overvalued procedure

overvalued procedure

Surgery Any procedure used to treat non-malignant conditions–eg, cholecystectomy, that Congress has deemed 'too expensive' and has targeted for budget cuts from Medicare reimbursement. See Resource-based relative value scale.
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This pricing trend, which is believed to be substantially exogenous and independent, tends to obscure the impact of the overvalued procedure reductions on physician practice patterns.
HCFA's 5-percent Part B Medicare Annual Data files were used to construct episode-of-care records for overvalued procedures in 4 years, 1986-89.