![]() ![]() For further information about APC's, see the Frequently Asked Questions on the ACEP website.įacility coding guidelines are inherently different from professional coding guidelines. APC's apply only to hospitals, and have no impact on physician payments under the Medicare Physician Fee Schedule. ![]() APC's or "Ambulatory Payment Classifications" are the government's method of paying for facility outpatient services for the Medicare program. A part of the Federal Balanced Budget Act of 1997 required HCFA (now CMS) to create a new Medicare "Outpatient Prospective Payment System" (OPPS) for hospital outpatient services analogous to the Medicare prospective payment system for hospital inpatients known as "Diagnosis Related Groups" or DRG's. ![]()
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