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What is APG paymnet - how its calculated. type and …
WebThe outpatient dataset is grouped using the latest version of the 3M (TM) EAPG grouper. The inpatient data also contain outpatient records for observation stays greater than or equal to 24 hours and outpatient records where the high type EAPG is 47, knee replacement. WebAug 6, 2014 · Enhanced Ambulatory Patient Groups (EAPGs) Defined • EAPGs are a patient classification system designed to explain the amount and type of resources used in an ambulatory visit. Patients in each … sian harry
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WebApr 21, 2024 · Seven EAPG types exist and are assigned for each CPT® or HCPCS code captured during the visit. EAPGs include: Per diem – MHSA day care is treated as a significant procedure but is a distinct type. Significant Procedure EAPGs– Includes a significant procedure and may include medical or ancillary services. Significant … WebGrouping – EAPG Type Processing Tab o Multiple Procedure Discounting For Significant Procedure; ForwardHealth Setting = YES –Determines whether discounting is applied when there are multiple significant procedures present. –Discounting is applied to the highest weighted EAPG first, then the second highest weighted and WebAug 16, 2024 · The EAPG Grouper/Pricer maps CPT and HCPCS procedure codes and ICD-9 diagnosis codes reported on a claim to APGs to define the ambulatory visit. Multiple APGs may be assigned to a visit. The four primary types of APGs are described below. the pension service wolverhampton telephone