Ambulatory Payment Classification (APC) groups are used to determine payments for which setting?

Ambulatory Payment Classification (APC) groups are used to determine payments for which setting?

• A. On-campus facility fees
• B. Off-campus facility fees
• C. Both on-campus and off-campus facility fees
• D. No facility fees

Answer: (C)

Ambulatory Payment Classification groups are part of Medicare’s Hospital Outpatient Prospective Payment System, which assigns outpatient services to specific payment categories based on the service provided. Each category determines the facility payment to the hospital for using the outpatient department space and resources. Because this system covers outpatient services delivered in hospital facilities, the facility charges apply to both on-campus hospital outpatient departments and off-campus outpatient departments. Therefore, APC groups are used to determine payments for both on-campus and off-campus facility fees.

Ambulatory Payment Classification groups are part of Medicare’s Hospital Outpatient Prospective Payment System, which assigns outpatient services to specific payment categories based on the service provided. Each category determines the facility payment to the hospital for using the outpatient department space and resources. Because this system covers outpatient services delivered in hospital facilities, the facility charges apply to both on-campus hospital outpatient departments and off-campus outpatient departments. Therefore, APC groups are used to determine payments for both on-campus and off-campus facility fees.