18.4.31 BAR/ACK - Transmit Ambulatory Payment Classification (APC) Groups (Event P10) (6.4.7)

The P10 event is used to communicate Ambulatory Payment Classification (APC) grouping. The grouping can be estimated or actual, based on the APC status indictor in GP1-1. This information is mandated in the USA by the Centers for Medicare and Medicaid Services (CMS) for reimbursement of outpatient services. The PID and PV1 segments are included for identification purposes only. When other patient or visit related fields change, use the A08 (update patient information) event.

• Message
• ACK Choreography
• FHIR Structure Definition
• v2.xml XSD
• ER7 Example
• XML Example

Segment	Cardinality	Implement	Status
BAR^P10^BAR_P10
MSH Message Header	[1..1]	SHALL
ARV Access Restriction			v2.9
SFT Software Segment
UAC User Authentication Credential Segment	[0..1]
EVN Event Type	[1..1]	SHALL
PID Patient Identification	[1..1]	SHALL
PRT Participation Information
PV1 Patient Visit	[1..1]	SHALL
DIAGNOSIS
DG1 Diagnosis	[1..1]	SHALL
GP1 Grouping/Reimbursement - Visit	[1..1]	SHALL
PROCEDURE
PR1 Procedures	[1..1]	SHALL
GP2 Grouping/Reimbursement - Procedure Line Item	[0..1]

 

BAR_P10

MSH-15	MSH-16	Immediate ACK	Application Ack
Blank	Blank	-	ACK^P10^ACK
NE	NE	-	-
AL, SU, ER	NE	ACK^P10^ACK	-
NE	AL, SU, ER	-	ACK^P10^ACK
AL, SU, ER	AL, SU, ER	ACK^P10^ACK	ACK^P10^ACK

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• Message
• ACK Choreography
• FHIR Structure Definition
• v2.xml XSD
• ER7 Example
• XML Example

Segment	Cardinality	Implement	Status
ACK^P10^ACK
MSH Message Header	[1..1]	SHALL
SFT Software Segment
UAC User Authentication Credential Segment	[0..1]
MSA Message Acknowledgment	[1..1]	SHALL
ERR Error

 

ACK

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The error segment indicates the fields that caused a transaction to be rejected.