tci ED Coding & Reimbursement Alert - 2016 Issue 1

APC Packaging: Ancillary Services and Clinical Diagnostic Tests will Be Bundled with Minor Procedures

Assigned status indicator will determine what will be paid separately CMS has again increased packaging in support of its strategic goal of using larger payment bundles in the OPPS to maximize hospitals’ incentives to provide care in the most efficient manner. Packaging will include payments for items and services that are typically integral, ancillary, supportive, dependent, or adjunctive to a primary service, says Michael A. Granovsky, MD, FACEP, CPC, President of LogixHealth, a national ED coding and billing company based in Bedford, MA.  For 2016, CMS will increase the set of conditionally packaged services by three APCs: Level...

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