Ambulatory Patient Groups (APGs)

Reimbursement Components

APG Reimbursement Components
Alternative Payment Fee Schedule
Ambulatory Surgery Procedures List
Carve Outs
CIFs by Rate Period
If Stand Alone, Do Not Pay APGs
If Stand Alone, Do Not Pay Procedures
Inpatient Only Procedures
Investments by Rate Period
Modifiers
Never Pay APGs
Never Pay Procedures
No Blend APGs
No Blend Procedures
No Capital Add–on APGs
No Capital Add–on Procedures
Non–50% Discounting APG List
Rate Codes Carved Out of APGs for Article 28 facilities
Rate Codes Subsumed by APGs – Freestanding Article 28
Rate Codes Subsumed by APGs – Hospital Article 28
Statewide Base Rate APGs
Packaged Ancillaries in APGs
Weights, Proc Weights, and APG Fee Schedule Amounts