Medicare Ambulatory Payment System

Running Head : MEDICARE AMBULATORY PAYMANT SYSTEM

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Medicare Ambulatory Payment System

Introduction

Ambulatory payment system commonly referred to as the Ambulatory Payment Category (APC ) was adopted by the United States government in to facilitate easy , faster and convenient outpatient services for the Medicare program . The federal government through it budget act of 1997 it established a new program under the major medical cover that takes care of the old people to create what is called Outpatient Prospective

payment system abbreviated as OPPS . This method is only applicable to hospitals and that physicians could get their payment through other means like the current procedural terminology . The Ambulatory payment category usually come to use when a patient is discharged from the hospital 's emergency department or clinic or get a transfer to another health facility which is not allied to the hospital of origin where the patient was initially treated as an outpatient . Basically the ambulatory payment system begun as a federal government 's initiative and have gained popularity in that the state programs like Medicaid is also considering adoption of the same method . If these programs keep on succeeding , definitely the third part insurance companies in the healthcare system may also adopt it

Establishment

The balanced budget act of the year 1997 (BBA ) section 4523 gives authority and allows CMS to execute the prospective payment system which operated under the Medicare program and servicing the outpatients . This act was modified in...