A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System
The resource-based relative value scale (RBRVS) system is used to reimburse physician services in health care systems. The aim of the present study was to study the features of RBRVS system in order to provide a framework to estimate reimbursement of physician services based on the resources used. T...
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Format: | Article |
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Vesnu Publications
2017-05-01
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Series: | مدیریت اطلاعات سلامت |
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Online Access: | http://him.mui.ac.ir/index.php/him/article/view/3115 |
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author | Peyman Rezaei Mahsa Mirzaei Afsoon Asadzadeh |
author_facet | Peyman Rezaei Mahsa Mirzaei Afsoon Asadzadeh |
author_sort | Peyman Rezaei |
collection | DOAJ |
description | The resource-based relative value scale (RBRVS) system is used to reimburse physician services in health care systems. The aim of the present study was to study the features of RBRVS system in order to provide a framework to estimate reimbursement of physician services based on the resources used. This narrative study was carried out by surveying 90 articles and other documents. The adoption of the RBRVS system required the use of the Current Procedure Terminology (CPT) code to determine Relative value units (RVUs) of physicians’ work and practice expenses as major components. Geographic practice cost index (GPCI) and conversation factor were the modifier factors. With the employment of this system, the actual costs assigned to each medical service, even in offices, are determined and patient’s out-of-pocket payment is conducted fairly. |
first_indexed | 2024-12-10T18:12:39Z |
format | Article |
id | doaj.art-1513de8ceaf241d6912010190ed7c62c |
institution | Directory Open Access Journal |
issn | 1735-7853 1735-9813 |
language | fas |
last_indexed | 2024-12-10T18:12:39Z |
publishDate | 2017-05-01 |
publisher | Vesnu Publications |
record_format | Article |
series | مدیریت اطلاعات سلامت |
spelling | doaj.art-1513de8ceaf241d6912010190ed7c62c2022-12-22T01:38:24ZfasVesnu Publicationsمدیریت اطلاعات سلامت1735-78531735-98132017-05-01137485490897A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care SystemPeyman Rezaei0Mahsa Mirzaei1Afsoon Asadzadeh2Assistant Professor, Health Information Management, Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, IranBSc student, Health Information Technology, Department of Health Information Technology, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, IranBSc Student, Health Information Technology, Department of Health Information Technology, School of Management and Medical Informatics AND Talent Students Office, Tabriz University of Medical Sciences, Tabriz, IranThe resource-based relative value scale (RBRVS) system is used to reimburse physician services in health care systems. The aim of the present study was to study the features of RBRVS system in order to provide a framework to estimate reimbursement of physician services based on the resources used. This narrative study was carried out by surveying 90 articles and other documents. The adoption of the RBRVS system required the use of the Current Procedure Terminology (CPT) code to determine Relative value units (RVUs) of physicians’ work and practice expenses as major components. Geographic practice cost index (GPCI) and conversation factor were the modifier factors. With the employment of this system, the actual costs assigned to each medical service, even in offices, are determined and patient’s out-of-pocket payment is conducted fairly.http://him.mui.ac.ir/index.php/him/article/view/3115Resource Based Relative Value ScaleRelative Value ScaleCurrent Procedural Terminology |
spellingShingle | Peyman Rezaei Mahsa Mirzaei Afsoon Asadzadeh A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System مدیریت اطلاعات سلامت Resource Based Relative Value Scale Relative Value Scale Current Procedural Terminology |
title | A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System |
title_full | A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System |
title_fullStr | A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System |
title_full_unstemmed | A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System |
title_short | A Framework for Resource-Based Relative Value Scale Reimbursement System in the Iranian Health Care System |
title_sort | framework for resource based relative value scale reimbursement system in the iranian health care system |
topic | Resource Based Relative Value Scale Relative Value Scale Current Procedural Terminology |
url | http://him.mui.ac.ir/index.php/him/article/view/3115 |
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