What is rbrvs definition

Zira US English. Oliver British. Wendy British. Fred US English. Tessa South African. Select another language:. Please enter your email address: Subscribe. Notify me of new comments via email. Cancel Report. Create a new account. Log In. Powered by CITE. Don't keep it to yourself Submit Definition. The results of this study led to the introduction in of the Resource-based Relative Value Scale RBRVS , which is a system for describing, quantifying, and reimbursing physician services relative to one another.

This coding system is currently used by Medicare, Medicaid and many private payers to reimburse physician services. For each CPT code, each of the three components of physician service physician work, practice expense, and professional liability insurance is assigned an RVU. Data from practicing physician surveys is provided to the RUC to help members assign an appropriate relative value to the service.

This is a difficult process requiring the consideration of the interests of many stakeholders. This process is budget neutral requiring that for every additional dollar allocated to a given service, there must be a dollar equivalent reduction in the reimbursement of other services. CMS is required by statute to review the valuation of codes every five years.

This process begins with interested parties submitting specific codes for review, which they believe are inappropriately valued. Groups supporting these changes must provide compelling evidence for the changes they seek.

Midwife means a midwife in good standing with the College of Midwives of Ontario;. Medical Reimbursement Programs means the Medicare, Medicaid and Tricare programs and any other health care program operated by or financed in whole or in part by any federal, state or local government.

EMR is the standard used for exchange of telecommunications message information between telecommunications providers for billable, non-billable, sample, settlement and study data. HMO means health maintenance organization. Prescription drugs means any substance obtained directly from or pursuant to a valid prescription or order of a practitioner, as defined in 16 Del.

Chiropractic means the science, art and philosophy of things natural, the science of locating and removing interference with the transmissions or expression of nerve forces in the human body by the correction of misalignments or subluxations of the articulations and adjacent structures, more especially those of the vertebral column and pelvis, for the purpose of restoring and maintaining health for treatment of human disease primarily by, but not limited to, adjustment and manipulation of the human structure.

It shall include, but not be limited to, the prescription and administration of all natural agents in all forms to assist in the healing act, such as food, water, heat, light, cold, electricity, mechanical appliances, herbs, nutritional supplements, homeopathic remedies and any necessary diagnostic procedure, excluding invasive procedures, except as provided by the board by rule and regulation.

It shall exclude operative surgery and prescription or use of controlled or dangerous drugs, except as provided by the board by rule and regulation. MDOT means the Michigan department of transportation.