Changing Medicare’s Payment Systems for Ambulatory Care Facilities (A)

In establishing ambulatory care prospective payment systems in general, the Secretary should: Define the unit of payment for ambulatory care facilities as the individual service, consisting of the primary service that is the reason for the encounter, the ancillary services and supplies integral to it, and limited follow-up care, but not the physicians’ services. The unit of payment should be defined consistently across all ambulatory care settings.