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Allocating Practice Expense Under the Medicare Fee Schedule

Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presente...

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Detalles Bibliográficos
Autores principales: Pope, Gregory C., Burge, Russel T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 1993
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193374/
https://www.ncbi.nlm.nih.gov/pubmed/10130574
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author Pope, Gregory C.
Burge, Russel T.
author_facet Pope, Gregory C.
Burge, Russel T.
author_sort Pope, Gregory C.
collection PubMed
description Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense should be the same proportion of the total payment as actual physician practice expenses are of total practice revenues. A comparison with the approach developed by the Physician Payment Review Commission (PPRC) shows similar fees, but the specialty-based method proposed here requires no data beyond what is already employed in the MFS.
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spelling pubmed-41933742014-11-04 Allocating Practice Expense Under the Medicare Fee Schedule Pope, Gregory C. Burge, Russel T. Health Care Financ Rev Research Article Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense should be the same proportion of the total payment as actual physician practice expenses are of total practice revenues. A comparison with the approach developed by the Physician Payment Review Commission (PPRC) shows similar fees, but the specialty-based method proposed here requires no data beyond what is already employed in the MFS. CENTERS for MEDICARE & MEDICAID SERVICES 1993 /pmc/articles/PMC4193374/ /pubmed/10130574 Text en
spellingShingle Research Article
Pope, Gregory C.
Burge, Russel T.
Allocating Practice Expense Under the Medicare Fee Schedule
title Allocating Practice Expense Under the Medicare Fee Schedule
title_full Allocating Practice Expense Under the Medicare Fee Schedule
title_fullStr Allocating Practice Expense Under the Medicare Fee Schedule
title_full_unstemmed Allocating Practice Expense Under the Medicare Fee Schedule
title_short Allocating Practice Expense Under the Medicare Fee Schedule
title_sort allocating practice expense under the medicare fee schedule
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193374/
https://www.ncbi.nlm.nih.gov/pubmed/10130574
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