Author Question: Explain the reasons and provide a short history for resource-based relative value studies. What ... (Read 65 times)

appyboo · **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

Toya9913 · **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