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 factors.[1] [2]

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) [3]

See also

References

  1. https://www.cms.gov/PhysicianFeeSched/downloads/Alt_GPCI_Payment_Locality_Structures_Review.pdf, p.i
  2. http://www.cms.hhs.gov/PhysicianFeeSched/
  3. http://www.cms.hhs.gov/PhysicianFeeSched/01_overview.asp 1


External links


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