Question

In processing a Medicare payment for outpatient radiology exams, a hospital outpatient would receive payment under what?

a) RBRVS (Resource-Based Relative Value Scale)
b) APC (Ambulatory Payment Classification)
c) MS-DRG (Medicare Severity Diagnosis-Related Group)
d) CPT (Current Procedural Terminology)

Answer 1

A hospital outpatient would receive payment under APC (Ambulatory Payment Classification) in processing a Medicare payment for outpatient radiology exams.

Step-by-step explanation:

In processing a Medicare payment for outpatient radiology exams, a hospital outpatient would receive payment under APC (Ambulatory Payment Classification). APC is a payment system that categorizes outpatient services into groups based on the similar clinical characteristics and resource requirements. It determines the Medicare payment for each outpatient service based on the APC group it falls into.