Ambulatory Payment Classification

Also found in: Acronyms.

Am·bu·la·to·ry Pay·ment Clas·sif·i·ca·tion

(APC) (am'byū-lă-tōr-ē pā'mĕnt klas'i-fi-kā'shŭn)
In U.S. medical care, a system for grouping outpatient services provided by hospitals on the basis of similarity of costs and clinical indications; used by the Centers for Medicare and Medicaid Services to set the rates at which it will reimburse hospitals for outpatient care.
References in periodicals archive ?
Under this 2002 methodology, the copayment amount for each outpatient payment group of services, called an ambulatory payment classification (APC) group, could not increase from year to year, and the beneficiary coinsurance percentage would remain the same or decrease, eventually reaching 20 percent for each APC.
3M Health Information Systems has introduced a new diagnostic software tool, the 3M APC Performance Profile, designed to assist hospital outpatient care providers and improve payment performance and compliance under the Medicare Ambulatory Payment Classification (APC) outpatient prospective payment system.
Further, HCFA is proposing to introduce the Ambulatory Payment Classification payment system that will combine E&M and ICD codes to determine payment for ambulatory care.
has posted a number of Industry Insights, which are two-to-four page analyses that cover a wide range of issues including regulations, Ambulatory Payment Classification coding issues, and reimbursement challenges.

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