Which of the following statements about Medicare reimbursement of physicians is most correct?

Master Health Care Finance and take the next step in your career. Study with multiple choice questions, detailed explanations, and hints. Prepare for your Health Care Finance 1 exam and boost your confidence!

The statement about Medicare reimbursement of physicians that is most correct is that payment is based on relative value units (RVUs). This method of reimbursement is a foundational aspect of the Medicare Physician Fee Schedule, which establishes payment rates for physician services.

Relative value units serve as a way to measure the value of various medical services and procedures. Each service is assigned a certain number of RVUs, which considers three key components: the physician's work, practice expenses, and malpractice insurance costs. This system allows for payments to reflect the complexity and resource intensity of the care being provided, making it more equitable than a flat fee for all services.

In contrast, other options do not accurately depict the nuances of Medicare reimbursement. Fixed payments regardless of patient care complexity would fail to account for variations in service needs, while relying solely on geographical location would ignore the importance of the service's complexity and the specific physician's input. Additionally, although fee-for-service models do exist within Medicare, the use of RVUs is a critical factor that makes the reimbursement system more sophisticated and adaptable to various scenarios.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy