Health Information Management

Tip of the Week: Understand composite APCs under the 2008 OPPS final rule

APCs Insider, November 16, 2007

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Take note that in the final rule, CMS created the following four new composite APCs:

  • 8000-Cardiac electrophysiologic evaluation and ablation composite
  • 8001-Low dose-rate prostate brachytherapy composite
  • 8002-Level I extended assessment and management composite
  • 8003-Level II extended assessment and management composite

The final rule indicates that both MedPAC and the APC Advisory Panel support the implementation of composite APCs. These composite APCs enable the use of data from multiple claims, and they also enable the payment system to better reflect how services are commonly furnished, according to CMS. William L. Malm, ND, practice director of revenue cycle management at HCPro, Inc., in Marblehead, MA points out that MedPAC indicated its support because it believes that composite APCs will increase incentives for efficiency and serve as a starting point for payment bundles. For more information see pp. 285-286 of the final rule.

To view the final rule, click here.

(The above tip appeared in an HCPro e-blast sponsored by Briefings on APCs).



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