The APG tool is used for reimbursing APG groupers. FinThrive currently only uses APG groupers for three states: Ohio (MMO), Oklahoma, and Mississippi.
Use a decimal to express a dollar amount, such as 60000.00. All dollar values must be entered using decimal format, including 0.00.
Field DescriptionsThe following table describes the fields on the APG reimbursement tool.
Field | Description |
(State) | Options: MMO (Ohio), Oklahoma, Mississippi |
Override Provider Number | Preferred provider number. Up to ten alphanumeric digits. |
Override Service Date | Preferred service date. Use MM/DD/YYYY format. Overrides the service date on the claim with the date you enter. You may use the anchor date instead of this option. |
APG Medical Rate | Medical rates related to APG codes. |
APG Surgical/ Significant Rate | Surgical or significant rates related to APG codes. |
APG Ancillary Rate | Ancillary rate related to APG codes. |
APG Percent of Charge | |
Provider High Cap Percentage | |
Provider Low Cap Percentage | |
Override Weights Effective Date | |
Replace Blank Date with Service Through Date | Provides the option to replace a blank service date with the service through date. |
Truncate (instead of round) totals | Provides the option to truncate the total. For example if a total is 100.85, it is truncated to 100. If left unchecked, the total will round to 101. |