Certified Coding Associate (CCA) 2025 – 400 Free Practice Questions to Pass the Exam

Question: 1 / 400

Which of the following is a primary purpose of the APC system?

To reduce the cost of outpatient services

To improve patient care outcomes

To categorize outpatient services for payment purposes

The primary purpose of the Ambulatory Payment Classification (APC) system is to categorize outpatient services for payment purposes. This system was established as part of the Medicare outpatient prospective payment system to ensure that healthcare providers are reimbursed in a fair and standardized manner for the services they deliver to patients in outpatient settings. By classifying services into groups with similar clinical characteristics and expected costs, the APC system simplifies the payment process, allowing for more predictable and consistent reimbursement for outpatient services.

While reducing costs, improving patient care outcomes, and promoting provider education are important aspects of healthcare, they are secondary to the main function of the APC system, which is specifically focused on organizing outpatient services in a way that aligns with payment processes.

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To promote provider education

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