In relation to payments under APCs, this occurs when reimbur…
In relation to payments under APCs, this occurs when reimbursement for minor ancillary services associated with a significant procedure are combined into a single payment for the procedure. An example would be a patient having an MRI with contrast. Under this, the payment for the MRI includes the amount for the contrast.
Read DetailsWhat is the name of the inpatient prospective payment rule t…
What is the name of the inpatient prospective payment rule that is below, and in what setting does it apply? The rule identifies qualifying factors in cases where a patient was admitted as an inpatient, and it was later found, after review, that the case should have been outpatient; services can then be billed as outpatient.
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