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  2. Geographic pricing cost index - Wikipedia

    en.wikipedia.org/wiki/Geographic_pricing_cost_index

    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 ...

  3. Relative value unit - Wikipedia

    en.wikipedia.org/wiki/Relative_value_unit

    On average, the proportion of costs for Medicare are 52%, 44% and 4%, respectively. [2] The three RVUs for a given service are each multiplied by a unique geographic practice cost index, referred to as the GPCI adjustment. The GPCI adjustment has been implemented to account for differences in wages and overhead costs across regions of the ...

  4. Resource-based relative value scale - Wikipedia

    en.wikipedia.org/wiki/Resource-based_relative...

    The RBRVS for each CPT code is determined using three separate factors: physician work, practice expense, and malpractice expense. The average relative weights of these are: physician work (52%), practice expense (44%), malpractice expense (4%). [2] A method to determine the physician work value was the primary contribution made by the Hsiao study.

  5. Assistant physician - Wikipedia

    en.wikipedia.org/wiki/Assistant_Physician

    In the United States, an assistant physician (AP) is a medical doctor or doctor of osteopathic medicine who has graduated from a four-year medical school program and is licensed to practice, in a limited capacity, under the supervision of a physician who has completed their residency.

  6. American Academy of Physician Associates - Wikipedia

    en.wikipedia.org/wiki/American_Academy_of...

    The Duke University Physician Assistant Program was established in 1965 as the first formalized PA program in the United States and graduated its inaugural class in October 1967. In April 1968, the recent graduates of the Duke PA program, along with current students, began organizing a professional organization, incorporating as the "American ...

  7. Health care prices in the United States - Wikipedia

    en.wikipedia.org/wiki/Health_care_prices_in_the...

    For scale, cutting administrative costs to peer country levels would represent roughly one-third to half the gap. A 2009 study from Price Waterhouse Coopers estimated $210 billion in savings from unnecessary billing and administrative costs, a figure that would be considerably higher in 2015 dollars. [50] Cost variation across hospital regions.

  8. American Board of Physician Specialties - Wikipedia

    en.wikipedia.org/wiki/American_Board_of...

    In other words, the majority of the state medical boards are silent (or neutral) as to which board a given physician is certified by. The remaining boards, approximately twenty (20), have established specific rules for physician advertising by which boards have to petition and receive permission for physicians to be able to advertise themselves ...

  9. Usual, customary and reasonable - Wikipedia

    en.wikipedia.org/wiki/Usual,_customary_and...

    And despite technology that reduced the time required for the surgery by a factor of 4 to 6, costs did not decrease. [ 2 ] The US government healthcare website defines usual, customary and reasonable as being "The amount paid for a medical service in a geographic area based on what providers in the area usually charge for the same or similar ...