Office-based procedures

Applies to:

All plans

Definition

Office-based procedures are those provided by a physician in the practice office setting. They are reimbursed using the resource-based relative value scale (RBRVS), a physician payment system that takes three components of service cost into account: physician work, practice expenses and malpractice expenses. 

Reimbursement by Priority Health

To encourage the use of office-based procedures, Priority Health pays The RBRVS site-of-service payment differential on procedures performed in an office place of service when performed by accredited physicians.