Physician payment reform summary.
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A medical practice's financial policies should be frankly discussed with patients and explained at the initial visit. At that time, health insurance coverage should also be discussed. This candid conversation not only opens the door to further communication regarding a once-sensitive subject but also facilitates collection of fees--especially important when high-priced procedures are contemplated. The author also discusses third-party payers (including Medicare) and the pros and cons of prepaid health plans.
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Beginning in 1992, the use of resource based relative value scale (RBRVS) will greatly change the way physicians are reimbursed for services to Medicare patients. This new system will also have implications for trust funds and corporate providers of health care benefits.
This rule adopts as final without revision previously published provisions of an interim final rule regarding physician involvement in physical therapy and speech pathology services.