What is an APG rate?
What is an APG rate?
EmblemHealth pays claims that are billed with Ambulatory Patient Groups (APGs) rate codes (and their corresponding CPT codes) for services covered by APG reimbursement. The APG system is the new state-mandated payment methodology for most Medicaid outpatient services.
Who regulates hospitals in NYC?
The Division of Hospitals and Diagnostic and Treatment Centers (DCs) is under the statutory authority of Article 28, Section 3401 of the Public Health Law (PHL), and Title 10 of the New York Codes of Rules and Regulations (NYCRR), Section 405.
Who regulates hospitals in New York?
The New York State Department of Health
The New York State Department of Health (NYSDOH) oversees health care providers, hospitals and nursing homes.
What is an Article 16 Clinic in NYS?
Article 16 Clinics are OPWDD-certified treatment facilities that provide clinical services to individuals with developmental disabilities as well as to those caregivers and other support staff whose participation in the service is deemed necessary to maintain the effectiveness of the treatment, enable the individual to …
What is Article 28 of the New York State Public Health Law?
Article 28 is a New York State public health law which recognizes and regulates the accreditation of public health care facilities. In other words, in the state of New York, Article 28 is the part of state law that makes sure that public health care facilities are legitimate and properly-operated.
What is Article 28 medical billing training?
The appropriate training in Article 28 medical billing gives employers, providers, and the health department the confidence that all of their hard work will be properly reported and coded on claims, and that the medical billing department is in safe hands.
Why choose an article 28 facility?
The answer is simple! Article 28 certified facilities participate in Medicare, Medicaid, and private health insurance plans with a higher rate of reimbursement than that of non-certified facilities.
What are the benefits of Article 28 certification?
Article 28 certified facilities participate in Medicare, Medicaid, and private health insurance plans with a higher rate of reimbursement than that of non-certified facilities.
