Operative procedure performed on a patient as an outpatient in which he or she is admitted, treated, and released on the same day from the facility. Also referred to as outpatient surgery.
Insurance Encyclopedia
Ambulatory surgery categories (ASCs)
ASCs were adopted to replace ambulatory patient groups (APGs) for outpatient or 1-day surgery cases that were derived from the surgery section of the CPT. Later, this was replaced by the ambulatory payment classification (APC) system.
Ambulatory surgery center (ASC)
Licensed freestanding facility, other than a physician’s office, at which outpatient medical services are provided on an ambulatory basis (e.g., diagnosis, treatment, same-day surgery, rehabilitation). ASCs are hospital based (or sponsored) or independently owned (or sponsored). Surgery of an uncomplicated nature that traditionally was done on an inpatient basis but can be performed with equal efficiency without hospital admission is now being done in an ASC. To receive payment for Medicare patients, the facility must have an agreement with the Centers for Medicare and Medicaid Services (CMS) and meet specific requirements. ASCs are paid according to nine different payment groups based only on their cost similarities. Also called surgicenter or ambulatory surgical center.
Ambulatory surgery program
Facility’s schedule for the performance of elective surgical procedures on patients admitted and discharged on the same day the procedure is performed.
Ambulatory surgical center (ASC)
See: ambulatory surgery center (ASC) and free-standing surgical center.
Ambulatory utilization review (AUR)
Evaluation and analysis of the medical necessity, appropriateness, and efficiency of medical services given in an ambulatory facility. Utilization review is typically performed by a utilization review committee.
Ambulatory visit
See: outpatient visit.
Ambulatory visit groups (AVGs)
AVGs were replaced by ambulatory patient groups (APGs) as an outpatient classification system by Health Systems International (HSI). Then ambulatory surgery categories (ASCs) were adopted, replacing APGs for outpatient or 1-day surgery cases that were derived from the surgery section of the CPT. Later this was replaced by the ambulatory payment classification (APC) system.
Ambulatory weighted unit
See: relative weighted product (RWP).