significant procedure consolidation

significant procedure consolidation

The consolidation or bundling of two or more ancillary (health-related) services, supplies, drugs or other resources into fewer categories for payment of ambulatory patient groups (APGs).
References in periodicals archive ?
The APG system uses three techniques for grouping different services provided into a single-payment unit: significant procedure consolidation, ancillary packaging, and multiple significant procedure and ancillary discounting.
Significant procedure consolidation refers to the collapsing of multiple-related significant procedure APGs into a single APG for the purpose of the determination of payment.
Significant procedure consolidation also greatly reduces the opportunities for the fragmentation of procedures for the purpose of increasing payment.
A visit-based APG PPS with significant procedure consolidation, uniform ancillary packaging, and multiple APG discounting would have many advantages over the current outpatient payment method, such as the following:
By modifying the level of significant procedure consolidation, ancillary packaging, and discounting, the incentives in the system can be altered in order to achieve specific policy objectives.
In addition, the combined payment effect of the aggregation of individual procedures and diagnoses into APGs, the significant procedure consolidation, the ancillary packaging, and the discounting will result in significant differences between the APG payment for an individual patient and the historical charges.
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