Ambulatory payment classification definition

Ambulatory payment classification or “APC” means an outpatient service or group of services for which a single rate is set. The services or groups of services are determined according to the typical clinical characteristics, the resource use, and the costs associated with the service or services.
Ambulatory payment classification means a reimbursement method that categorizes outpatient visits into groups according to the clinical characteristics, the typical resource use, and the costs associated with the diagnoses and the procedures performed. The groups are called Ambulatory Payment Classifications (APCs).
Ambulatory payment classification or “APC” means the system of classifying outpatient department (OPD) services reimbursed under the Medicare program prospective payment system for hospital outpatient services as set forth in 42 USC 1833 (t) as from time to time amended;

Examples of Ambulatory payment classification in a sentence

  • Ambulatory payment classification (APC) codes from the OPPS, for example, would not represent a fair, stable, and accurate means to account for indirect practice expense for the MFS due to lack of granularity.


More Definitions of Ambulatory payment classification

Ambulatory payment classification or "APC" means the classification system described in 42 CFR 419.31 that is the basis of Medicare's reimbursement system for outpatient hospital services.
Ambulatory payment classification means a reimbursement method that categorizes outpatient visits into groups according to the clinical characteristics, the typical resource use,
Ambulatory payment classification or “APC” means the classification of clinically similar outpatient hospital services that can be expected to consume similar amounts of hospital resources and serves as one of the methods of payment under the Outpatient Prospective Payment System;

Related to Ambulatory payment classification

  • Clinical nurse specialist means a registered nurse with relevant post-basic qualifications and 12 months’ experience working in the clinical area of his/her specified post-basic qualification, or a minimum of four years’ post-basic registration experience, including three years’ experience in the relevant specialist field and who satisfies the local criteria.

  • Nonambulatory means a person who immediately and without the aid of another is not physically and mentally capable of traveling a normal path to safety, including the ascent and descent of stairs.

  • Physical therapist means an individual who is licensed by a state to practice physical therapy.

  • School nurse means a registered professional nurse with Maine Department of Education certification for school nursing.