Dollars and cents amount that is established for one unit as applied to a service rendered or product furnished. This unit (sometimes called a conversion factor) is then used to convert various services/procedures into fee-schedule payment amounts by multiplying the relative value unit by the conversion factor (base payment amount). It establishes the level of the payment rates in the payment system.
Tag: MEDICAL
Base plan
Basic health insurance plan that gives limited first-dollar hospital, surgical, or medical benefits as compared with major medical benefit plans that provide comprehensive hospital, surgical, and medical coverage.
Base rate
Dollar amount assigned to a hospital that assists in adjusting diagnosis-related group (DRG) payment. The base rate takes into account the hospital’s geographic location, status (urban, rural, teaching), and local labor costs.
Base unit
Value that is determined by taking fees, work, and cost of a group of services or procedures to develop a relative value scale for payment. Also referred to as basic value .
Base year costs
Medicare phrase that means the amount a hospital actually spends to provide care in a prior time period. Usually the base year is the fiscal year that ends on or after September 30, 20XX, and before September 30, 20XX, of the next year.
Base years
For Social Security benefits, wage earner’s years after 1950 up to the year of entitlement to retirement or disability insurance benefits. For a survivor’s claim, the base years include the year of the worker’s death.
Basic and major medical program
Insurance plan that combines basic benefits with major medical benefits. Usually this insurance coverage has no front-end deductible and benefits begin with the first dollar of expense incurred by the patient for a covered benefit. Sometimes basic benefits are referred to as “first-dollar” benefits.
Basic benefits
Base health services listed in an individual’s health insurance plan plus coverage required under applicable federal and state regulations. Also called basic medical benefits .
Basic compensation
Wages paid to an employee excluding overtime, bonuses, and other types of additional compensation. It may or may not include commission income. This financial amount is a way of determining an employee’s benefits and insurance contributions.
Basic coverage
1. Insurance protection to offset hospital expenses for an individual. 2. Under Blue Cross and Blue Shield plans, this is coverage exclusive of major medical. 3. For Medicare beneficiaries, basic coverage is Medicare Part A and/or Part B exclusive of any supplemental coverage.