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(Eff. 2/1/2010, Register 193; am 7/1/2019, Register 231) Statutory Authority: Authority: AS 47.05.010 AS 47.07.040 Article 2. RBRVS Methodology. Rule 7 AAC 145.050. Resource-based relative value scale rate-setting methodology 7 AAC 145.050. Resource-based relative value scale rate-setting methodology. (a) Except as otherwise provided in 7 AAC 105 — 7 AAC 160 for certain types of providers or services, the department will establish fees for use in payment for each type of provider and service subject to 7 AAC 105 — 7 AAC 160 using the resource-based relative value scale (RBRVS) methodology described in this section. (b) The RBRVS methodology set out in this section applies to procedures that have a Medicare nonfacility individual relative value unit (RVU) established for Medicare by CMS. Medicare nonfacility individual RVUs are adopted by reference in 7 AAC 160.900. The RBRVS payment for these procedures consists of

(1) an RVU that contains

(A) a work component (RVUw) that is measured by the time and intensity of effort required to provide a service;

(B) a practice expense component (RVUp) that includes costs related to the provision of services, including rent, salaries, equipment, and supplies; and

(C) a malpractice expense component (RVUm) that is measured by professional liability insurance premium costs;

(2) a geographic practice cost index (GPCI) that is set as an adjustment factor that modifies each RVU to reflect the cost of practice in this state; each GPCI contains

(A) a work component (GPCI Work);

(B) a practice expense component (GPCI PE); and

(C) a malpractice expense component (GPCI MP);