A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System
The resource-based relative value scale (RBRVS) system is used to reimburse physician services in health care systems. The aim of the present study was to study the features of RBRVS system in order to provide a framework to estimate reimbursement of physician services based on the resources used. T...
| Main Authors: | , , |
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| Format: | Article |
| Language: | fas |
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Vesnu Publications
2017-05-01
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| Series: | مدیریت اطلاعات سلامت |
| Subjects: | |
| Online Access: | http://him.mui.ac.ir/index.php/him/article/view/3115 |
| Summary: | The resource-based relative value scale (RBRVS) system is used to reimburse physician services in health care systems. The aim of the present study was to study the features of RBRVS system in order to provide a framework to estimate reimbursement of physician services based on the resources used. This narrative study was carried out by surveying 90 articles and other documents. The adoption of the RBRVS system required the use of the Current Procedure Terminology (CPT) code to determine Relative value units (RVUs) of physicians’ work and practice expenses as major components. Geographic practice cost index (GPCI) and conversation factor were the modifier factors. With the employment of this system, the actual costs assigned to each medical service, even in offices, are determined and patient’s out-of-pocket payment is conducted fairly. |
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| ISSN: | 1735-7853 1735-9813 |