APC Packager/Pricer

calculate payouts for ambulatory payment classifications

The APC payment calculator is available to Subscribers here.Access to this feature is available in the following products:
  • Facility Outpatient (APC) Reimbursement Tools

Enter claim detail, including ICD-10-CM diagnoses and CPT/HCPCS procedures, in the boxes below. Select the "more" links for additional boxes/rows where applicable. When done, select the "submit" button. The packaging results will display below.

incident detail
Claim ID Number (optional) Type of Bill
Hospital Provider #   enter the number or hospital name to select from list OQR    (?)
The Hospital Outpatient Quality Reporting program (previously referred to as the Hospital Outpatient Quality Data Reporting Program (HOP QDRP)) is implemented by CMS and pays hospitals that successfully report designated quality measures a higher annual update to their payment rates.
Service Dates    Patient Age Gender:
Condition Codes + more
Occurrence Codes + more
Value Codes | Amts + more

Diagnoses (ICD-10-CM)

Admitting Dx 1
Admitting Dx 2
Admitting Dx 3
Principal Dx
Secondary Dx
    + more

Line Items      + more

Rev. CodeCPT/HCPCSDescriptionModifiersService DateUnitsCharges 

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