Medicare RBRVS 2021:
The 30th edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2021 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Elektronisch E-Book |
| Sprache: | English |
| Veröffentlicht: |
Newburyport
American Medical Association
2021
|
| Schlagworte: | |
| Online-Zugang: | HWR01 |
| Zusammenfassung: | The 30th edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2021 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice |
| Beschreibung: | Description based on publisher supplied metadata and other sources |
| Beschreibung: | 1 Online-Ressource (922 Seiten) |
| ISBN: | 9781640160934 |
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| 505 | 8 | |a Intro -- Title Page -- Copyright -- Acknowledgments -- Contents -- Foreword -- Introduction: A Guide to Medicare RBRVS: The Physicians' Guide -- Part 1: The Roots of Medicare's RBRVS Payment System -- Chapter 1: Development of the Resource-Based Relative Value Scale -- The Profession's Interest in an RBRVS -- The Government's Interest in an RBRVS -- Harvard RBRVS Study -- Reaction to the Completion of Phase I -- Medicare Reform -- Chapter 2: Legislation Creating the Medicare RBRVS Payment System -- Prescription for Changing the Medicare Physician Payment System -- OBRA 89 Physician Payment Reform Provisions -- Changes in Law and Regulations -- Chapter 3: The Scope of Medicare's RBRVS Payment System -- Part 2: Major Components of the RBRVS Payment System -- Chapter 4: The Physician Work Component -- Harvard RBRVS Study -- The 1992 RVS Refinement Process -- The AMA/Specialty Society RVS Update Process -- Five-Year Review -- Chapter 5: Practice Expense Component -- Data Used to Assign Charge-Based Practice Expense RVUs -- OBRA 89 Method -- Concerns with OBRA 89 Method -- OBRA 93 Revisions to the Practice Expense Component -- Resource-Based Practice Expenses -- The 2007-2021 Practice Expense RVU Methodology -- Refinement of Resource-Based Practice Expenses -- Chapter 6: Professional Liability Insurance Component -- Data Used to Assign Charge-Based PLI RVUs -- Creating Resource-Based PLI Relative Values -- Major Improvements and Continued Concerns Regarding PLI Relative Value Methodology -- Combining Work, Practice Expense, and PLI RVUs -- Chapter 7: Geographic Variation in the Payment Schedule -- OBRA 89 Provision for Geographic Adjustment -- Geographic Practice Cost Index (GPCI) -- Medicare Payment Localities -- Chapter 8: Medicare Payment Schedule -- Formula for Calculating the Payment Schedule -- History of Budget Neutrality | |
| 505 | 8 | |a Worksheets for Determining the Impact of Medicare Payment System on Individual Physician Practices -- Chapter 9: Balance Billing Under the Payment Schedule -- PAR Program -- Limiting Charges -- Monitoring Compliance -- Part 3: The RBRVS Payment System in Operation -- Chapter 10: Conversion Factor Updates -- SGR Permanently Repealed -- Medicare Economic Index -- Expenditure Targets and Performance Adjustment -- Budget Neutrality and Other Adjustments -- Chapter 11: Standardizing Medicare Part B: RBRVS Payment Rules and Policies -- Defining a Global Surgical Package: Major Surgical Procedures -- Medically Unlikely Edits -- Minor Surgery and Nonincisional Procedures (Endoscopies) -- Moderate (Conscious) Sedation Services -- Payment to Assistants-at-Surgery -- CPT Modifiers -- Telephone and Online Evaluation and Management Services -- Telehealth -- Medicare Expands Telehealth During COVID-19 PHE -- Remote Physiologic Monitoring -- Payment for "New" Physicians -- Payment for Provider-Based and Teaching Physicians -- Off-Campus Provider-Based Hospital Departments -- Professional/Technical Component Services -- Pathology Services -- Payment for Supplies, Services, and Drugs Furnished Incident to a Physician's Service -- Payment for Nonphysicians -- Historical Information about E/M Codes -- Interprofessional Telephone/Internet/Electronic Health Record Consultation -- Psychiatric Collaborative Care Management Services -- Other Primary Care Services -- Legislative Initiatives to Detect Fraud and Abuse -- Payment Policy Changes to Preventive Services Benefits -- Other Payment Policy Changes Adopted Under the RBRVS -- The AMA's Advocacy Efforts -- Part 4: The RBRVS Payment System in Your Practice -- Chapter 12: Practice Management Under the RBRVS: Implications for Physicians -- Physician Payment Under the RBRVS -- Practice Management Audit | |
| 505 | 8 | |a Conducting Business Electronically -- The 2009 Stimulus Law -- Affordable Care Act -- Privacy and Security of Health Information -- ICD-10 -- Value-Based Health Care -- Incentive Payments -- Participation Decision -- Private Contracting -- Using the RBRVS to Establish Physician Charges -- Chapter 13: Non-Medicare Use of the RBRVS: Survey Data -- Survey Design -- Characteristics of Respondents -- Utilization of Medicare RBRVS -- Use of Conversion Factors, All Payers -- Determination of Conversion Factors -- Use of RBRVS Payment Policies -- Opinion of the RBRVS -- Factors That Influence the Adoption of RBRVS -- Other Uses of the RBRVS -- Conclusion -- Part 5: Reference Lists -- List of Relative Value Units, Payment Schedule, and Payment Policy Indicators -- National Place of Service Codes -- Relative Value Units -- List of Geographic Practice Cost Indices for Each Medicare Locality -- RVUs for Anesthesiology Services -- Anesthesia Base Units -- Geographically Adjusted Dollar Anesthesia Conversion Factors, 2021 -- Appendices -- Appendix A: Glossary -- Appendix B: Directory of Resources -- Index -- Medicare RBRVS Changes in 2021 -- Back Cover | |
| 520 | |a The 30th edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2021 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice | ||
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| contents | Intro -- Title Page -- Copyright -- Acknowledgments -- Contents -- Foreword -- Introduction: A Guide to Medicare RBRVS: The Physicians' Guide -- Part 1: The Roots of Medicare's RBRVS Payment System -- Chapter 1: Development of the Resource-Based Relative Value Scale -- The Profession's Interest in an RBRVS -- The Government's Interest in an RBRVS -- Harvard RBRVS Study -- Reaction to the Completion of Phase I -- Medicare Reform -- Chapter 2: Legislation Creating the Medicare RBRVS Payment System -- Prescription for Changing the Medicare Physician Payment System -- OBRA 89 Physician Payment Reform Provisions -- Changes in Law and Regulations -- Chapter 3: The Scope of Medicare's RBRVS Payment System -- Part 2: Major Components of the RBRVS Payment System -- Chapter 4: The Physician Work Component -- Harvard RBRVS Study -- The 1992 RVS Refinement Process -- The AMA/Specialty Society RVS Update Process -- Five-Year Review -- Chapter 5: Practice Expense Component -- Data Used to Assign Charge-Based Practice Expense RVUs -- OBRA 89 Method -- Concerns with OBRA 89 Method -- OBRA 93 Revisions to the Practice Expense Component -- Resource-Based Practice Expenses -- The 2007-2021 Practice Expense RVU Methodology -- Refinement of Resource-Based Practice Expenses -- Chapter 6: Professional Liability Insurance Component -- Data Used to Assign Charge-Based PLI RVUs -- Creating Resource-Based PLI Relative Values -- Major Improvements and Continued Concerns Regarding PLI Relative Value Methodology -- Combining Work, Practice Expense, and PLI RVUs -- Chapter 7: Geographic Variation in the Payment Schedule -- OBRA 89 Provision for Geographic Adjustment -- Geographic Practice Cost Index (GPCI) -- Medicare Payment Localities -- Chapter 8: Medicare Payment Schedule -- Formula for Calculating the Payment Schedule -- History of Budget Neutrality Worksheets for Determining the Impact of Medicare Payment System on Individual Physician Practices -- Chapter 9: Balance Billing Under the Payment Schedule -- PAR Program -- Limiting Charges -- Monitoring Compliance -- Part 3: The RBRVS Payment System in Operation -- Chapter 10: Conversion Factor Updates -- SGR Permanently Repealed -- Medicare Economic Index -- Expenditure Targets and Performance Adjustment -- Budget Neutrality and Other Adjustments -- Chapter 11: Standardizing Medicare Part B: RBRVS Payment Rules and Policies -- Defining a Global Surgical Package: Major Surgical Procedures -- Medically Unlikely Edits -- Minor Surgery and Nonincisional Procedures (Endoscopies) -- Moderate (Conscious) Sedation Services -- Payment to Assistants-at-Surgery -- CPT Modifiers -- Telephone and Online Evaluation and Management Services -- Telehealth -- Medicare Expands Telehealth During COVID-19 PHE -- Remote Physiologic Monitoring -- Payment for "New" Physicians -- Payment for Provider-Based and Teaching Physicians -- Off-Campus Provider-Based Hospital Departments -- Professional/Technical Component Services -- Pathology Services -- Payment for Supplies, Services, and Drugs Furnished Incident to a Physician's Service -- Payment for Nonphysicians -- Historical Information about E/M Codes -- Interprofessional Telephone/Internet/Electronic Health Record Consultation -- Psychiatric Collaborative Care Management Services -- Other Primary Care Services -- Legislative Initiatives to Detect Fraud and Abuse -- Payment Policy Changes to Preventive Services Benefits -- Other Payment Policy Changes Adopted Under the RBRVS -- The AMA's Advocacy Efforts -- Part 4: The RBRVS Payment System in Your Practice -- Chapter 12: Practice Management Under the RBRVS: Implications for Physicians -- Physician Payment Under the RBRVS -- Practice Management Audit Conducting Business Electronically -- The 2009 Stimulus Law -- Affordable Care Act -- Privacy and Security of Health Information -- ICD-10 -- Value-Based Health Care -- Incentive Payments -- Participation Decision -- Private Contracting -- Using the RBRVS to Establish Physician Charges -- Chapter 13: Non-Medicare Use of the RBRVS: Survey Data -- Survey Design -- Characteristics of Respondents -- Utilization of Medicare RBRVS -- Use of Conversion Factors, All Payers -- Determination of Conversion Factors -- Use of RBRVS Payment Policies -- Opinion of the RBRVS -- Factors That Influence the Adoption of RBRVS -- Other Uses of the RBRVS -- Conclusion -- Part 5: Reference Lists -- List of Relative Value Units, Payment Schedule, and Payment Policy Indicators -- National Place of Service Codes -- Relative Value Units -- List of Geographic Practice Cost Indices for Each Medicare Locality -- RVUs for Anesthesiology Services -- Anesthesia Base Units -- Geographically Adjusted Dollar Anesthesia Conversion Factors, 2021 -- Appendices -- Appendix A: Glossary -- Appendix B: Directory of Resources -- Index -- Medicare RBRVS Changes in 2021 -- Back Cover |
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| spelling | Association, American Medical Verfasser aut Medicare RBRVS 2021 Newburyport American Medical Association 2021 ©2021 1 Online-Ressource (922 Seiten) txt rdacontent c rdamedia cr rdacarrier Description based on publisher supplied metadata and other sources Intro -- Title Page -- Copyright -- Acknowledgments -- Contents -- Foreword -- Introduction: A Guide to Medicare RBRVS: The Physicians' Guide -- Part 1: The Roots of Medicare's RBRVS Payment System -- Chapter 1: Development of the Resource-Based Relative Value Scale -- The Profession's Interest in an RBRVS -- The Government's Interest in an RBRVS -- Harvard RBRVS Study -- Reaction to the Completion of Phase I -- Medicare Reform -- Chapter 2: Legislation Creating the Medicare RBRVS Payment System -- Prescription for Changing the Medicare Physician Payment System -- OBRA 89 Physician Payment Reform Provisions -- Changes in Law and Regulations -- Chapter 3: The Scope of Medicare's RBRVS Payment System -- Part 2: Major Components of the RBRVS Payment System -- Chapter 4: The Physician Work Component -- Harvard RBRVS Study -- The 1992 RVS Refinement Process -- The AMA/Specialty Society RVS Update Process -- Five-Year Review -- Chapter 5: Practice Expense Component -- Data Used to Assign Charge-Based Practice Expense RVUs -- OBRA 89 Method -- Concerns with OBRA 89 Method -- OBRA 93 Revisions to the Practice Expense Component -- Resource-Based Practice Expenses -- The 2007-2021 Practice Expense RVU Methodology -- Refinement of Resource-Based Practice Expenses -- Chapter 6: Professional Liability Insurance Component -- Data Used to Assign Charge-Based PLI RVUs -- Creating Resource-Based PLI Relative Values -- Major Improvements and Continued Concerns Regarding PLI Relative Value Methodology -- Combining Work, Practice Expense, and PLI RVUs -- Chapter 7: Geographic Variation in the Payment Schedule -- OBRA 89 Provision for Geographic Adjustment -- Geographic Practice Cost Index (GPCI) -- Medicare Payment Localities -- Chapter 8: Medicare Payment Schedule -- Formula for Calculating the Payment Schedule -- History of Budget Neutrality Worksheets for Determining the Impact of Medicare Payment System on Individual Physician Practices -- Chapter 9: Balance Billing Under the Payment Schedule -- PAR Program -- Limiting Charges -- Monitoring Compliance -- Part 3: The RBRVS Payment System in Operation -- Chapter 10: Conversion Factor Updates -- SGR Permanently Repealed -- Medicare Economic Index -- Expenditure Targets and Performance Adjustment -- Budget Neutrality and Other Adjustments -- Chapter 11: Standardizing Medicare Part B: RBRVS Payment Rules and Policies -- Defining a Global Surgical Package: Major Surgical Procedures -- Medically Unlikely Edits -- Minor Surgery and Nonincisional Procedures (Endoscopies) -- Moderate (Conscious) Sedation Services -- Payment to Assistants-at-Surgery -- CPT Modifiers -- Telephone and Online Evaluation and Management Services -- Telehealth -- Medicare Expands Telehealth During COVID-19 PHE -- Remote Physiologic Monitoring -- Payment for "New" Physicians -- Payment for Provider-Based and Teaching Physicians -- Off-Campus Provider-Based Hospital Departments -- Professional/Technical Component Services -- Pathology Services -- Payment for Supplies, Services, and Drugs Furnished Incident to a Physician's Service -- Payment for Nonphysicians -- Historical Information about E/M Codes -- Interprofessional Telephone/Internet/Electronic Health Record Consultation -- Psychiatric Collaborative Care Management Services -- Other Primary Care Services -- Legislative Initiatives to Detect Fraud and Abuse -- Payment Policy Changes to Preventive Services Benefits -- Other Payment Policy Changes Adopted Under the RBRVS -- The AMA's Advocacy Efforts -- Part 4: The RBRVS Payment System in Your Practice -- Chapter 12: Practice Management Under the RBRVS: Implications for Physicians -- Physician Payment Under the RBRVS -- Practice Management Audit Conducting Business Electronically -- The 2009 Stimulus Law -- Affordable Care Act -- Privacy and Security of Health Information -- ICD-10 -- Value-Based Health Care -- Incentive Payments -- Participation Decision -- Private Contracting -- Using the RBRVS to Establish Physician Charges -- Chapter 13: Non-Medicare Use of the RBRVS: Survey Data -- Survey Design -- Characteristics of Respondents -- Utilization of Medicare RBRVS -- Use of Conversion Factors, All Payers -- Determination of Conversion Factors -- Use of RBRVS Payment Policies -- Opinion of the RBRVS -- Factors That Influence the Adoption of RBRVS -- Other Uses of the RBRVS -- Conclusion -- Part 5: Reference Lists -- List of Relative Value Units, Payment Schedule, and Payment Policy Indicators -- National Place of Service Codes -- Relative Value Units -- List of Geographic Practice Cost Indices for Each Medicare Locality -- RVUs for Anesthesiology Services -- Anesthesia Base Units -- Geographically Adjusted Dollar Anesthesia Conversion Factors, 2021 -- Appendices -- Appendix A: Glossary -- Appendix B: Directory of Resources -- Index -- Medicare RBRVS Changes in 2021 -- Back Cover The 30th edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2021 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice Medical Coding & Billing Erscheint auch als Druck-Ausgabe Association, American Medical Medicare RBRVS 2021: The Physicians' Guide Newburyport : American Medical Association,c2021 9781640160927 |
| spellingShingle | Association, American Medical Medicare RBRVS 2021 Intro -- Title Page -- Copyright -- Acknowledgments -- Contents -- Foreword -- Introduction: A Guide to Medicare RBRVS: The Physicians' Guide -- Part 1: The Roots of Medicare's RBRVS Payment System -- Chapter 1: Development of the Resource-Based Relative Value Scale -- The Profession's Interest in an RBRVS -- The Government's Interest in an RBRVS -- Harvard RBRVS Study -- Reaction to the Completion of Phase I -- Medicare Reform -- Chapter 2: Legislation Creating the Medicare RBRVS Payment System -- Prescription for Changing the Medicare Physician Payment System -- OBRA 89 Physician Payment Reform Provisions -- Changes in Law and Regulations -- Chapter 3: The Scope of Medicare's RBRVS Payment System -- Part 2: Major Components of the RBRVS Payment System -- Chapter 4: The Physician Work Component -- Harvard RBRVS Study -- The 1992 RVS Refinement Process -- The AMA/Specialty Society RVS Update Process -- Five-Year Review -- Chapter 5: Practice Expense Component -- Data Used to Assign Charge-Based Practice Expense RVUs -- OBRA 89 Method -- Concerns with OBRA 89 Method -- OBRA 93 Revisions to the Practice Expense Component -- Resource-Based Practice Expenses -- The 2007-2021 Practice Expense RVU Methodology -- Refinement of Resource-Based Practice Expenses -- Chapter 6: Professional Liability Insurance Component -- Data Used to Assign Charge-Based PLI RVUs -- Creating Resource-Based PLI Relative Values -- Major Improvements and Continued Concerns Regarding PLI Relative Value Methodology -- Combining Work, Practice Expense, and PLI RVUs -- Chapter 7: Geographic Variation in the Payment Schedule -- OBRA 89 Provision for Geographic Adjustment -- Geographic Practice Cost Index (GPCI) -- Medicare Payment Localities -- Chapter 8: Medicare Payment Schedule -- Formula for Calculating the Payment Schedule -- History of Budget Neutrality Worksheets for Determining the Impact of Medicare Payment System on Individual Physician Practices -- Chapter 9: Balance Billing Under the Payment Schedule -- PAR Program -- Limiting Charges -- Monitoring Compliance -- Part 3: The RBRVS Payment System in Operation -- Chapter 10: Conversion Factor Updates -- SGR Permanently Repealed -- Medicare Economic Index -- Expenditure Targets and Performance Adjustment -- Budget Neutrality and Other Adjustments -- Chapter 11: Standardizing Medicare Part B: RBRVS Payment Rules and Policies -- Defining a Global Surgical Package: Major Surgical Procedures -- Medically Unlikely Edits -- Minor Surgery and Nonincisional Procedures (Endoscopies) -- Moderate (Conscious) Sedation Services -- Payment to Assistants-at-Surgery -- CPT Modifiers -- Telephone and Online Evaluation and Management Services -- Telehealth -- Medicare Expands Telehealth During COVID-19 PHE -- Remote Physiologic Monitoring -- Payment for "New" Physicians -- Payment for Provider-Based and Teaching Physicians -- Off-Campus Provider-Based Hospital Departments -- Professional/Technical Component Services -- Pathology Services -- Payment for Supplies, Services, and Drugs Furnished Incident to a Physician's Service -- Payment for Nonphysicians -- Historical Information about E/M Codes -- Interprofessional Telephone/Internet/Electronic Health Record Consultation -- Psychiatric Collaborative Care Management Services -- Other Primary Care Services -- Legislative Initiatives to Detect Fraud and Abuse -- Payment Policy Changes to Preventive Services Benefits -- Other Payment Policy Changes Adopted Under the RBRVS -- The AMA's Advocacy Efforts -- Part 4: The RBRVS Payment System in Your Practice -- Chapter 12: Practice Management Under the RBRVS: Implications for Physicians -- Physician Payment Under the RBRVS -- Practice Management Audit Conducting Business Electronically -- The 2009 Stimulus Law -- Affordable Care Act -- Privacy and Security of Health Information -- ICD-10 -- Value-Based Health Care -- Incentive Payments -- Participation Decision -- Private Contracting -- Using the RBRVS to Establish Physician Charges -- Chapter 13: Non-Medicare Use of the RBRVS: Survey Data -- Survey Design -- Characteristics of Respondents -- Utilization of Medicare RBRVS -- Use of Conversion Factors, All Payers -- Determination of Conversion Factors -- Use of RBRVS Payment Policies -- Opinion of the RBRVS -- Factors That Influence the Adoption of RBRVS -- Other Uses of the RBRVS -- Conclusion -- Part 5: Reference Lists -- List of Relative Value Units, Payment Schedule, and Payment Policy Indicators -- National Place of Service Codes -- Relative Value Units -- List of Geographic Practice Cost Indices for Each Medicare Locality -- RVUs for Anesthesiology Services -- Anesthesia Base Units -- Geographically Adjusted Dollar Anesthesia Conversion Factors, 2021 -- Appendices -- Appendix A: Glossary -- Appendix B: Directory of Resources -- Index -- Medicare RBRVS Changes in 2021 -- Back Cover Medical Coding & Billing |
| title | Medicare RBRVS 2021 |
| title_auth | Medicare RBRVS 2021 |
| title_exact_search | Medicare RBRVS 2021 |
| title_exact_search_txtP | Medicare RBRVS 2021 |
| title_full | Medicare RBRVS 2021 |
| title_fullStr | Medicare RBRVS 2021 |
| title_full_unstemmed | Medicare RBRVS 2021 |
| title_short | Medicare RBRVS 2021 |
| title_sort | medicare rbrvs 2021 |
| topic | Medical Coding & Billing |
| topic_facet | Medical Coding & Billing |
| work_keys_str_mv | AT associationamericanmedical medicarerbrvs2021 |