Mastering the APG grouping process.
This case history details one company's success in using coding software to handle the requirements of the new ambulatory patient group (APG) system following the implementation of this complex new payment mechanism for outpatient care. Providers and payers are looking to coding software for help in billing and paying for outpatient services. Since the APG system "consolidates," "packages," and "discounts" a facility's payment for outpatient services, the new coding software helps ensure adequate reimbursement.
Poto-Dill
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Optimal Coding and Reimbursement Resources, Inc., Cave City, KY, USA.
D000553:Ambulatory Care / Q000145:classification* / Q000191:economics; D000555:Ambulatory Care Information Systems; D014487:Centers for Medicare and Medicaid Services, U.S.; D003953:Diagnosis-Related Groups / Q000145:classification* / Q000191:economics; D017598:Efficiency, Organizational; D006745:Hospital Bed Capacity, 300 to 499; D007484:Iowa; D008484:Medicaid; D016347:Medical Records Systems, Computerized / Q000191:economics / Q000458:organization & administration; D009937:Organizational Objectives; D010044:Outpatient Clinics, Hospital / Q000191:economics / Q000458:organization & administration*; D012984:Software; D014481:United States