Issues in the Application of the Resource-Based Relative Value Scale System to Pediatrics: A Subject Review

Autor: Jonathan Wright, R Jr Squires, C. J A Schulte, A. D. Jacobson, L. S. Thompson, J Jr Bradley, Richard A. Molteni, R. Haynes, Steven E. Krug, C. Vanchiere, Robert S. Gerstle
Rok vydání: 1998
Předmět:
Zdroj: Pediatrics. 102:996-998
ISSN: 1098-4275
0031-4005
DOI: 10.1542/peds.102.4.996
Popis: In today's rapidly changing health care environment, it is crucial to understand the genesis and concepts of the Medicare Resource-based Relative Value Scale (RBRVS) physician fee schedule. Many third-party payers, including state Medicaid programs, Blue Cross–Blue Shield agencies, and managed care organizations are using variations of the Medicare RBRVS to determine physician reimbursement and capitation rates. Because the RBRVS fee schedule was originally created for Medicare only, pediatric-specific Current Procedural Terminology codes and pediatric practice expense issues were not included. The American Academy of Pediatrics agrees with the use of the Current Procedural Terminology codes and the RBRVS physician fee schedule and continues to work to rectify the inequities of the RBRVS system as they pertain to pediatrics.
Databáze: OpenAIRE