NEW YORK, Oct. 30 /PRNewswire/ -- With most Article 28 clinics failing to keep
the pace with the cost of care and medical advances, the current ambulatory
care rates do not appropriately pay providers delivering high-quality service.
Ambulatory Patient Groups (APGs) is a visit classification system designed to
explain the amount and type of resources used in an ambulatory visit and that
is used to determine payment for ambulatory services.
With the advent of APGs, providers will be able to predict the average pattern
of resource for patients by procedure, visits, test, and similar
characteristics. The APGS will provide greater reimbursement for services of
high intensity and less reimbursement for services of low intensity. The
visits are classified into three types: significant, medical, and ancillary
tests/procedures -- the payment is then based on the rate code and CPT codes
grouped together. The payments are grouped together based on this information
and are categorized into ancillary packaging, bundling, packaging, and
discounting.
Many clinics are feeling overwhelmed with the new rules and procedures that
come along with the APGs. Information varying from modifiers, non payable
services, to ensuring the capturing of all necessary information on a claim
can perplex even the most highly qualified staff members and the software
being utilized.
Millin Associates ( www.millinmedical.com ), a medical billing and consulting
firm based on Long Island and a leader in the industry for over 27 years, is
facing this change head on with HIPAA compliant software and the addition of
the 3M Grouper.
Many Article 28 CFOs are now considering outsourcing their billing functions
because they are losing revenue due to inefficiencies within their billing
departments. Millin comes completely staffed with certified coders, compliance
officers, highly-trained IT department, which can come into any work
environment, work from any existing database, and relieve overburdened Article
28 clinics' billing and IT departments. Millin offers a free cost benefit
analysis to potential clients; they will come in to your facility, assess your
procedures and determine the best course of action.
CEO of Millin, Sol Weiss, says, "If you are an Article 28 facility and in New
York, why not call us and see what we can do for you? "
SOURCE Millin Associates
Meyer Futersak, +1-718-781-0549
