APC solutions? Please call

Have you developed some effective ways to meet the challenges of ambulatory payment classification (APC) implementation? If so, Beth Ingram, CHAM, director of patient business services at Touro Infirmary in New Orleans, would like to hear from you.

"We are looking for a facility that considers its outpatient flow as related to APC implementation [a] best practice to make a site visit," says Ingram. "Specifically, we would like to visit a facility with both diagnostic and recurring outpatients in multiple entities, including medical/surgical clinics.

"Of particular interest," she adds, "would be a facility that employs a roving coder concept for recurring/clinic patients where the record remains in the clinic until the episode is complete. Additionally, we would be interested in facilities that use Medipac, from [Atlanta-based] McKesson-HBOC, as a patient registration/accounting system."

Ingram says she also would like to hear from any access managers who have established best-practice procedures for handling multiple encounters on the same day for different physicians that include both recurring and nonrecurring account types.

[If you have feedback on the APC issue, please contact Lila Moore at (520) 299-8730 or lilamoore@mindspring.com. Beth Ingram may be reached at (504) 897-8548 or ingramb@touro.com.]