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现行程序术语、基于资源的相对价值量表以及医疗保险和医疗补助服务中心:概述

Current procedural terminology, Resource-based Relative Value Scale, and the Center for Medicare and Medicaid Services: overview.

作者信息

Wiersema Maurits J, Mergener Klaus

机构信息

Indiana Medical Associates, 7900 West Jefferson Boulevard, Fort Wayne, IN 46804, USA.

出版信息

Gastrointest Endosc Clin N Am. 2006 Oct;16(4):775-87. doi: 10.1016/j.giec.2006.08.017.

Abstract

Coding and payment methodology for physician professional services has been standardized through the introduction of the Current Procedural Terminology, which is maintained by the American Medical Association. The codes contained within this dataset are used by health care professionals to describe their services to payers. Inherent in the development of the procedural codes, the Resource Based Relative Value Scale Update Committee recommends physician work relative value units and practice expense and professional liability inputs to the Center for Medicare and Medicaid Services. This article provides an overview of the processes in place that permit regular updates in physician payment continually to be updated.

摘要

通过引入由美国医学协会维护的现行程序术语,医生专业服务的编码和支付方法已实现标准化。该数据集中包含的代码被医疗保健专业人员用于向付款人描述其服务。在程序代码的制定过程中,基于资源的相对价值尺度更新委员会向医疗保险和医疗补助服务中心推荐医生工作相对价值单位、执业费用和专业责任投入。本文概述了现行的流程,这些流程允许医生支付标准不断定期更新。

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