APC grouper definition

APC grouper means the program that assigns each service on an outpatient claim an APC if appropriate, as well as assigning a status indicator that specifies if and how the provider will be reimbursed for a service;

Examples of APC grouper in a sentence

  • When CMS releases subsequent versions of the APC grouper, the HMO shall implement changes to the APC rates within one hundred and twenty (120) days of the CMS release date.

  • All changes to the APC grouper will be implemented on a prospective basis.