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What are the three factors RBRVS uses to determine prices?

a) Resources, Budget, Revenue

b) Relative Value, Budget, Service

c) Relative Value, Base Units, Conversion Factor

d) Research, Base Rate, Service

User Zemirco
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Final answer:

RBRVS determines medical reimbursement using three factors: Relative Value Units, Geographical Practice Cost Indices, and the Conversion Factor. These account for the complexity of the service, regional cost differences, and a conversion to dollar amounts respectively.

Step-by-step explanation:

The Resource-Based Relative Value Scale (RBRVS) is a system used to determine how much money medical providers should be reimbursed for services. RBRVS is based on three main factors:

  • Relative Value Units (RVUs) - This accounts for the time, skill, and intensity it takes to provide a service.
  • Geographical Practice Cost Indices (GPCIs) - This adjusts the RVUs to account for the different costs of living and running a practice in different geographic areas.
  • Conversion Factor (CF) - This is a dollar amount that converts the geographically adjusted RVUs into actual payment amounts.

These three components form the basis for calculating payments for Medicare and are used extensively in the healthcare industry. The correct answer to the question would thus be 'c) Relative Value, Base Units, Conversion Factor'.

When a healthcare provider performs a service, the total RVUs for that service are multiplied by both the GPCIs and the CF to determine the final reimbursement amount. This system aims to create an equitable payment system based on the complexity and costs associated with delivering medical services.

User Binny V A
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