Medicare Misc

Created by mer801 

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3 terms

Resource-based relative value scale (RBRVS)

physician pymnt reform implemented in 1992, prior to reform, physicians were paid lowest of : physician's charge for svc, physician's customary charge, and prevailing charge in locality

National Fee Schedule (NFS)

replaced RBRVS, termed medicare fee schedule (MFS), payment 80% of MFS, after patient deductible, used for physicians and suppliers

Relative Value Units (RVUs)

Assigns national unit values to each CPT code, local adjustments made: work and skill required, overhead costs, malpractice costs; often referred to as fee schedule, Annually, CMS updates RVU based on national and local factors

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