APC in Medical Billing
APC stands for Ambulatory Payment Classification, a billing system used by Medicare to categorize outpatient services for reimbursement.
APC in Medical Billing Explained
APCs are used to determine how much Medicare will reimburse for outpatient services, based on the type of service provided. Each service is assigned to an APC group, which has a specific reimbursement rate. This system streamlines billing for hospital outpatient services.
For example, a hospital uses the APC system to bill Medicare for an outpatient surgery, receiving a payment based on the APC group to which the surgery is assigned.
Learn more about common acronyms and abbreviations in Medical billing glossary.
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