• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

HIM methodology question

007CPC

Guest
Messages
302
Best answers
0
APGs are a methodology used by medicaid and not medicare! Is this True?

If true: Can I say then APCs are used by medicare and not medicaid?
 

feliciathomas

Networker
Messages
59
Location
Atlanta, GA
Best answers
0
HIM Methodology question

It is my understanding the APG's (Ambulatory Payment Group) was the methodology developed for and used by Medicaid (and private BCBS plans) to pay for outpatient procedures performed in hospitals or freestanding facilities. This method was never adopted by Medicare. However, the BBA of 1997 mandated that Medicare implement some method of outpatient payment and in 2000, Medicare started reimbursing for these services using the APC (Ambulatory Payment Classification).
 
Top