PMID: 8598949Mar 1, 1996Paper

Underreimbursement of obstetric and gynecologic invasive services by the resource-based relative value scale

Obstetrics and Gynecology
P Cherouny, C Nadolski

Abstract

To compare the relative value of work and reimbursement by the resource-based relative value scale (RBRVS) and the charge-based McGraw-Hill relative value scale for invasive services performed for women only (obstetric-gynecologic), for men only (urology), and in a gender-neutral specialty (general surgery). Two hundred nineteen obstetric-gynecologic, 125 urology, and 105 general surgery invasive procedures were compared by the mean for each specialty of 1) the ratio of the procedure-specific work component of the RBRVS unit to the total relative value unit, and 2) the ratio of the procedure-specific total RBRVS unit to the McGraw-Hill relative value unit. All procedures were weighted equally. Ratios are reported as percentages. Statistics were compared by analysis of variance with Newman-Keuls test for multiple pairwise comparisons when significant differences were identified. Statistically significant differences were defined as P < .05. The mean percentage of the procedure-specific work component of the RBRVS unit to the total relative value unit and the total RBRVS unit to the McGraw-Hill unit were significantly lower (P < .01 for all comparisons) for obstetric-gynecologic (49.7 and 139.5) than for urology (55.1 and 207.1) ...Continue Reading

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Citations

Jan 16, 1997·The New England Journal of Medicine·S Miles, K Parker
Oct 29, 2008·Journal of Women's Health·Molly CarnesStacie E Geller
May 8, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Andrew J MeyrJennifer C Van
Nov 5, 2021·Obstetrics and Gynecology·Rosa M Polan, Emma L Barber

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