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Analysis Questions: 1. Describe the payment methods used to pay doctors. 2. List the various
physician payment reform models and describe the advantages and disadvantages of each model
3. What is an RVU and what is it used for? 4. Explain the various factors included in the
calculation of an RVU 5. Describe what the OPPS is 6. What are APCs, CMGs, HHRGs, and
RUGs and in what setting are they used? How are they similar to DRGs for hospital inpatient
services? 7. What factors are included in calculating the payment for outpatient hospital services?

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  • 1. Analysis Questions: 1. Describe the payment methods used to pay doctors. 2. List the various physician payment reform models and describe the advantages and disadvantages of each model 3. What is an RVU and what is it used for? 4. Explain the various factors included in the calculation of an RVU 5. Describe what the OPPS is 6. What are APCs, CMGs, HHRGs, and RUGs and in what setting are they used? How are they similar to DRGs for hospital inpatient services? 7. What factors are included in calculating the payment for outpatient hospital services?