ReimbursementQuestion 71 of 100
Ambulatory Payment Classifications (APCs) are the basis for Medicare payment in the:
a.Hospital outpatient prospective payment system
b.Inpatient DRG system
c.Physician fee schedule
d.Retail pharmacy benefit
Explanation
APCs group outpatient hospital services that are clinically similar and require comparable resources, assigning a payment rate to each group under the outpatient prospective payment system. Multiple APCs can apply to a single outpatient visit. This is the outpatient facility counterpart to the inpatient DRG system.
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