based on IPPS, which is determined by MS-DRGs, and reimbursement used for outpatient setting is based on OPPS and APC

With HIA’s staff’s broad knowledge and understanding of coding, we guarantee that all entries are accurate and updated to ensure proper service delivery and let your facility focus on your patient.

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