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The Archives of Bone and Joint Surgery، جلد ۸، شماره ۲، صفحات ۰-۰
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عنوان انگلیسی Medicare Compensation Rates for Hand and Shoulder/ Elbow Surgery by Operative Time: A Comparative Analysis
چکیده انگلیسی مقاله Background: There is a high demand for shoulder/elbow experience among hand-fellowship trainees due to theperception that this exposure will improve their professional “marketability” in a subspecialty they perceive as havinghigher compensation.Methods: Using Medicare data, we investigated the most common surgeries from these fields and determinedwhich have the highest compensation [work relative value unit (wRVU), payment, charge, and reimbursement(payment-to-charge percentage] rates per operative time. We then determined whether the overall non-weightedand weighted (by surgical frequency/volume) compensation rates of shoulder/elbow surgery are greater than thatof hand surgery.Results: Among 30 shoulder/elbow procedures, arthroplasty and arthroscopic rotator cuff repair had the highest paymentand wRVU assignments. Among 83 hand procedures, upper-extremity flaps, carpal stabilization, distal radius openreduction internal fixation (ORIF), both-bone ORIF, and interposition arthroplasty had the greatest wRVU assignmentswith correspondingly high payments. A non-weighted comparison of the two subspecialties showed that hand surgeryhas a higher mean payment/min ($10.46±3.22 vs. $7.52±2.89), charge/min ($51.02±17.11 vs. $41.96±11.32), andreimbursement (21±4.7% vs. 18±5.1%) compared with shoulder/elbow surgery (all, P
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نویسندگان مقاله | Suresh K. Nayar
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA


| Samir Sabharwal
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA


| Keith T. Aziz
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA


| Umasuthan Srikumaran
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA


| Aviram M. Giladi
Curtis National Hand Center, :union: Memorial Hospital, Baltimore, MD, USA


| Dawn M. LaPorte
Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD, USA
نشانی اینترنتی http://abjs.mums.ac.ir/article_13974.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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