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Related Experiment Videos

Ophthalmology and the Resource-Based Relative Value Fee Scale

M Frenkel1

  • 1University of Illinois Eye Center, Chicago 60612.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|January 1, 1993
PubMed
Summary
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The Medicare Resource-Based Relative Value Scale (RBRVS) reduced ophthalmology surgical fees but increased evaluation/management fees. Despite concerns, overall specialty funding is projected to rise moderately.

Area of Science:

  • Health Economics
  • Ophthalmology Practice Management

Background:

  • The Medicare Resource-Based Relative Value Scale (RBRVS) aimed to standardize physician payments.
  • Ophthalmology practitioners expressed concerns regarding potential income loss due to RBRVS implementation.

Purpose of the Study:

  • To analyze the impact of the Medicare RBRVS on ophthalmology reimbursement.
  • To project the financial implications for ophthalmology practices under the new fee structure.

Main Methods:

  • Analysis of reimbursement changes for surgical and evaluation/management services.
  • Projection of overall specialty funding trends and revenue impact.

Main Results:

  • Significant reductions in surgical fee reimbursement were observed.

Related Experiment Videos

  • Minimal increases in evaluation and management fees.
  • Projected 55% increase in overall ophthalmology funding by 1996, leading to an approximate 11% global revenue reduction.

    • Conclusions:

    • The RBRVS may lead to consolidation of ophthalmic surgery practices.
    • Physicians may adapt by increasing paraprofessional use, adopting new technologies, and improving management skills to maintain net income.