The book is divided into five sections with references and summaries at the end of each chapter. Part 3 outlines the operation of the payment system and calculation of payments including the conversion factors and the Medicare volume performance factors and standards. It includes payment rules, policies, and codes for specialized services. This section includes worksheets for calculating Medicare payment amounts for a practice, specific services, and overall impact.
Worksheets are reproducible and include instructions on the opposing page.
Part 5 lists the elements that are necessary to calculate the Medicare payment schedule using the worksheets in Part 4. Tables include relative value units, payment schedules, and geographic practice cost indexes. A glossary of terms and a directory of organizations, Medicare carriers, and health care finance regional offices are included to help the physician effectively use this book. However, there is no index to help locate specific information or answer questions. It is recommended for health science libraries and private, clinic, office collections, as well as physicians and medical office personnel.