Question: Problem based learning assignment 7 Ch. 14 case study, pg. 360 As the manager of a clinical lab, you have been asked to calculate the

Problem based learning assignment 7 Ch. 14 case study, pg. 360 As the manager of a clinical lab, you have been asked to calculate the reimbursement rates for certain lab tests with Ambulatory Payment Categories (APC) under the new Outpatient Prospective payment System. You must estimate what your lab will receive for Medicare patients under this system to assist you in the budget process. Questions: 1. What coding system is used to assign APCs? 2. What allied health professional is preferred for assigning code numbers? 3. What is the formula for calculating the payment rate? 4. Where can you find the most current information regarding the APC rates and the conversion factor used in determining the payment rate? 5. How can this information be used in planning for the budget? 6. What is another way that lab tests are billed for non-Medicare patients?

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