RBRVS

RBRVS (a

According to Braun et al , 1992 , the values for RBRVS for Medicare are determined based on time , physical effort and technical skills , mental effort and judgment as well as stress associated with iatrogenic risk (as cited in Sullivan-Marx , 2008 . These codes were used to rate the value of work that were more familiar to clinicians . In essence determining payment is done by applying CPT codes by assigning practice expense , value of work , and professional liability multiplied by conversion factor for dollar amount (Sullivan-Marx , 2008 (b

The provisions for reimbursement as

per RBRVS for Medicare part B services means that there should be direct payment to Advanced Practice Nurses ANPs . Any services provided by these Medicare providers as identified by Medicare claims should be reimbursed directly (c

In classification of various CPT codes , intensity of work should be given a more critical approach in order to come up with the actual value of work for a Medicare provider . This is because this factor would greatly vary with individual experience and thereby gained skills in the course of duty . It is rational to state that the more experienced the person is the less time is taken to do certain work hence intensity should be gauged differently (d

Measuring intensity in both RBRVS and CPTs is a major limitation because it is very difficult to determine the varying complexity of work mostly by nurses in hospital CPT codes are applied in RBRVS

References

Sullivan-Marx , E (2008 . Lessons learned from advanced practice...