New composite 'obs' APCs welcomed by ED experts.
While the new ambulatory payment classification (APC) payment structure is seen by most ED observers as a positive move, it may not be a plus for your facility or your observation unit. Studying the new relative value units (RVUs) and your own case mix will tell your how your unit will fare. If the vast majority of your cases fall into Level 4 or Level 5, you may face a loss of revenue in 2008. The payment level for trauma care will be 33% lower in 2008. Compare your 2007 reimbursement for level 4 or 5 cases plus last year's observation payment with this year's new APC composite to project your likely revenue gain/loss.
D000553:Ambulatory Care / Q000145:classification*; D003953:Diagnosis-Related Groups / Q000145:classification*; D004636:Emergency Service, Hospital / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D011445:Prospective Payment System; D015895:Relative Value Scales; D014481:United States