Issues in the application of the resource-based relative value scale system to pediatrics: A subject review

C. Vanchiere, Jr Bradley J., R. S. Gerstle, R. Haynes, S. Krug, C. J A Schulte, Jr Squires R., L. S. Thompson, A. D. Jacobson, R. Molteni, J. L. Wright

Research output: Contribution to journalShort survey

9 Scopus citations

Abstract

In today's rapidly changing health care environment, it is crucial to understand the genesis and concepts of the Medicare Resource-based Relative Value Scale (RBRVS) physician fee schedule. Many third-party payers, including state Medicaid programs, Blue Cross-Blue Shield agencies, and managed care organizations are using variations of the Medicare RBRVS to determine physician reimbursement and capitation rates. Because the RBRVS fee schedule was originally created for Medicare only, pediatric-specific Current Procedural Terminology codes and pediatric practice expense issues were not included. The American Academy of pediatrics agrees with the use of the Current Procedural Terminology codes and the RBRVS physician fee schedule and continues to work to rectify the inequities of the RBRVS system as they pertain to pediatrics.

Original languageEnglish (US)
Pages (from-to)996-998
Number of pages3
JournalPediatrics
Volume102
Issue number4 I
DOIs
StatePublished - Oct 1 1998

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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