Medicare pays for physician services on a fee-for-service basis using a combination of RBRVS
weights for each medical procedure, and the single national base rate for physician services, called the CF.
Another use of RBRVS
cost accounting is cost analysis.
Judge Politan did try to "flush out" the intent of the suit as a means for me to charge more than the limiting charges of the Medicare RBRVS
Thus, what started 83 years ago as a 50-cent-per-month insurance plan for Dallas teachers grew to the 1992 Medicare Payment Reform program with implementation of the RBRVS
system included a mechanism, known as the volume performance standard, aimed at preventing doctors from gaming the standardized payments by increasing the number of cases they processed.
Controls put into place by the federal government--prospective, payment for hospitals and RBRVS
for doctors--helped a little, but inflation broke through even these draconian measures.
Health economist Daniel Dunn, who helped develop the RBRVS
, was invited to participate.
To control for differential impacts of the RBRVS
reform across these areas, a locality-level fee schedule impact variable was included (Office of the Actuary HCFA).
assigns a relative value to each CPT code (Buppert, 1999).
is based on a relative value of resources that would typically be expended to provide a medical service, i.
In general, the articles deliberate payment issues, explain the medical marketplace, critique Hsiao's work, project the impact of implementing the RBRVS
and offer alternative proposals.
Doctors may thus find themselves in the unusual position of supporting a Stark proposal, this time one that offers a legislative remedy to the perceived RBRVS