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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.
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)
Video Geographic pricing cost index
See also
- Medicare Sustainable Growth Rate
Maps Geographic pricing cost index
References
src: prod-consumerblog-01.betterdoctor.com
External links
- PlexisWeb Glossary Definition
- Physician Fee Schedule Overview, Centers for Medicare & Medicaid Services
Source of the article : Wikipedia
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