AHA Coding Clinic® for HCPCS - 2001 Issue 4; FOR your INFORMATION

Claims resulting in APC payments

If a claim contains services that result in an APC payment but also contains packaged services, separate payment for the packaged services is not made since payment is included in the APC. However, charges related to the packaged services are used for outlier and Transitional Corridor Payments as well as for future rate setting. ...

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