Ambulatory Patient Groups for Medicaid Training

 Ambulatory Patient Groups for Medicaid Training 

GNYHA, in conjunction with the Healthcare Association of New York State, will be hosting training sessions on the implementation of Ambulatory Patient Groups (APGs) as the new payment methodology for Medicaid outpatient services. The New York State (NYS) Department of Health (DOH), 3M, the developer of APGs, and Computer Sciences Corporation, the claims adjudicator for the NYS Medicaid program, will provide the training.

The State budget agreement for fiscal year 2008-2009 requires the implementation of APGs beginning with hospital outpatient clinic and ambulatory surgery services on December 1, 2008. The new rates for clinic services will be phased-in over four years. Emergency room services will be paid under APGs beginning January 1, 2009. The implementation of APGs is the first major change to the New York Medicaid outpatient reimbursement methodology in more than 20 years and will require hospitals to make significant changes to their internal billing and receivables management systems for outpatient Medicaid services.

Registration:

We are limiting in-person attendance to five staff members per hospital (one from each of the following departments) in order to accommodate all of the New York City hospitals.

      • Finance/Reimbursement
      • Patient Accounts
      • Emergency Department Administrators
      • Ambulatory Care Administrators
      • Compliance Officers 

The GNYHA New York State Medicaid APG Implementation Training Program will be held is three sessions.
Because of space constraints, registration for these sessions is limited to GNYHA members.

Please click the session for which you would like to register:

Due to the anticipated high volume of attendees, the GNYHA sessions will also be available via live webcast.

The Training Sessions Will Cover the Following Topics:

      • APG policies and principles
      • APG grouping logic, weighing and pricing
      • Billing rules
      • Changes to existing payment methodologies: Products of Ambulatory Care (PAC),
        Products of Ambulatory Surgery (PAS) and Specialty Clinic Billing
      • APG Carve-Outs
      • Remittance Statements
      • Testing Schedules and Timeframes

For more information about the New York State Medicaid APG Implementation Training, please contact Elisabeth Wynn or Stewart Presser at GNYHA.
 
 

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