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Author Question: Explain the reasons and provide a short history for resource-based relative value studies. What ... (Read 49 times)

appyboo

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on: Jun 27, 2018
Explain the reasons and provide a short history for resource-based relative value studies.
 
  What will be an ideal response?

Question 2

What is medical case management (MCM)?
 
  a. An involuntary process of evaluating the effectiveness and frequency of medical treatments by reviewing services
  b. A process of evaluating the effectiveness of surgical staff
  c. A process of evaluating the effectiveness and frequency of medical treatments by reviewing services
  d. A process of evaluating the frequency of fraudulent insurance claims


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Toya9913

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Reply #1 on: Jun 27, 2018
Answer to Question 1

Answer:
At one time providers were paid based on not only the procedure performed, but also on the degree or title of the provider. For example, an M.D. and a D.C. would receive different amounts for the same procedure.
With the passage of OBRA 90-Public Law 101-608 of 1987, major changes for physician payment reform took place. One change was the implementation of a fee schedule for physician payment. This fee schedule is based on relative value units that reflect the resources required to provide a service. The fee schedule is based on national uniform relative values for all physicians without respect to area of specialization.

Answer to Question 2

C


appyboo

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Reply 2 on: Jun 27, 2018
YES! Correct, THANKS for helping me on my review

isabelt_18

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Reply 3 on: Yesterday
Excellent

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