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Outpatient Services Billing

Optimize APC-based reimbursement for hospital outpatient services

  • APC & OPPS Billing
  • Outpatient Surgery Billing
  • Clinic Visit Billing
  • Infusion & Injection Services
  • Diagnostic Testing Charges
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We Handle Every Aspect of Outpatient Billing

Hospital outpatient services are paid under OPPS using APCs, with packaging rules, NCCI edits and modifier requirements that affect every line item. Missed charges and incorrect packaging quietly reduce revenue.

CredMy Practice manages the complete revenue cycle for hospitals and health systems, from eligibility verification and documentation review to claim submission, payment posting and denial management, so your team can stay focused on patient care.

Outpatient billing challenges

Premium Outpatient Billing Company

Our knowledgeable team understands UB-04 billing, revenue codes, DRG and APC methodologies and payer-specific policies for outpatient services.

We combine accurate coding with strong charge capture and follow-up so your hospital receives the full reimbursement it has earned.

Integrations

Software We Use

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Specialized Team

We have a team of specialists that is:

  • Well trained and always up to date with CMS and payer changes for outpatient billing
  • Certified in ICD-10-CM, ICD-10-PCS, CPT and HCPCS coding
  • Experienced with UB-04 claims, revenue codes and charge master review
  • Focused on reducing denials and shortening A/R days
Results

Customers can expect

50% Cost to Collect Reduced by
30% Client Revenue Increased by
500+ Happy Clients
98% Collection Rate
Efficiency
Efficiency

This is why you must consider us as your trusted billing partner

  • HIPAA compliant
  • 24*7 availability
  • Regular quality audits
  • Dedicated account manager
  • Transparent monthly reporting
  • Faster reimbursements
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Our Standards

How we raise the bar

Full Compliance

Full Compliance

Rigid documentation protocols that meet HIPAA, CMS and payer requirements across every claim.
Meticulous Claim Audits

Meticulous Claim Audits

Regular and detailed audits of denied claims to analyze the kind of errors and prevent them from recurring.
In Depth Training

In Depth Training

Regular staff training to ensure thorough and up-to-date knowledge of coding and billing rule changes.
How We Help

We are here to help you

We are on a mission to help hospitals minimize billing mistakes and get paid faster for every service delivered.

01

Improve Revenue Cycle Efficiency

When you choose CredMy Practice, we help you reduce A/R days and denial rates through clean claim submission and consistent follow-up.
02

Stay Ahead in the Competition

Payer rules change constantly. Our experts keep your billing current so you can grow without worrying about compliance gaps.
03

Reduce Risk

Our audit-ready processes and regular quality checks lower the risk of overpayments, recoupments and penalties.
We are here to help you
FAQ

Do you have any Question

Check out our FAQ section to see if we can help.

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Inpatient claims are typically paid per stay through DRGs, while outpatient claims are paid per service through APCs. We apply the right payment methodology, codes and revenue codes for each.

You gain certified coders and billers, stronger charge capture and faster collections without the cost of expanding your in-house team.

Yes. We verify eligibility, benefits and authorization requirements for scheduled services and handle retro-authorizations for emergency cases.

We analyze every denial, correct and resubmit claims quickly, file appeals when needed and track root causes to prevent repeat denials.

Ready to simplify your outpatient services billing?

Talk to our team about your practice and how we can help.

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