How will the APF be calculated? February 20, 2018

Based on feedback and input from many providers and their office staff, SFHCP has modified the APF calculation methodology to reduce the administrative burden on the offices.  APF amounts will be calculated by SFHCP using claims data from a prior 12-month period.  SFHCP will obtain that data directly from the payers and aggregate it for each NPI.  SFHCP will calculate the APF for each NPI by multiplying the aggregated allowed amounts by 1.5%.

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