Question:

Last week you mentioned C-APCs. What exactly are these?

Answer:

On January 1, 2015, the Centers for Medicare & Medicaid Services (CMS) finalized the comprehensive ambulatory payment classification (C-APC) policy—a special category that combines payment for certain primary services and certain ancillary services when they are, in the words of CMS, “integral, ancillary, supportive, dependent, or adjunctive to the primary service.” In 2015, there were 25 C-APCs, and for 2016, there are 36. (Table 9 in the final hospital OPPS rule includes a list of the 2016 C-APCs.)

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