Noyes Penny
Health Business Navigators, 1711 Destiny Lane, Suite 101, Bowling Green, KY 42104, USA.
J Med Pract Manage. 2008 Jul-Aug;24(1):44-9.
This third part of a payor-contracting series focuses on the methods most payors utilize to create their reimbursement schedules. This article explores the world of Medicare RBRVS, RVUs, and even the rate-reducing budget neutrality adjuster with pointers on determining the best year of Medicare upon which to base your practice's next reimbursement rates. It tells you how to estimate the effects of a new schedule on the bottom line and by procedure, and provides a hint of contract language that needs to be modified to protect your rates--getting you ready for next issue's Part IV, in which far more contract language will be addressed.
本支付方合同系列的第三部分聚焦于大多数支付方用于制定报销计划的方法。本文探讨了医疗保险相对价值比率（RBRVS）、相对价值单位（RVU）的相关内容，甚至还涉及降低费率的预算中性调整因素，并给出了一些提示，帮助您确定以哪一年的医疗保险数据为基础来制定您诊所的下一轮报销费率。它会告诉您如何估算新计划对利润底线以及按程序计算的影响，并提供一些需要修改的合同条款提示，以保护您的费率——为您准备好下一期的第四部分内容，其中将涉及更多的合同条款。
