Additionally, the payment policies we established for IOP services affect RHCs and FQHCs
When the aggregate payment for specified mental health services provided by one hospital to a single beneficiary on a single date of service, based on the payment rates associated with the APCs for the individual services, exceeds the maximum per diem payment rate for four partial hospitalization services provided in a day by a hospital (the payment amount for APC 5864), those specified mental health services would be paid through composite APC 8010 for CY 2026
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Can I verify the COA independently
A 56-year-old male with no medical history presented to the hospital with altered mentation