 | This article includes a list of general
references, but it lacks sufficient corresponding
inline citations. (April 2018) |
Geographic Practice Cost Index is used along with Relative Value Units by Medicare to determine allowable payment amounts for medical procedures. There are multiple GPCIs: Cost of Living, Malpractice, and Practice Cost/Expense. These categories allow Medicare to adjust reimbursement rates to take into account regional and practice-specific factors. [1] [2]
An example calculation for a Medicare allowed amount is:
2009 Non-Facility Pricing Amount = [(Work RVU * Work GPCI) + (Transitioned Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) [3]
See also
References
- ^ "Review of Alternative GPCI Payment Locality Structures – Final Report" (PDF). Cms.gov. p. i. Retrieved 17 April 2018.
- ^ "Overview". Archived from the original on 2007-07-05. Retrieved 2007-07-16.
- ^ "Overview Physician Fee Schedule". Archived from the original on 2008-12-03. Retrieved 2008-12-08.
External links
- PlexisWeb Glossary Definition
- Physician Fee Schedule Overview, Centers for Medicare & Medicaid Services
.svg){kind=small} | This United States government–related article is a stub. You can help Wikipedia by expanding it. |
| This article includes a list of general
references, but it lacks sufficient corresponding
inline citations. (April 2018) |
Geographic Practice Cost Index is used along with Relative Value Units by Medicare to determine allowable payment amounts for medical procedures. There are multiple GPCIs: Cost of Living, Malpractice, and Practice Cost/Expense. These categories allow Medicare to adjust reimbursement rates to take into account regional and practice-specific factors. [1] [2]
An example calculation for a Medicare allowed amount is:
2009 Non-Facility Pricing Amount = [(Work RVU * Work GPCI) + (Transitioned Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) [3]
See also
References
- ^ "Review of Alternative GPCI Payment Locality Structures – Final Report" (PDF). Cms.gov. p. i. Retrieved 17 April 2018.
- ^ "Overview". Archived from the original on 2007-07-05. Retrieved 2007-07-16.
- ^ "Overview Physician Fee Schedule". Archived from the original on 2008-12-03. Retrieved 2008-12-08.
External links
- PlexisWeb Glossary Definition
- Physician Fee Schedule Overview, Centers for Medicare & Medicaid Services
|
| This United States government–related article is a stub. You can help Wikipedia by expanding it. |