This assignment is designed to give the student practice with understanding APC concepts, groups, and payment rates. Students will use the most recent OPPS Addendum A and Addendum B. Addendums A and B are located athttps://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Addendum-A-and-Addendum-B-Updates

INSTRUCTIONS:Locate the most recent OPPS Addendum A and Addendum B on the Medicare website.

1. Using Addendum A, identify a set (example is Pathology) of surgical APCs that are paid at the full rate. Exclude New Technology.
   1. Set:
   2. Status Indicator

1. Using Addendum A, identify a set (example is Airway Endoscopy) of surgical APCs that are paid at a discounted rate when multiple procedures are performed. Exclude New Technology.
   1. Set:
   2. Status Indicator

1. In Addendum A, locate APCs 5111-5116. APC 5111 is SI T and the remaining APCS are SI J1. How is SI J1 different from T?

1. Using Addendum B, locate five packaged codes/services from different areas of the code set (i.e., not all five from anesthesia).
   1. X
   2. X
   3. X
   4. X
   5. X

1. Packaged services are not separately payable. Are you surprised that any of the services you identified in question #4 are not separately payable? What statistics or measures are impacted when a packaged service is provided during a clinic visit? For example, an immunization provided during a clinic visit.

1. Using Addendum B, identify an inpatient-only procedure. Give a reason why this procedure would be approved for the inpatient setting but not the outpatient setting.

1. Scenarios. Identify the APCs and payment status indicators (SIs) for each scenario (Addendum B). Which APCs are not packaged and would yield reimbursement for the facility?

1. Repair of lower jaw fracture is performed (21470). X-rays of the jaw (70110) and facial bones (70150) are performed. List the APCs and SIs. Which APC(s) are separately payable?

1. Patient evaluated in the ED (99282) for a racoon bite to the arm. Rabies vaccine was given to the patient (90471 and 90675). List the APCs and SIs. Which APC(s) are separately payable?

1. Patient has a dermatology appointment. The physician drains a pilonidal cyst (10080) on the patient's lower back near the tailbone. Local anesthesia is provided (00300). Additionally, the physician removes a callus on the patient's big right toe (11055). Lastly, the physician removes 8 skin tags (11200). List the APCs and SIs. Which APC(s) are separately payable?

1. How could the facility/physician circumnavigate the APC packaging rules for scenario 7C in order to receive additional reimbursement?

industries.Identify several (3) jobs of interest to you, including your own.Select specific cities or use the U.S. national average.Obtain the median, the 25thand 75thpercentile base wage, and total cash compensation rates for each job and other relevant data necessary to address the following questions.Submit your responses to the following questions on line in Word format. Include the job descriptions (you may have to copy and past to a word document), pay ranges and other relevant information.

1. List all of the jobs that you chose.Which jobs are paid more or less? (rank them) Is this what you would have expected? Why or why not?

2. Do the jobs have different bonuses as a percentage of their total cash compensation package?What could explain these differences?

3. Read the job descriptions.Are they accurate descriptions for jobs that you would be applying for or evaluating? Why or why not?Are there jobs for which you cannot find an appropriate match?Why would this be the case?

4. Check out these jobs at either your company of those being advertised.Where did you find the jobs?How does the pay for jobs advertised either at your company or elsewhere differ from the pay levels onsalary.com? Why do these differences exist?

5. How could you/your employees use this information while negotiating salaries? What factors will influence the final salary level?

6. What is the relevant labor market for these jobs?How big are the differences between salaries in different locations?

7. For each job, compare the median salary to the low and high averages.How much variation exists? What factors might explain this variation in pay rates for the same job?

8. Look for a description of how these salary data are developed.Do you think it provides enough information? Why or why not?Discuss some of the factors that might impair the accuracy of these data.What are the implications of using inaccurate salary data for individuals or companies?

9. With this information available for free, why would you bother with consultant's surveys?

10. If you were a manager, how would you justify paying one of your employees either higher or lower than the results shown on this Web site

• Explain how employee development contributes to strategies related to employee retention, development of intellectual capital, and business growth.
• Discuss the steps in the development planning process.
• Explain the employees' and company's responsibilities in planning development.
• Discuss current trends in using formal education for development.
• Relate how assessment of personality type, work behaviors, and job performance can be used for employee development.
• Explain how job experiences can be used for skill development.
• Develop successful mentoring programs.
• Describe how to train managers to coach employees.
• Discuss what companies are doing to melt the glass ceiling.
• Use the 9-box grid for identifying where employees fit in a succession plan and construct appropriate development plans for them.