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CDEO Chapter 7 Exam Study Guide with Complete Solutions $9.99   Add to cart

Exam (elaborations)

CDEO Chapter 7 Exam Study Guide with Complete Solutions

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CDEO Chapter 7 Exam Study Guide with Complete Solutions RBRVS - Answer️️ -Resource-Based Relative Value Scale RBRVS System - Answer️️ -Established by Medicare to reimburse physicians based on CPT code submitted for reimbursement RVU - Answer️️ -Each CPT code has an assigned relativ...

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  • September 13, 2024
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  • 2024/2025
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CDEO Chapter 7 Exam Study Guide with
Complete Solutions


RBRVS - Answer✔️✔️-Resource-Based Relative Value Scale


RBRVS System - Answer✔️✔️-Established by Medicare to reimburse physicians based

on CPT code submitted for reimbursement

RVU - Answer✔️✔️-Each CPT code has an assigned relative value unit which, when

multiplied by conversion factor and a geographic region allowance , creates the

reimbursement for the medical service the CPT code represents

RVU Components - Answer✔️✔️-1) Physician work- time, skill, training, and intensity of

service provided



2) Practice Expense - reflects the cost of ancillary personnel, supplies, and overhead



3) Professional Liability Malpractice Insurance

Using RBRVS - Answer✔️✔️-CMS annually publishes Physician Fee Schedule

information on its website and posts the formula for calculating physician fee schedule

amounts.

Physician Fee Amounts - Answer✔️✔️-vary depending on facility vs non-facility

Facility Practice RVU - Answer✔️✔️-expenses include services performed in emergency

rooms , hospitals, SNFs, nursing homes, ASC.

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Non Facility RVUs - Answer✔️✔️-include services performed in non-hospital owned

physician practices and privately owned practices.

GPCI - Answer✔️✔️-Geographic Practice Cost Index

Geographic Prctice Cost Index - Answer✔️✔️-is used to realize the varying cost based on

geographic location

CF - Answer✔️✔️-Converstion Factor

Conversion Factor - Answer✔️✔️-this is a fixed dollar amount used to translate the RVUs

into fees

Other Health Plans - Answer✔️✔️-other than Medicare may choose not to use the CMS

calculations to determine provider reimbursement

Global Surgery Package - Answer✔️✔️-The time, effort, and services required to

complete a procedure are bundled together to form a surgery package . Payment is

made for a package of services and not each individual service provided within the

package.

CPT Surgery Package Description - Answer✔️✔️-* Subsequent tot he decision for

surgery, E?M Services on the date immediately prior to or on the date of the procedure

including H&P



*Local Anesthesia: defined as local infiltration, metacarpal/metatarsal/digital block, or

topical anesthesia



* Operation Itself


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