Add or Edit Schedule Data in an APC Table

When you want to add data to an Ambulatory Payment Classification (APC) table, you can either add codes manually or import codes from another file.

Use this procedure to manually add data to a DRG weight table.

  1. Access the Edit Schedule page.
    • Select Go To > Contract Loading > Lookup Table Management. The Lookup Table Management page opens.
    • Select APC for the Table Type.
    • Select Checked out by me for the Check Out Status, and then click Refresh View. A list of available tables appears.
    • Click a link in the Table Name field of the table you want to edit. The Edit Lookup Table page opens.
    • Click the Edit Schedule link. The Edit Schedule page opens.
  2. Specify the data to add to the table, and then click Add.
    - or -
    Click Edit to change existing data, alter the data, and then click Update.
  3. Optionally, you can perform one of the following functions:
    • Click Clear to delete the data you entered and return each field to its default value.
    • Click Edit, and then click Delete to delete an entry.

The following table describes the fields on the Edit Schedule page for APC weight tables.

Field

Description

APC Code

Ambulatory Payment Classification code

Group Title

Name of the table that contains the listed APC code

Conversion Factor

The conversion factor multiplied times the relative weight to convert the relative weight into the allowable payment amount

Relative Weight

Indicates the resource requirements of the service and is based on the median cost of services in that APC, using APC 603 as the base. Relative weight is multiplied by the conversion factor to determine the allowable payment.

Allowance

The allowable payment amount, determined by multiplying the relative weight times the conversion factor

Edit

Link for editing an item