What is “the definition of APM” in medical billing?

APM in Medical Billing

APM stands for Alternative Payment Model, a payment approach in healthcare that offers financial incentives for providing high-quality and cost-efficient care.

APM in Medical Billing Explained

In medical billing, APMs shift the focus from fee-for-service to value-based care, encouraging providers to improve outcomes while reducing costs. APMs are often used in Medicare and other government programs to enhance care quality.

For example, a provider participates in an APM that rewards them for reducing hospital readmission rates.

Find common acronyms and abbreviations in Medical billing glossary.

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