ReimbursementCâu 68 / 100
The Resource-Based Relative Value Scale (RBRVS) determines physician payment based on:
a.A flat fee for every service regardless of complexity
b.Relative value units reflecting physician work, practice expense, and malpractice cost, adjusted geographically
c.The patient's income level
d.The hospital's total operating budget
Giải thích
RBRVS assigns each service relative value units for physician work, practice expense, and professional liability, which are adjusted by geographic indices and multiplied by a conversion factor to set payment. This system underlies the Medicare Physician Fee Schedule. It ties reimbursement to the resources required rather than to historical charges.
Luyện miễn phí toàn bộ 100 câu hỏi — không cần đăng ký.
Câu hỏi liên quan cùng chủ đề
- A patient with a $500 remaining deductible receives a service with an allowed amount of $800 and 20% coinsurance after the deductible. What is the total patient responsibility?
- A copayment (copay) is best described as:
- A deductible is:
- In the Medicare Physician Fee Schedule, the payment for a service is calculated by:
- Diagnosis-Related Groups (DRGs) are used mainly to determine reimbursement for:
- Ambulatory Payment Classifications (APCs) are the basis for Medicare payment in the:
Cập nhật gần nhất: · quy trình kiểm tra
Đội Ngũ Biên Tập PrepPass · Đối chiếu với NHA Certified Billing & Coding Specialist (CBCS) Exam · Quy trình kiểm tra