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eBook Issues in developing a resource-based relative value scale for physician work ePub

eBook Issues in developing a resource-based relative value scale for physician work ePub

  • ISBN: 0833012592
  • Subcategory: No category
  • Language: English
  • Publisher: RAND (1992)
  • ePub book: 1914 kb
  • Fb2 book: 1329 kb
  • Other: rtf lrf lit doc
  • Rating: 4.3
  • Votes: 274

Description

The authors' objective in this study was to establish panel procedures for revising the Medicare Resource-Based Relative Value Scale (RBRVS).

The authors' objective in this study was to establish panel procedures for revising the Medicare Resource-Based Relative Value Scale (RBRVS). They conducted four pilot panels, composed of 46 physicians from different specialties (including primary care), to rate total physician work. One panel examined 80 urological services, another examined 80 ophthalmological services, and the last two considered the merit of appeals from five specialty and subspecialty societies to 68 and 48 services, respectively.

the Medicare Resource-Based Relative Value Scale (RBRVS). Kahan, James . Sally C. Morton, Gerald Kominski, Hilary Farris, Arthur J. Donovan, and David L. Bryant, Issues in Developing a Resource-Based Relative Value Scale for Physician Work. Santa Monica, CA: RAND Corporation, 1992.

We have developed a resource-based relative-value scale as an alternative to the system of payment based on charges for physicians' services. Resource inputs by physicians include (1) total work input performed by the physician for each service; (2) practice costs, including malpractice premiums; and (3) the cost of specialty training. These factors were combined to produce a relative-value scale denominated in nonmonetary units. We describe here the process by which the physician's work was defined and estimated

The Harvard resource-based relative value scale (RBRVS) for physician services has assumed a critical role in physician payment reform

The Harvard resource-based relative value scale (RBRVS) for physician services has assumed a critical role in physician payment reform. We have demonstrated that the relative resource costs of providing physician services can be defined and measured in a rational and systematic way and that the results are reliable and valid. Consequently, the RBRVS is a viable basis for national payment policy and could be used for establishing a national fee schedule for physician services or to identify "mispriced" physician procedures.

Learn more about Resource-Based Relative Value Scale

Learn more about Resource-Based Relative Value Scale. Performance Measurements and Incentive Systems for Radiology Practices. Felix S. Chew, Annemarie Relyea-Chew, in Radiology Business Practice, 2008. Relative Value Units. The resource-based relative value scale (RBRVS) is a measure of work done by medical professions that is directly related to reimbursement (see Chapter 8). This scale is expressed in relative value units (RVUs). Reimbursement rates from third-party payers are typically expressed in terms of dollars per RVU, so that the greater the number of RVUs, the larger the payment.

Resource-based relative value scale (RBRVS) is a schema used to determine how much money medical providers should be paid. It is partially used by Medicare in the United States and by nearly all health maintenance organizations (HMOs). RBRVS assigns procedures performed by a physician or other medical provider a relative value which is adjusted by geographic region (so a procedure performed in Manhattan is worth more than a procedure performed in Dallas).

The Medicare Physician Fee Schedule (MPFS) is a resource-based relative value scale (RBRVS) that has been the basis for payment for the care of. .Toward developing a relative value scale for medical and surgical services.

The Medicare Physician Fee Schedule (MPFS) is a resource-based relative value scale (RBRVS) that has been the basis for payment for the care of Medicare beneficiaries since its implementation on January 1, 1992. The MPFS is also used as the basis for payment schedules used by many commercial insurers. It is therefore very important for surgeons to understand the legislation that mandated an RBRVS system for payment and how the RBRVS system was developed, implemented, and maintained. Health Care Financ Rev. 1979;1:23–39.

The resource-based relative value scale: Toward the development of an alternative physician . Resource-based relative values: An overview. Estimating physicians' work for a resource based relative-value scale.

The resource-based relative value scale: Toward the development of an alternative physician payment system. Journal of the American Medical Association, 258, 799–802. Hsiao, W. Braun, . Dunn, . & Becker, E. R. (1988). Journal of the American Medical Association, 260, 2347–2353. Yntema, . New England Journal of Medicine, 319, 835–841.

The Resource-Based Relative Value Scale Update Committee (RUC) submits recommended reimbursement values for physician work (wRVUs) under Medicare Part B. The RUC includes rotating representatives from. The RUC includes rotating representatives from medical specialties. Concepts: Value, Medicare and Medicaid, Pediatrics, Specialty, Physician, Medicine, Resource-Based Relative Value Scale. Thus, more complicated cases, like revision arthroplasty cases, should yield a greater compensation.

The Medicare Resource-based Relative Value Scale (RBRVS) physician fee schedule was established to recognize objective measures of physician work, while creating equity in reimbursement for all physician services across specialties. The RBRVS system, which is based on uniform definitions of physician work, has eliminated many of the more dramatic reimbursement irregularities within the Medicare physician fee schedule. Each year, Congress establishes a budget for Medicare by setting a single, so-called conversion factor (CF; in previous years, there were three separate CFs).