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VisionCare also announced in November that the Centers for Medicare and Medicaid Services (CMS) will reimburse the telescope implant under a revised Ambulatory Payment Classification designation, APC 0351, Level V Intraocular Procedures as noted in the CMS' CY 2015 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payment System final rule.
He explains the elements of PPS, including cost reports, adjudication features and processes, relative weights, and payment processes, as well as the features and documentation requirements for Medicare Severity Diagnosis Related Groups (MS-DRGs), the Medicare Ambulatory Payment Classifications (APCs), Medicare Home Health Prospective Payment System (HH-PPS), Medicare Skilled Nursing Resource Utilization Groups (RUGs), and private third-party paters.
Finally, the agency said that it is proposing to create four new ambulatory payment classifications for type B emergency departments (those that offer emergency-level services but are not open 24 hours a day, 7 days a week).
GAO determined that the payment groups in the OPPS, known as ambulatory payment classification (APC) groups, accurately reflect the relative cost of procedures performed in ASCs.
The method for outpatient payment is termed Ambulatory Payment Classification or APC and Outpatient Prospective Payment System or OPPS, which are analogous to DRGs.
75 times the ambulatory payment classification payment rate and setting a separate outlier threshold amount for community mental health centers that may have received disproportionately high outlier payments.
has launched APC Assistant, a Web-based version of OCExpert, a knowledge-based tool for the prevention and management of Ambulatory Payment Classification (APC) claims denials and rejections.
Smith & Nephew pic, Largo, FL and Advanced Tissue Sciences, La Jolla, CA announced that Dermagraft Human Fibroblast-Derived Skin Substitute has received an Ambulatory payment Classification (APC) pass-through code under the Hospital Outpatient Prospective Payment System from the Centers for Medicare & Medicaid Services (CMS - formerly HCFA).