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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Main Authors: Peyman Rezaei, Mahsa Mirzaei, Afsoon Asadzadeh
Format: Article
Language:fas
Published: Vesnu Publications 2017-05-01
Series:مدیریت اطلاعات سلامت
Subjects:
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.
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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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