Claims for outpatient services rendered at a hospital are paid based on grouping outpatient services into ambulatory payment classifications (APCs). Services within an APC are similar clinically and require comparable resources. Each APC is assigned a relative payment rate based on the median cost of the services within that classification.
Ms. Blanca Marcus has resigned as Self-Insurance Director effective September 11, 2026. The Commission thanks her for her service. The full advisory can be accessed here.