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You'll find the practical guidance you need to transition smoothly int o the managed care environment. You'll learn the pros and cons of prac ticing in a managed care setting, the daily life of managed care physi cians, the role of managed care in medical education and health care r eform. Discover how to take advantage of new opportunities and avoid p itfalls, balance cost consideration with clinical decision-making, and understand the case mix systems most frequently used in managed care. Written almost entirely by physicians, The Physician's Guide to Manag ed Care is a must for any physician interested in meeting future chall enges.
The 31st edition of Medicare RBRVS: The Physicians' Guide provides the much-needed updated information on the new 2022 Medicare Physician Payment Schedule, payment rules, conversion factor, CPT and HCPCS RVUs, and GPCIs that affect the physician practice. This book is a must-have tool for physician practices because it offers invaluable insight and information needed to understand Medicare's resource-based relative value scale (RBRVS) payment system, and to help physician practices establish physician charges and to calculate Medicare payments. FEATURES AND BENEFITS Critical insight into the RBRVS system -- detailed background information on the RBRVS system, an in-depth explanation on the key components and operation of the payment system, use of the RBRVS by Medicare and the private sector, geographic adjustments, conversion factors, limits on physician charges and CMS adoption of the Physician Practice Information Survey Data and other Practice Expense Methodology changes. Updated information on the Medicare Physician Fee Schedule, payment rules and the conversion factor -- covers new payment rules that take effect in 2022. Updated RVUs for CPT(R) 2022 codes including every RVU element -- Physician Work, Practice Expense (Facility and Nonfacility) and Professional Liability Insurance. List of RVUs for CPT and HCPCS-coded procedures and services -- calculate and establish physician charges using RBRVS relative values. List of RVUs for anesthesiology services. List of geographic practice cost indices (GPCIs) for each for each Medicare payment locality -- Physician Work, Practice Expense and Malpractice Insurance.
This guide is a general summary that explains certain aspects of the Medicare Program, but is not a legal document.