| Business Data Model Data Model |
| Description | The factors that are used used to adjust pricing factors for procedures based on variations in cost across different locations and carriers. Used with RVU factors and the conversion factor to determine the CMS reimbursement rate for a service. |
| Attributes | |
Malpractice GPCI Rt |
|
Practice Expense GPCI Rt |
|
Work GPCI Rt |
|
| Relationship | |
Geographic Price Factors_Procedure Code_FK |
|
Geographic Price Factors_Location_FK |
|
Geographic Price Factors_Organization_FK |
|
| Dependencies | |
NONE |
|
| Reverse Dependencies | |
|
|
| Attribute Details |
Malpractice GPCI Rt
| Description | Geographic Practice Cost Index for the malpractice component of an RVU. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Practice Expense GPCI Rt
| Description | Geographic Practice Cost Index for the practice expense component of an RVU. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
Work GPCI Rt
| Description | Geographic Practice Cost Index for the work component of an RVU. |
| Data Type | Standards - Data Domains.ddm/Data Domains/Rate [FLOAT(5)] |
| Is Part Of PrimaryKey | false |
| Is Required | false |
| Is Derived | false |
| Is Surrogate Key | false |
| Relationship Details |
Geographic Price Factors_Procedure Code_FK
| Is Identifying Relationship | true |
| Child Table | Geographic Price Factors |
| Child Role Name | factors for Procedure |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Procedure Code |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Geographic Price Factors_Location_FK
| Is Identifying Relationship | true |
| Child Table | Geographic Price Factors |
| Child Role Name | factor for Location |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Location |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
Geographic Price Factors_Organization_FK
| Is Identifying Relationship | true |
| Child Table | Geographic Price Factors |
| Child Multiplicity | ZERO_TO_MANY |
| Child Referential Integrity: On Delete | NONE |
| Child Referential Integrity: On Insert | NONE |
| Child Referential Integrity: On Update | NONE |
| Parent Table | Organization |
| Parent Multiplicity | ONE |
| Parent Referential Integrity: On Delete | NONE |
| Parent Referential Integrity: On Insert | NONE |
| Parent Referential Integrity: On Update | NONE |
| Business Data Model Data Model |