Medicare: The Need for and Use of Survey Information: The Relative Value Process in Determining Outpatient Fees The need for accurate fee-related data is essential for the development of resource-based values. ASHA needs to report clinician time, equipment, and supplies for each procedure speech-language pathologists and audiologists perform. The information can only come from you. This article reviews the process for developing Medicare outpatient reimbursement rates. ... Article
Article  |   October 01, 2002
Medicare: The Need for and Use of Survey Information: The Relative Value Process in Determining Outpatient Fees
Author Affiliations & Notes
  • Walter J. Smoski
    ASHA Health Care Economics Committee, Department of Speech Pathology and Audiology, Illinois State University, Normal, IL
  • Ellayne GanzfriedColumn Editor
Article Information
Practice Management / Professional Issues & Training / Medicare
Article   |   October 01, 2002
Medicare: The Need for and Use of Survey Information: The Relative Value Process in Determining Outpatient Fees
SIG 11 Perspectives on Administration and Supervision, October 2002, Vol. 12, 14-15. doi:10.1044/aas12.3.14
SIG 11 Perspectives on Administration and Supervision, October 2002, Vol. 12, 14-15. doi:10.1044/aas12.3.14
The need for accurate fee-related data is essential for the development of resource-based values. ASHA needs to report clinician time, equipment, and supplies for each procedure speech-language pathologists and audiologists perform. The information can only come from you. This article reviews the process for developing Medicare outpatient reimbursement rates. More importantly, it urges you to respond quickly when you receive a relative value survey.
The American Medical Association (AMA) formed the Relative Value Scale (RVS) Update Committee (RUC) in 1991 to make recommendations to what are now known as the Centers for Medicare and Medicaid Services (CMS) regarding the relative values assigned to Current Procedural Terminology (CPT) codes. The RUC is composed of 28 members. Of these, 23 are appointed by national medical specialty societies. Non-physicians have a seat on the RUC through the Health Care Professions Advisory Committee (HCPAC), and ASHA has a seat on the HCPAC. The RUC reviews information submitted primarily by health care specialty societies regarding the relative values for new or revised CPT codes.
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