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Author Question: Summarize the services that are reimbursed by the Medicare Resource Based Relative Value System ... (Read 52 times)

shenderson6

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on: Jul 12, 2018
Summarize the services that are reimbursed by the Medicare Resource Based Relative Value System (RBRVS), now called the Physician Fee Schedule (PFS).

Question 2

Define and state the purpose of an APC. Describe how the APC payment rate is applied to payment.


T4T

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Reply #1 on: Jul 12, 2018
Answer to Question 1

The services reimbursed by PFS include physician services covered by Medicare Part B.

Answer to Question 2

An APC (ambulatory payment classification) organizes similar health care services clinically and according to resources required. A payment rate is established for each APC and, depending on services provided, hospitals can be paid for more than one APC per encounter, with second and subsequent APCs discounted at 50.


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