Observers say one step for insurers-- with or without legislation--will be to adopt physician reimbursement policies styled at least somewhat after Medicare's resource-based relative value scale
The resource-based relative value scale
(RBRVS) attempts to circumvent this difficulty by expressing the value of a service in objective terms related to the cost of its production.
Resource-Based Relative Value Scale
(RBRVS) assigns a value to medical services based on the time and skill level needed to perform these services.
The basics should include a course on medical business jargon; this should include the ABC's of managed care to definitions of co-pays, deductibles and the resource-based relative value scale
ACOG's recommendations are then forwarded to the AMA Resource-Based Relative Value Scale
Update Committee (RUC) where they will be accepted or modified.
By contrast, the services on each Patient Management PATH provided, for each patient type, the basis for the identification of hospital costs, which were then used to derive a cost-based relative value scale
for PMCs, reflecting the relative intensity of expected resource requirements for each patient type.
Another policy option is the Resource-based Relative Value Scale
(RBRVS) mechanism, under which Medicare would pay doctors in accordance with a formula generally derived as: RBRVSis = (TWi)(I+RPCs)(I+ASTs), where the subscripts i and s refer, respectively to particular physician services and specialties; TW is total work related to a service reflecting physician time, mental effort and judgment, technical skill, physical effort, and stress due to risk; RPC is an index of relative specialty practice costs; and AST is an index of the amortized value of income foregone due to specialized training.
It looks like a mixed bag for the clinical laboratory community, but Medicare implementation of a resource-based relative value scale
(RBRVS) would generally prompt physicians to spend more time "thinking" about patients and perhaps less time ordering diagnostic tests and procedures.
For approximately a decade, component coding has been under attack by AMA's expert panel on the Relative Value Scale
Update Committee (also known as the RUC) because component coding can inflate procedural valuation, which in turn slows or threatens other applications which have been submitted for new codes for new services.
Changing the membership of the Relative Value Scale
Update Committee (RUC) to make it more representative of the medical profession.
This guide introduces the way Medicare pays for physicians' services under the resource-based relative value scale
(RBRVS) payment system, and explains the main components of the payment system.
Physicians have endured one cost-containment scam after another--the Resource-Based Relative Value Scale
(RBRVS), the Correct Coding Initiative, adjustments to the practice expense component of relative value units (RVUs).