Zwolak R M
Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA.
Semin Vasc Surg. 1997 Jun;10(2):119-27.
Many changes occurred during 1996 in the Resource-Based Relative Value Scale that determines physician payment for services to Medicare beneficiaries in 1997. These issues include the 5-year review of physician work values, the Correct Coding Initiative, changes in the surgical Conversion Factor, and a new Medicare payment formula. Likewise, several more changes on the horizon in 1997 will dramatically impact the 1998 Medicare Fee Schedule, primarily the upcoming resource-based Practice Cost Relative Value Scale, and possible elimination of the separate surgical Conversion Factors. There are also several new Current Procedural Terminology codes that will receive Medicare payment in 1997 and 1998. This article summarizes these events and issues from a vascular surgical perspective.
1996年，基于资源的相对价值比例发生了许多变化，该比例决定了1997年医生为医疗保险受益人提供服务的报酬。这些问题包括对医生工作价值的5年审查、正确编码倡议、手术转换因子的变化以及新的医疗保险支付公式。同样，1997年即将出现的几项变化将对1998年的医疗保险费用表产生重大影响，主要是即将出台的基于资源的实践成本相对价值比例，以及可能取消单独的手术转换因子。1997年和1998年还有几个新的现行手术操作术语代码将获得医疗保险支付。本文从血管外科的角度总结了这些事件和问题。
