Classification of Champus Professional Services to Ambulatory Patient Groups and Assignment of Resource-Based Relative Values. Champus Professional Services Classification Study (CPSCS).
Abstract
This Report presents classification of CHAMPUS professional services data for Fiscal- Year 1989 to Ambulatory Patient Groups (APGs) and assignment of Resource Based Relative Values (RBRVS) from the Physician's Fee Schedule for Medicare Patients. CHAMPUS professional services claims data for all three military service catchment areas were extracted from the Tri-service CHAMPUS statistical Database Project files. The study shows that claims data can effectively be used for research, how encounters can be developed from claims data, and how APGS and RBRVSs can be applied as a tool for resource allocation. More than sixty-two percent of the variance in resources was accounted for by APG groupings. Both APGs and RBRVS lend themselves to analysis of large data sets, and this research indicates that they are very appropriate for application to CHAMPUS professional services claims data for allocation of resources. Ambulatory Classification, Ambulatory Patient Resource Based Relative Value Scale, CHAMPUS Ambulatory Professional Services.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 10, 1992
- Accession Number
- ADA251256
Entities
People
- Velda R. Austin
- Wayne R. Wilson