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]
Current Medicare policy includes outdated and inadequate information such as residential apartment rent data that result in inadequate payments for physicians practicing in rural areas, discouraging them from serving such areas.
See also
References
- ^ "Review of Alternative GPCI Payment Locality Structures – Final Report" (PDF). Cms.gov. p. i. Retrieved 17 April 2018.
- ^ "Archived copy". Archived from the original on 2007-07-05. Retrieved 2007-07-16.
{{cite web}}: CS1 maint: archived copy as title (link) - ^ "Archived copy". Archived from the original on 2008-12-03. Retrieved 2008-12-08.
{{cite web}}: CS1 maint: archived copy as title (link)
External links
- PlexisWeb Glossary Definition
- Physician Fee Schedule Overview, Centers for Medicare & Medicaid Services
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