Hospital Billing

UB-04, OPPS, APC, IPPS, DNFB, MCC, POA, and IMPACT

Augustus HCS specializes in hospital billing using UB-04 (DRGs) and hospital outpatient billing under the Outpatient Prospective Payment System (OPPS) based on Ambulatory Payment Classifications (APC).

Our team comprises trained, certified, and experienced coders who are ICD-10 certified and proficient in both the Inpatient Prospective Payment System (IPPS) and OPPS.

We assist hospitals in reducing Discharged Not Final Billed (DNFB) days by providing comprehensive support in creating prudent clinical documentation concurrently during acute care treatment.

Our services ensure compliant clinical documentation with a focus on Complication or Comorbidity (CC)/Major Complication or Comorbidity (MCC) and Present on Admission (POA) criteria. We collaborate closely with inpatient clinical providers to mitigate hospital readmissions, aligning with the goals of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2015.

Augustus HCS is committed to optimizing hospital billing processes, enhancing compliance, and improving financial outcomes for our healthcare partners.