• A stethoscope and a health insurance claim


    Predictive Model Could Apply to Medicare Physician Fee Schedule

    Jan 16, 2015

    The Centers for Medicare and Medicaid Services uses a resource-based relative value (RBRV) scale to calculate payments for physicians. The values of the scale were validated with predictive modeling, and the result may be helpful in two key applications: flagging codes as potentially misvalued and determining why a code is valued differently than predicted.

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