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US APC (ambulatory patient classification) criteria ensure adequate reimbursement

This article was originally published in Clinica

Executive Summary

New criteria for ambulatory patient classification (APC) from the US Health Care Financing Administration (HCFA) come into force on August 1. They will allow for separate reimbursement for certain new technologies that qualify as "pass-through" medical devices in addition to reimbursement for the procedure performed. The combined approach should ensure adequate reimbursement is provided.

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