10 Results
filtered by...
Filter
Tags > apc
Sort
Sort by Most Relevant
Filter
Categories
- Marketplace Show all options
-
Medicare
Show all options
- Medicare - Claims
- Medicare - Part D
- Medicare - Skilled Nursing Facility (SNF)
- Medicare - Enrollment
- Medicare - Outpatient
- Medicare - Physician/Supplier
- Medicare - Inpatient
- Medicare - Home Health Agency (HHA)
- Medicare - Hospice
- Medicare - Chronic Conditions
- Medicare - Durable Medical Equipment (DME)
- Medicare - Clinical Laboratory Improvement Amendments (CLIA/lab)
-
Special Programs/Initiatives
Show all options
- Special Programs/Initiatives - Accelerate Payment & Service Delivery
- Special Programs/Initiatives - Speed Adoption of Best Practices
- Special Programs/Initiatives - Comprehensive Primary Care (CPC)
- Special Programs/Initiatives - Program Integrity
- Special Programs/Initiatives - Medicare Shared Savings Program (MSSP)
- Special Programs/Initiatives - Long Term Care Facility Staffing Payroll-Based Journal
- Special Programs/Initiatives - Accountable Care Organizations (ACOs)
- Special Programs/Initiatives - Children’s Health Insurance Program
- Special Programs/Initiatives - Comprehensive Error Rate Testing Contractor (CERT)
- Special Programs/Initiatives - Bundled Payments
View Types
Tags
- mpup
- medicare
- pos
- aca
- state
- medicaid
- physician
- 2016
- supplier
- hcpcs
- summary
- marketplace
- provider
- 2015
- innovation
- mssp
- performance-based payment
- utilization
- value-based purchasing
- payment
- providers
- 2014
- affordable care act
- national
- npi
- 2017
- dmepos
- inpatient
- part d
- snf
- snfpuf
- health care
- outpatient
- clinical laboratory improvement amendments
- healthcare
- other
- drg
- cms
- hhapuf
- dfr
- esrd
- prescriber
- primary care
- center for medicare & medicaid innovation
- cmmi
- demonstration
- dialysis
- qhp
- special initiatives
- special program
- 2013
- provider of services
- clia
- aco
- brand name
- claims
- cpt
- drug
- durable medical equipment
- fee-for-service
- generic
- healthcare professional
- hospital
- non-physician
- prescription drug
- ssp
- cert
- comprehensive error rate testing
- hrr
- improper payment
- hha
- hospital referral region
- hsaf
- shared savings program
- agency for healthcare research and quality
- county
- 2018
- fqhc
- hospice
- ipps
- patient safety
- psps
- rug
- 2012
- advanced primary care practice demonstration
- diagnosis-related grouping
- enrollment
- federally qualified health center roster
- fee for service
- medicare part d
- opioid
- opioidmap
- provider summary
- zip code
- 2019
- appgregate
- cost composite score
- dme
- june
- modifier
- national provider identifier
- order and referring
- orthotics
- payments
- prosthetics
- quality composite score
- referrals
- referring
- risk score
- suppliers
- supplies
- value
- value modifier payment adjustment
- vmpuf
- 2011
- aggregate
- assignment
- december
- part b
- 100 diagnosis-related groups (drg)
- care delivery models
- care improvement
- chronic conditions
- delivery
- ffs
- hac
- health care providers
- hospital referral region (hrr)
- local organizations
- mapping medicare disparities
- march
- market saturation
- part a
- population health
- september
- services
- 2010
- 30 day
- accountable care organizations
- advantage
- affidavits
- aian
- charge
- chip
- chronic condition
- cost report
- diabetes
- ecp
- essential community providers
- federally qualified health centers
- fiscal intermediary standard system
- health professional shortage areas
- hospitals
- ihs
- improvement
- indian country
- innovation center
- itu
- ltss
- ma
- maternity
- medicare diabetes prevention program
- national plan and provider enumeration system
- national supplier clearinghouse
- opt out
- power mobility demonstration
- public provider enrollment data
- qualified health plan
- readmissions
- reassignment
- referring provider
- revalidation
- service
- sim
- state innovation models initiative
- state innovation models initiative round two
- the children's health insurance program
- therapy
- tribes
- apc
Filter
10 Results
filtered by
Tags > apc
Clear All
The data provided here include estimated hospital-specific charges for 30 Ambulatory Payment Classification (APC) Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for Calendar Year (CY) 2012. The Medicare payment amount includes the APC payment amount, the beneficiary Part B coinsurance amount and the beneficiary deductible amount.
Updated
August 30 2017
Views
10,214
A provider level summary of Outpatient Prospective Payment System (OPPS) average estimated submitted charges and average Medicare Payments for 30 selected Ambulatory Payment Classification (APC) Groups.
Updated
August 30 2017
Views
9,272
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 25 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
2,021
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
794
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 25 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
952
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
383
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
August 14 2019
Views
781
CPT copyright 2015 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2016. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
415
CPT copyright 2014 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 25 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 25 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
183
CPT copyright 2014 American Medical Association. All Rights Reserved.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
The Outpatient Hospital Utilization and Payment Public Use File (Outpatient Hospital PUF) presents information on comprehensive APC (C-APC) services provided to Medicare fee-for-service beneficiaries. The Outpatient Hospital PUF presents information on the number of APC services, hospitals' average total estimated submitted charges, the average Medicare allowed charges (which includes Medicare regular provider payments and beneficiary cost-sharing payments), the average Medicare regular provider payments, the number of APC services with outlier payments, and the average Medicare outlier provider payments among those services for 35 C-APC Groups paid under the Medicare Outpatient Prospective Payment System (OPPS) for calendar year (CY) 2015. The estimated average charges and the average Medicare payments are provided at the individual hospital level. The actual charges at an individual hospital for an individual service within these APC groups may differ.
Updated
February 15 2019
Views
140
Showing 1-10 of 10 results
Tags
A-Z
- 100 diagnosis-related groups (drg) (2)
- 2010 (1)
- 2011 (3)
- 2012 (5)
- 2013 (13)
- 2014 (21)
- 2015 (28)
- 2016 (32)
- 2017 (20)
- 2018 (6)
- 2019 (4)
- 30 day (1)
- aca (37)
- accountable care organizations (1)
- aco (10)
- advanced primary care practice demonstration (5)
- advantage (1)
- affidavits (1)
- affordable care act (21)
- agency for healthcare research and quality (7)
- aggregate (3)
- aian (1)
- apc
- appgregate (4)
- assignment (3)
- brand name (10)
- care delivery models (2)
- care improvement (2)
- center for medicare & medicaid innovation (14)
- cert (9)
- charge (1)
- chip (1)
- chronic condition (1)
- chronic conditions (2)
- claims (10)
- clia (11)
- clinical laboratory improvement amendments (18)
- cmmi (14)
- cms (16)
- comprehensive error rate testing (9)
- cost composite score (4)
- cost report (1)
- county (7)
- cpt (10)
- december (3)
- delivery (2)
- demonstration (14)
- dfr (15)
- diabetes (1)
- diagnosis-related grouping (5)
- dialysis (14)
- dme (4)
- dmepos (20)
- drg (17)
- drug (10)
- durable medical equipment (10)
- ecp (1)
- enrollment (5)
- esrd (15)
- essential community providers (1)
- federally qualified health center roster (5)
- federally qualified health centers (1)
- fee for service (5)
- fee-for-service (10)
- ffs (2)
- fiscal intermediary standard system (1)
- fqhc (6)
- generic (10)
- hac (2)
- hcpcs (31)
- health care (19)
- health care providers (2)
- health professional shortage areas (1)
- healthcare (18)
- healthcare professional (10)
- hha (8)
- hhapuf (16)
- hospice (6)
- hospital (10)
- hospital referral region (8)
- hospital referral region (hrr) (2)
- hospitals (1)
- hrr (9)
- hsaf (8)
- ihs (1)
- improper payment (9)
- improvement (1)
- indian country (1)
- innovation (28)
- innovation center (1)
- inpatient (20)
- ipps (6)
- itu (1)
- june (4)
- local organizations (2)
- ltss (1)
- ma (1)
- mapping medicare disparities (2)
- march (2)
- market saturation (2)
- marketplace (29)
- maternity (1)
- medicaid (33)
- medicare (43)
- medicare diabetes prevention program (1)
- medicare part d (5)
- modifier (4)
- mpup (147)
- mssp (27)
- national (21)
- national plan and provider enumeration system (1)
- national provider identifier (4)
- national supplier clearinghouse (1)
- non-physician (10)
- npi (21)
- opioid (5)
- opioidmap (5)
- opt out (1)
- order and referring (4)
- orthotics (4)
- other (18)
- outpatient (19)
- part a (2)
- part b (3)
- part d (20)
- patient safety (6)
- payment (24)
- payments (4)
- performance-based payment (27)
- physician (33)
- population health (2)
- pos (38)
- power mobility demonstration (1)
- prescriber (15)
- prescription drug (10)
- primary care (15)
- prosthetics (4)
- provider (29)
- provider of services (12)
- provider summary (5)
- providers (23)
- psps (6)
- public provider enrollment data (1)
- qhp (14)
- qualified health plan (1)
- quality composite score (4)
- readmissions (1)
- reassignment (1)
- referrals (4)
- referring (4)
- referring provider (1)
- revalidation (1)
- risk score (4)
- rug (6)
- september (2)
- service (1)
- services (2)
- shared savings program (8)
- sim (1)
- snf (20)
- snfpuf (20)
- special initiatives (14)
- special program (14)
- ssp (10)
- state (35)
- state innovation models initiative (1)
- state innovation models initiative round two (1)
- summary (30)
- supplier (32)
- suppliers (4)
- supplies (4)
- the children's health insurance program (1)
- therapy (1)
- tribes (1)
- utilization (27)
- value (4)
- value modifier payment adjustment (4)
- value-based purchasing (27)
- vmpuf (4)
- zip code (5)