How Healthcare Services are Valued for Physicians and Qualified Health Professionals (IMAGE)
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Current Procedural Terminology (CPT) codes describe services provided by physicians and other Qualified Health Professionals (QHP). The Resource-Based Relative Value Scale (RBRVS) is the method established by Congress (under the Omnibus Budget Reconciliation Act of 1989) for calculating Medicare payments for the healthcare services described by CPT codes. More than 7,500 services are described using this methodology. The Social Security Act (SSA) required the Centers for Medicare and Medicaid Services to establish these payments using the Medicare Physician Fee Schedule (MPFS), which is updated annually. Under the SSA, payments under the fee schedule are based on three categories of national relative value units (RVUs) that take into account work performed by the physician/QHP, practice expense, and mandatory malpractice expenses.
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(C) 2018, American Geriatrics Society
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(C) 2018, American Geriatrics Society
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