Ambulatory Payment Classification (APC) Pricing

Pre- and Post Pay Outpatient Claims

Unparalleled Systems

DataMetrix provides several types of pricing services including pre- and post pay APC pricing. Our proprietary Claims Analysis Secure Engine (CASE™) has been customized by our IT specialists with the development input and cumulative knowledge of our team of clinical and medical experts. As a result, it is able to dig much deeper into all coding rules to ensure maximum compliance.

A Valuable Service

Our APC pricing system was developed by our team of IT specialists in collaboration with our medical and clinical experts. It performs both pre- and post pay APC pricing and because all functions are integrated into a single system, it eliminates pricing errors.

With more services being performed on an outpatient basis, APC pricing is becoming increasingly more valuable. Many vendors cannot provide cost effective APC pricing because there is no single source for validating claims. CASE™ utilizes CMS raw data tables and has integrated the rules, edits and fee schedules into one seamless system eliminating errors and providing accurate APC pricing. Utilizing the CMS raw data tables in CASE™ allows for updates to the APC pricer within 24-48 hours of updated tables being released from CMS.

Ambulatory Payment Classification (APC) Pricing

Pre- and Post Pay Outpatient Claims

Unparalleled Systems

DataMetrix provides several types of pricing services including pre- and post pay APC pricing. Our proprietary Claims Analysis Secure Engine (CASE™) has been customized by our IT specialists with the development input and cumulative knowledge of our team of clinical and medical experts. As a result, it is able to dig much deeper into all coding rules to ensure maximum compliance.

A Valuable Service

Our APC pricing system was developed by our team of IT specialists in collaboration with our medical and clinical experts. It performs both pre- and post pay APC pricing and because all functions are integrated into a single system, it eliminates pricing errors.

With more services being performed on an outpatient basis, APC pricing is becoming increasingly more valuable. Many vendors cannot provide cost effective APC pricing because there is no single source for validating claims. CASE™ utilizes CMS raw data tables and has integrated the rules, edits and fee schedules into one seamless system eliminating errors and providing accurate APC pricing. Utilizing the CMS raw data tables in CASE™ allows for updates to the APC pricer within 24-48 hours of updated tables being released from CMS.