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.
As a result of Medicare's decision, hospitals will need to list the ON-Q device code and its cost on outpatient claims so that ambulatory payment classification rates can be adjusted accordingly.
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.
In Medicare's outpatient prospective payment system (OPPS), new technologies that cannot be readily accommodated within an existing ambulatory payment classification (APC) group can qualify for reimbursement by one of two methods: inclusion in a new technology APC group or to be granted transitional pass-through payment status.
2006 Medicare Outpatient Payment System reimbursement guidelines include Ambulatory Payment Classification (APC) group 0423 reimbursement of $2,355.
SoftMed's ClinTrac(R) APC Pro, a comprehensive management solution that delivers an enterprise view of the ambulatory payment classification coding process, will be the first SoftMed product to interface with CareMedic's LMRP content.
Trimedyne's VaporMAX(TM) Device qualifies for the new, higher Medicare reimbursement rate under Ambulatory Payment Classification Code 2525, which makes its use desirable by hospitals and physicians.
Laser vaporization of the prostate procedures to treat BPH are now being reimbursed by Medicare under the New Technology Ambulatory Payment Classification (APC) Code 2525 (CMS Transmittal 132, Publication 100-04) at $3,750 per treatment, about twice the old reimbursement rate.
OTCBB Symbol: OMCT) today announced that CMS (Centers for Medicare & Medicaid Services) has established a new technology Ambulatory Payment Classification (APC) for the company's BioScanIR(R) System for U.

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