This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
—Dr Tennant's letter contains erroneous reasoning, half-truths, and unsubstantiated charges. They have to be answered. The RBRVS is based on the resource costs required to perform each service. He states that a "fair" test for the RBRVS is whether it produces fees higher than the discounted charges that Medicaid and HMOs pay to physicians. His test is not valid. If a charge for a service is much higher than the resource costs involved, then a discount on that charge would not necessarily produce a charge lower than resource costs.Tennant offers a half-truth when he states that we erred in our initial determination of the ophthalmological RBRVS and that we would only restudy them when the AAO had paid us $250 000. This is not the case. The AAO challenged our original findings on the grounds that some ophthalmological services were highly specialized and most general ophthalmologists sampled
Hsiao WC. RBRVS Gets an Eye Test-Reply. JAMA. 1992;268(23):3313. doi:10.1001/jama.1992.03490230043013