Geographic pricing cost index
 | This article includes a list of general references, but it lacks sufficient corresponding inline citations. (April 2018) |
Geographic Practice Cost Index is used along with Relative Value Units by Medicare to determine allowable payment amounts for medical procedures. There are multiple GPCIs: Cost of Living, Malpractice, and Practice Cost/Expense. These categories allow Medicare to adjust reimbursement rates to take into account regional and practice-specific factors.[1][2]
An example calculation for a Medicare allowed amount is:
2009 Non-Facility Pricing Amount = [(Work RVU * Work GPCI) + (Transitioned Non-Facility PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor (CF) [3]
See also
[edit]References
[edit]- ^ "Review of Alternative GPCI Payment Locality Structures – Final Report" (PDF). Cms.gov. p. i. Retrieved 17 April 2018.
- ^ "Overview". Archived from the original on 2007-07-05. Retrieved 2007-07-16.
- ^ "Overview Physician Fee Schedule". Archived from the original on 2008-12-03. Retrieved 2008-12-08.
External links
[edit]- PlexisWeb Glossary Definition
- Physician Fee Schedule Overview, Centers for Medicare & Medicaid Services
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