Under the APC methodology, when do discounted payments occur?

Discounted payments under the Ambulatory Payment Classification (APC) methodology are applied in specific circumstances to encourage efficiency in the delivery of healthcare services. The correct scenario involves when multiple procedures are performed during the same session that are assigned to status indicator "T."

Status indicator "T" refers to procedures that are designated for discounting, which means if two or more of these procedures are performed together, the subsequent procedures may receive a reduced reimbursement. This helps streamline payments and encourages healthcare providers to bundle services, ultimately benefiting patient care and reducing costs.

The other situations mentioned, such as those involving status indicator "S" or modifier-78, do not directly relate to the criteria for discounting payments under the APC methodology. Status indicator "S" is for services that are subject to separate payment and does not involve discounting, while modifier-78 applies to unplanned return to the operating room for related procedures, which also does not trigger discounted payments. Lastly, pass-through drugs assigned to status indicator "K" are reimbursed separately and are not related to discounted payment scenarios.

Overall, the correct choice highlights the specific criteria for applying discounted payments under the APC system, reflecting a focus on procedures that encourage higher efficiency and better resource management within healthcare services.