APC Recovery Program
The APC recovery program uses the Ambulatory Claims Editing System to identify the individual claims that are likely to contain lost APC revenue. The recovery process uses chart reviews to verify the edits and assign the correct code so the hospital can receive the additional APC reimbursement.

APC Documentation Assurance
The APC documentation assurance program helps hospitals improve coding, compliance and financial performance through enhanced documentation and charge capture methods. We use our CDM, claims editing and coding analysis software to identify possible charge capture and documentation issues. Corrective action plans and coordinated educational sessions are developed to resolve each issue. Charge capture and coding patterns as well as financial performance are tracked to monitor progress.