Q/A: Payment for partial hospitalization services
APCs Insider, July 8, 2011
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Q: Is CMS proposing any changes to the APCs for partial hospitalization programs (PHPs)?
A: The 2012 OPPS proposed rule, released July 1, would continue CMS’ methodology for creating separate APCs for partial hospitalization when provided in a hospital setting or a freestanding community mental health center (CMHC).
CMS would update the four existing CMHC PHP APC payment rates—two for freestanding CMHC PHPs, and two for hospital-based PHPs. Pursuant to its proposal, CMS would pay:
- $97.78 for APC 0172 (level 1 partial hospitalization for CMHC)
- $113.62 for APC 0173 (level II partial hospitalization CMHC)
- $162.34 for APC 0175 (level 1 partial hospitalization for hospital-based PHPs)
- $189.87 for APC 0176 (level II Partial Hospitalization for hospital-based PHPs)
Want to receive articles like this one in your inbox? Subscribe to APCs Insider!
Related Products
-
2013 Facility ED Coding Checkup: Visit Levels, Modifiers, and Observation
-
2013 Outpatient Wound Care Coding
Join HCPro for a 90-minute webcast with step-by-step strategies and tips to reduce denials along with advice to improve...
-
Charging for Ancillary Bedside Procedures and Supplies in 2013
Our experts explain what CMS actually says about charging for services in addition to the room rate and provide strategies...
-
2014 OPPS Proposed Rule: Prepare for Sweeping Changes
-
2014 OPPS Final Rule-Learn What Sweeping Changes CMS Finalized
Expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, return for this popular program. They will review the final...
Most Popular
- Articles
-
- CMS puts hospital surveys on limited hold as surge continues
- Don't forget the three checks in medication administration
- Practice the six rights of medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Q&A: Primary, principal, and secondary diagnoses
- The consequences of an incomplete medical record
- Nursing responsibilities for managing pain
- Skills of effective case managers
- ICD-10-CM coma, stroke codes require more specific documentation
- OB services: Coding inside and outside of the package
- E-mailed
-
- CMS puts hospital surveys on limited hold as surge continues
- Charge and bill Medicare all pre-operative diagnostic tests
- How to create a safety protocol for emergency department psychiatric patients
- Know guidelines and subtle differences in code descriptions for laceration repairs
- Q&A: Mechanical room storage, risk assessments, patient rooms
- Modifier -25: Is that E/M service really above and beyond the norm?
- Long-Term Care Training Solutions
- Injections and infusions continue to confuse coders
- Get the facts on emergency department FAST exams
- Capturing start and stop times for infusions
- Searched