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Reflecting the Payment Ambulatory Payment Classification (APC) on the Remittance Advice (RA)

The Centers for Medicare and Medicaid Services (CMS) was recently
made aware that the HCPCS APC, instead of the Payment APC, is being appended to the Remittance
Advice (RA). Because the HCPCS APC is not used to determine final payment, the RA may communicate
an APC assignment that does not correspond to the correct payment received by the provider.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 30, 2009

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.