Question:

What does APC status indicator J1 identify?

Answer:

This indicator is used to identify encounters that include specific combinations of services designated by CMS that, when performed in combination with each other and reported on a facility outpatient claim, would allow for all other OPPS payable services and items reported on the claim to be deemed adjunctive services representing components of comprehensive service and resulting in a single prospective payment for the comprehensive service based on the costs of all reported services on the claim.

This question was answered in our annual Respiratory Therapy Reimbursement & Compliance Update webcast. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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