resource-based relative value scale


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resource-based relative value scale

Managed care A scale that ranks physician services by the labor required to deliver those services. See CPT codes, DRGs, Overrated procedures.

Re·source-Based Rel·a·tive Val·ue Scale

(rē'sōrs-bāst rel'ă-tiv val'yū skāl)
A payment system mandated by U.S. federal law concerning Medicare's establishing a cost basis for Medicare services based on analysis of skill and time required by the health care provider for patient's care.

resource-based relative value scale

Abbreviation: RBRVS
A scale for determining the monetary value of evaluation and management services provided to patients, i.e., services provided to patients by nonsurgeons. The scale is based on the total work required for a given service and on other considerations, including the cost of the physician's practice, the income lost during training, and the relative cost of liability insurance.
See: managed care; managed competition
See also: scale
References in periodicals archive ?
Results, potential effects, and implementation issues of the Resource-Based Relative Value Scale. Journal of the American Medical Association, 260(16), 2429-2438.
RBRVS denotes resource-based relative value scale; CPT, current procedural termi nology; E/M, evaluat CABG, coronary artery bypass graft; total hip, total hip arthroplasty; TURP, tra nsurethral resection The 15% increase in payment for the average office visit includes an adjustment for the interpretation of an electrocardiogram (ECG).
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.
This guide helps physicians understand and use the Medicare resource-based relative value scale (RBRVS), Medicare's payment system for physician services that became effective January 1, 1992.
The hope is that other payers will adopt the fees set by CMS, he continued, since private and state Medicaid payers use the resource-based relative value scale as their fee schedule, and adopt many of the codes and the RVUs published by CMS, adjusting the conversion factor to meet their own financial needs.
Like results from similar studies in 1993 and 1997, the current data suggest that the Medicare Resource-Based Relative Value Scale Fee Schedule is unfair to physicians who take care of women, he said at the annual meeting of the American Urogynecologic Society.
The diagnosis-related group (DRG) system for hospitals and the resource-based relative value scale (RBRVS) for physicians were the new payment methods of the 1980s, but they are being replaced rapidly by capitation and other forms of prepayment (e.g., package prices).
Today, the Hsiao Resource-Based Relative Value Scale and CPT codings are dictating the distribution of the physician component of capitation payments.
The changes reflect the continued phase-in of HCFA's resource-based relative value scale (RBRVS), the transition to a resource-based practice expense payment system, and modified pricing for services and malpractice premiums.

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