Poses, RUCing About-Conflicts of Interests Affecting the Members of the RBRVS
Update Committee, HEALTH CARE RENEWAL, (Apr.
Unlike other relative value scales, RBRVS
ignores historical charges and includes factors such as time, effort, technical skill, practice cost, and training cost.
The cost accounting method consistently identified is RBRVS
So even if I treated someone privately, and no Medicare reimbursement was desired by the patient, I had to file the proper Medicare claims forms proving that I had not charged more than the maximum allowable fee on the RBRVS
schedule - an insidious form of price control.
Even if resource costs could be measured with absolute accuracy, the RBRVS
does not tell us what different services should be paid.
The intent of the RBRVS
was to reduce the inequality between fees for cognitive services and payment for procedures, but there remains much discussion that challenges whether this goal was ever actually achieved.
Just as the soviets made all economic decisions--how many tanks to build, how many jackets to sew, how much food to produce-through central planning, the RBRVS
system is an effort to centrally plan medical prices.
187) This effect is due to the fact that the RBRVS
fee schedule, and the fee-for- service payment system generally, are ordinarily insensitive to the quality of the treatment outcome.
Many doctors must deal with resource-based relative value scales, abbreviated as either RBRVS
By amplifying the voice of pediatricians in the "House of Medicine," we can work to overcome decades of public neglect of our Medicaid program and, at minimum, return to equality with our brethren who participate in the Medicare program, at 100% of RBRVS
For some plans, average fees declined as part of a 1-3 year RBRVS
implementation process, while for others fees remained close to unchanged.
Other features include national correct coding edits, CPT to ICD-9 linking, RBRVS
reimbursement calculation, anesthesia code crosswalk, unique modifiers and global fee periods.