Medicare RBRVS 2020 The Physicians’ Guide 1st edition by American Medical Association- Ebook PDF Instant Download/Delivery: B07QD8B5J3 , 978-1622029334
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Product details:
ISBN 10: B07QD8B5J3
ISBN 13: 978-1622029334
Author: American Medical Association
The 29th edition of Medicare RBRVS: The Physicians’ Guide provides the much-needed updated information on the new 2020 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice. This book is a must-have tool for physician practices because it offers invaluable insight and information needed to understand Medicare’s resource-based relative value scale (RBRVS) payment system, and to help physician practices establish physician charges and to calculate Medicare payments.
Medicare RBRVS 2020 The Physicians’ Guide 1st Table of contents:
Part 1: The Roots of Medicare’s RBRVS Payment System
Chapter 1: Development of the Resource-Based Relative Value Scale
The Profession’s Interest in an RBRVS
The Government’s Interest in an RBRVS
Harvard RBRVS Study
Reaction to the Completion of Phase I
Medicare Reform
Chapter 2: Legislation Creating the Medicare RBRVS Payment System
Prescription for Changing the Medicare Physician Payment System
OBRA 89 Physician Payment Reform Provisions
Changes in Law and Regulations
Chapter 3: The Scope of Medicare’s RBRVS Payment System
Part 2: Major Components of the RBRVS Payment System
Chapter 4: The Physician Work Component
Harvard RBRVS Study
The 1992 RVS Refinement Process
The AMA/Specialty Society RVS Update Process
Five-Year Review
Chapter 5: Practice Expense Component
Data Used to Assign Charge-Based Practice Expense RVUs
OBRA 89 Method
Concerns with OBRA 89 Method
OBRA 93 Revisions to the Practice Expense Component
Resource-Based Practice Expenses
The 2007–2020 Practice Expense RVU Methodology
Refinement of Resource-Based Practice Expenses
Chapter 6: Professional Liability Insurance Component
Data Used to Assign Charge-Based PLI RVUs
Creating Resource-Based PLI Relative Values
Major Improvements and Continued Concerns Regarding PLI Relative Value Methodology
Combining Work, Practice Expense, and PLI RVUs
Chapter 7: Geographic Variation in the Payment Schedule
OBRA 89 Provision for Geographic Adjustment
Geographic Practice Cost Index (GPCI)
Medicare Payment Localities
Chapter 8: Medicare Payment Schedule
Formula for Calculating the Payment Schedule
History of Budget Neutrality
Worksheets for Determining the Impact of Medicare Payment System on Individual Physician Practices
Chapter 9: Balance Billing Under the Payment Schedule
PAR Program
Limiting Charges
Monitoring Compliance
Part 3: The RBRVS Payment System in Operation
Chapter 10: Conversion Factor Updates
SGR Permanently Repealed
Medicare Economic Index
Expenditure Targets and Performance Adjustment
Budget Neutrality and Other Adjustments
Chapter 11: Standardizing Medicare Part B: RBRVS Payment Rules and Policies
Defining a Global Surgical Package: Major Surgical Procedures
Medically Unlikely Edits
Minor Surgery and Nonincisional Procedures (Endoscopies)
Moderate (Conscious) Sedation Services
Payment to Assistants-at-Surgery
CPT Modifiers
Telephone and Online Evaluation and Management Services
Telemedicine
Payment for “New” Physicians
Payment for Provider-Based and Teaching Physicians
Off-Campus Provider-Based Hospital Departments
Professional/Technical Component Services
Pathology Services
Payment for Supplies, Services, and Drugs Furnished Incident to a Physician’s Service
Payment for Nonphysicians
Historical Information about E/M Codes
Interprofessional Telephone/Internet/Electronic Health Record Consultation
Psychiatric Collaborative Care Management Services
Other Primary Care Services
Legislative Initiatives to Detect Fraud and Abuse
Payment Policy Changes to Preventive Services Benefits
Other Payment Policy Changes Adopted Under the RBRVS
The AMA’s Advocacy Efforts
Part 4: The RBRVS Payment System in Your Practice
Chapter 12: Practice Management Under the RBRVS: Implications for Physicians
Physician Payment Under the RBRVS
Practice Management Audit
Conducting Business Electronically
The 2009 Stimulus Law
Affordable Care Act
Privacy and Security of Health Information
ICD-10
Value-Based Health Care
Incentive Payments
Participation Decision
Private Contracting
Using the RBRVS to Establish Physician Charges
Chapter 13: Non-Medicare Use of the RBRVS: Survey Data
Survey Design
Characteristics of Respondents
Utilization of Medicare RBRVS
Use of Conversion Factors, All Payers
Determination of Conversion Factors
Use of RBRVS Payment Policies
Opinion of the RBRVS
Factors That Influence the Adoption of RBRVS
Other Uses of the RBRVS
Conclusion
Part 5: Reference Lists
List of Relative Value Units, Payment Schedule, and Payment Policy Indicators
National Place of Service Codes
Relative Value Units
List of Geographic Practice Cost Indices for Each Medicare Locality
RVUs for Anesthesiology Services
Anesthesia Base Units
Geographically Adjusted Dollar Anesthesia Conversion Factors, 2020
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Tags: American Medical Association, Medicare RBRVS, Physicians’ Guide