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APC Panel Meeting News In Brief

This article was originally published in The Gray Sheet

Executive Summary

High-dose rate brachytherapy: CMS should evaluate ways to improve data methodology for APC 313 (high-dose rate brachytherapy) for the 2005 hospital outpatient prospective payment system update, the Advisory Panel on Ambulatory Patient Classification Groups suggests Feb. 19 in Baltimore. Stakeholders contend that the claims used to set the 2004 rates are flawed, since none of the 27 single-claims used listed the source and related needle and catheter costs - criteria designating a correctly coded claim (1"The Gray Sheet" Nov. 10, 2003, p. 6). CMS says it will attempt to use more multiple claims in time for the 2005 update...
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