Application of the resource-based relative value scale system to pediatrics

Robert S. Gerstle, Richard A. Molteni, Margie C. Andreae, Joel F. Bradley, Eileen D. Brewer, Jamie Calabrese, Steven E. Krug, Edward A. Liechty, Jeffrey F. Linzer, Julia M. Pillsbury, Sanjeev Y. Tuli, Lynn M. Wegner, Samuel D. Smith, Becky Dolan, Teri Salus, Linda Walsh

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

The majority of public and private payers in the United States currently use the Medicare Resource-Based Relative Value Scale as the basis for physician payment. Many large group and academic practices have adopted this objective system of physician work to benchmark physician productivity, including using it, wholly or in part, to determine compensation. The Resource-Based Relative Value Scale survey instrument, used to value physician services, was designed primarily for procedural services, leading to current concerns that American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) surveys may undervalue nonprocedural evaluation and management services. The American Academy of Pediatrics is represented on the RUC, the committee charged with maintaining accurate physician work values across specialties and age groups. The Academy, working closely with other primary care and subspecialty societies, actively pursues a balanced RUC membership and a survey instrument that will ensure appropriate work relative value unit assignments, thereby allowing pediatricians to receive appropriate payment for their services relative to other services.

Original languageEnglish (US)
Pages (from-to)1158-1162
Number of pages5
JournalPediatrics
Volume133
Issue number6
DOIs
StatePublished - Jun 1 2014
Externally publishedYes

Fingerprint

Relative Value Scales
Pediatrics
Physicians
Benchmarking
American Medical Association
Medicare
Primary Health Care
Age Groups
Medicine
Resources
Surveys and Questionnaires

Keywords

  • Coding
  • CPT
  • Medicare payment
  • Physician work
  • Resource-Based Relative Value Scale (RBRVS)
  • RUC
  • Valuation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Gerstle, R. S., Molteni, R. A., Andreae, M. C., Bradley, J. F., Brewer, E. D., Calabrese, J., ... Walsh, L. (2014). Application of the resource-based relative value scale system to pediatrics. Pediatrics, 133(6), 1158-1162. https://doi.org/10.1542/peds.2014-0866

Application of the resource-based relative value scale system to pediatrics. / Gerstle, Robert S.; Molteni, Richard A.; Andreae, Margie C.; Bradley, Joel F.; Brewer, Eileen D.; Calabrese, Jamie; Krug, Steven E.; Liechty, Edward A.; Linzer, Jeffrey F.; Pillsbury, Julia M.; Tuli, Sanjeev Y.; Wegner, Lynn M.; Smith, Samuel D.; Dolan, Becky; Salus, Teri; Walsh, Linda.

In: Pediatrics, Vol. 133, No. 6, 01.06.2014, p. 1158-1162.

Research output: Contribution to journalArticle

Gerstle, RS, Molteni, RA, Andreae, MC, Bradley, JF, Brewer, ED, Calabrese, J, Krug, SE, Liechty, EA, Linzer, JF, Pillsbury, JM, Tuli, SY, Wegner, LM, Smith, SD, Dolan, B, Salus, T & Walsh, L 2014, 'Application of the resource-based relative value scale system to pediatrics', Pediatrics, vol. 133, no. 6, pp. 1158-1162. https://doi.org/10.1542/peds.2014-0866
Gerstle RS, Molteni RA, Andreae MC, Bradley JF, Brewer ED, Calabrese J et al. Application of the resource-based relative value scale system to pediatrics. Pediatrics. 2014 Jun 1;133(6):1158-1162. https://doi.org/10.1542/peds.2014-0866
Gerstle, Robert S. ; Molteni, Richard A. ; Andreae, Margie C. ; Bradley, Joel F. ; Brewer, Eileen D. ; Calabrese, Jamie ; Krug, Steven E. ; Liechty, Edward A. ; Linzer, Jeffrey F. ; Pillsbury, Julia M. ; Tuli, Sanjeev Y. ; Wegner, Lynn M. ; Smith, Samuel D. ; Dolan, Becky ; Salus, Teri ; Walsh, Linda. / Application of the resource-based relative value scale system to pediatrics. In: Pediatrics. 2014 ; Vol. 133, No. 6. pp. 1158-1162.
@article{9c521210a5f545c7b68e9693e95d36a9,
title = "Application of the resource-based relative value scale system to pediatrics",
abstract = "The majority of public and private payers in the United States currently use the Medicare Resource-Based Relative Value Scale as the basis for physician payment. Many large group and academic practices have adopted this objective system of physician work to benchmark physician productivity, including using it, wholly or in part, to determine compensation. The Resource-Based Relative Value Scale survey instrument, used to value physician services, was designed primarily for procedural services, leading to current concerns that American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) surveys may undervalue nonprocedural evaluation and management services. The American Academy of Pediatrics is represented on the RUC, the committee charged with maintaining accurate physician work values across specialties and age groups. The Academy, working closely with other primary care and subspecialty societies, actively pursues a balanced RUC membership and a survey instrument that will ensure appropriate work relative value unit assignments, thereby allowing pediatricians to receive appropriate payment for their services relative to other services.",
keywords = "Coding, CPT, Medicare payment, Physician work, Resource-Based Relative Value Scale (RBRVS), RUC, Valuation",
author = "Gerstle, {Robert S.} and Molteni, {Richard A.} and Andreae, {Margie C.} and Bradley, {Joel F.} and Brewer, {Eileen D.} and Jamie Calabrese and Krug, {Steven E.} and Liechty, {Edward A.} and Linzer, {Jeffrey F.} and Pillsbury, {Julia M.} and Tuli, {Sanjeev Y.} and Wegner, {Lynn M.} and Smith, {Samuel D.} and Becky Dolan and Teri Salus and Linda Walsh",
year = "2014",
month = "6",
day = "1",
doi = "10.1542/peds.2014-0866",
language = "English (US)",
volume = "133",
pages = "1158--1162",
journal = "Pediatrics",
issn = "0031-4005",
publisher = "American Academy of Pediatrics",
number = "6",

}

TY - JOUR

T1 - Application of the resource-based relative value scale system to pediatrics

AU - Gerstle, Robert S.

AU - Molteni, Richard A.

AU - Andreae, Margie C.

AU - Bradley, Joel F.

AU - Brewer, Eileen D.

AU - Calabrese, Jamie

AU - Krug, Steven E.

AU - Liechty, Edward A.

AU - Linzer, Jeffrey F.

AU - Pillsbury, Julia M.

AU - Tuli, Sanjeev Y.

AU - Wegner, Lynn M.

AU - Smith, Samuel D.

AU - Dolan, Becky

AU - Salus, Teri

AU - Walsh, Linda

PY - 2014/6/1

Y1 - 2014/6/1

N2 - The majority of public and private payers in the United States currently use the Medicare Resource-Based Relative Value Scale as the basis for physician payment. Many large group and academic practices have adopted this objective system of physician work to benchmark physician productivity, including using it, wholly or in part, to determine compensation. The Resource-Based Relative Value Scale survey instrument, used to value physician services, was designed primarily for procedural services, leading to current concerns that American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) surveys may undervalue nonprocedural evaluation and management services. The American Academy of Pediatrics is represented on the RUC, the committee charged with maintaining accurate physician work values across specialties and age groups. The Academy, working closely with other primary care and subspecialty societies, actively pursues a balanced RUC membership and a survey instrument that will ensure appropriate work relative value unit assignments, thereby allowing pediatricians to receive appropriate payment for their services relative to other services.

AB - The majority of public and private payers in the United States currently use the Medicare Resource-Based Relative Value Scale as the basis for physician payment. Many large group and academic practices have adopted this objective system of physician work to benchmark physician productivity, including using it, wholly or in part, to determine compensation. The Resource-Based Relative Value Scale survey instrument, used to value physician services, was designed primarily for procedural services, leading to current concerns that American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) surveys may undervalue nonprocedural evaluation and management services. The American Academy of Pediatrics is represented on the RUC, the committee charged with maintaining accurate physician work values across specialties and age groups. The Academy, working closely with other primary care and subspecialty societies, actively pursues a balanced RUC membership and a survey instrument that will ensure appropriate work relative value unit assignments, thereby allowing pediatricians to receive appropriate payment for their services relative to other services.

KW - Coding

KW - CPT

KW - Medicare payment

KW - Physician work

KW - Resource-Based Relative Value Scale (RBRVS)

KW - RUC

KW - Valuation

UR - http://www.scopus.com/inward/record.url?scp=84901843640&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84901843640&partnerID=8YFLogxK

U2 - 10.1542/peds.2014-0866

DO - 10.1542/peds.2014-0866

M3 - Article

C2 - 24864168

AN - SCOPUS:84901843640

VL - 133

SP - 1158

EP - 1162

JO - Pediatrics

JF - Pediatrics

SN - 0031-4005

IS - 6

ER -