RBRVS - Resource-Based Relative Value Scale

Fee schedule has the direct impact on physician’s payment, it will calculate based on three factors.

1) RBRVS

2) Geographical practice cost index

3) Monetary conversion factor

Let’s see in detail about RBRVS

Its used by Medicare and almost all the public and private payers

RBRVS calculated based on three factors

1) Physician work accounts 52%

2) Practice expense 44%

3) Malpractice expense 4%

RBRV = (Total Work)(1+RPC)(1+AST)

RBRV + Total work *Specialty Practice cost index*Specialized Training Cost Index.

Total Work = Time×(Complexity Index)

Complexity index = “sweat factor”

Includes Pre- + Intra- + Post-service work

Based on surveys of physicians

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