Medicare controls provider reimbursement through adjusting RVUs in the RBRVS, aligning payments with service value and complexity.
Medicare exerts control of provider reimbursement through adjustment of the relative value unit (RVU) component of the resource-based relative value scale (RBRVS). The RVU system assigns a specific value to medical services based on the resources required to provide them, including physician work, practice expense, and professional liability insurance. By adjusting RVUs, Medicare can influence how much providers get reimbursed for different medical services, aligning payments with the perceived value and complexity of each service.
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