RBRVS definition
Examples of RBRVS in a sentence
All other covered services for surgery services will be reimbursed at [****] of fixed 2006 Medicare RBRVS schedule.
Medicare RBRVS based is a system established by Medicare to pay Physicians for a “work unit.” The RBRVS value is determined by multiplying a “relative value” of the service by a “converter” to determine the value for a certain procedure.
For a prevailing flow FTR, the target allocation would be subject to a reduced payout ratio, while a counter flow FTR holder would not be subject to the reduced payout ratio.
CPT Code 99212 which will be [****] of the fixed 2006 Medicare RBRVS schedule.
The resource costs of the RBRVS system include physician time, training, skill, risk, procedure complexity, practice overhead and professional liability insurance.
For procedures not listed, or procedures with relativities not established, Provider will be compensated according to CMS RBRVS guidelines or sixty percent (60%) of Provider’s billed charges when there is no guideline, less any applicable copayment.
For “by report” procedures, procedures not listed, or procedures with relativities not established in RBRVS, PPG shall be compensated at *** of PPG or the Participating Provider’s billed charges, less any applicable Copayment.
All other covered services for medicine services, excluding anesthesiology, will be reimbursed at [****] of 2006 Medicare RBRVS.
HCPCS Codes: All covered services for HCPCS codes, with the exception of J codes will be reimbursed at [****] of fixed 2006 Medicare RBRVS fee schedule.
CPT Code 36415 when appropriate will be paid at [****] of the fixed 2006 RBRVS schedule.