Payment methodology used by Medicare and some other payors to reimburse for physician and certain other professional services
(RBRVS): This is a relative scale developed for the Health Car Financing Administration for use by Medicare. The RBRVS assigns relative values to each CPT code for services on the basis of the resources related to the procedure rather than simply on the basis of historical trends. The practical effect has been to lower reimbursement for procedural services (e.g., cardiac surgery) and to raise reimbursement for cognitive services (e.g., office visits).
(RBRVS) - Medicare's reimbursement system for physician services. This system considers actual resources used in the provision of services when determining payment levels.
A method used by Managed Care Organization s of determining provider reimbursement that attempts to take into account, when assigning a weighted value to medical procedures or services, all resources that physicians use in providing care to patients, including physical or procedural, educational, mental (cognitive) and financial resources.
A methodology introduced by the Centers for Medicare and Medicaid Services to create the Medicare fee schedule, the RBRVS incorporates factors such as the amount of time and resources expended in treating patients, overhead costs and geographical differences.
A Medicare weighting system to assign units of value to each CPT code (procedure) performed by physicians and other providers. The number of units or value for each procedure includes a portion for physician skill, expenses associated with the procedure, and geographic area.
Established as part of the Omnibus Reconciliation Act of 1989, Medicare payment rules for physician services were altered by establishing an RBRVS fee schedule. This payment methodology has three components: a relative value for each procedure, a geographic adjustment factor, and a dollar conversion factor.
Resource-Based Relative Value Scale (RBRVS) is a system used to determine how much money medical providers should be paid. It is currently used by Medicare in the United States and by nearly every Health maintenance organizations (HMOs).