This payment system replaced the "customary, prevailing, and reasonable" charge system for physicians:

Prepare for the RHIA Reimbursement Test with multiple choice questions, each accompanied by hints and explanations. Ace your exam with confidence!

The Medicare Physician Fee Schedule (MPFS) is the correct choice because it was specifically designed to evaluate and determine payments for physician services under Medicare. Prior to the introduction of the MPFS, the customary, prevailing, and reasonable charges were commonly used to establish payments for medical services. These charges were often inconsistent and varied significantly based on geographical and socioeconomic factors.

The MPFS, implemented in 1992, provides a more standardized approach to reimbursement. It establishes a fee-for-service payment system based on the resource-based relative value scale (RBRVS), which takes into account the complexity and time involved in providing healthcare services, including factors such as the provider's work, practice expenses, and liability insurance costs. This system ensures more consistent and predictable payments for physicians across the board.

In contrast, the other payment models listed focus on different aspects of healthcare reimbursement. For example, Medicare Severity-Diagnosis Related Groups (MS-DRGs) are used for inpatient hospital payments rather than for individual physician services. Global payment refers to a single payment covering multiple services for a specific treatment or diagnosis, which diverges from the focus on individual physician reimbursement. Capitation is a payment arrangement where a physician or practice receives a set amount per patient, typically on a monthly

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