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Title
Allocating practice expense under the Medicare fee schedule.
First Author
Pope, Gregory C
Date of Pub
1993 Spring
Pages
139-162
Volume
14
Issue
3
Other Authors
Burge, Russel T
Abstract
Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense should be the same proportion of the total payment as actual physician practice expenses are of total practice revenues. A comparison with the approach developed by the Physician Payment Review Commission (PPRC) shows similar fees, but the specialty-based method proposed here requires no data beyond what is already employed in the MFS.
Abstract Continued
N/A
MeSH
Relative Value Scales : Comparative Study : Computer Simulation : Cost Allocation/methods : Fee Schedules/economics : Fees, Medical/statistics & numerical data : Income/statistics & numerical data : Medicare Part B/economics : Physician Payment Review Commission : Physicians/economics : Practice Management, Medical/economics : Specialties, Medical/economics/statistics & numerical data : United States
NTIS Number
PB95-111274