Montana § 53-6-124 - Definitions

§ 53-6-124. Definitions

Definitions. As used in 53-6-101 , 53-6-116 , 53-6-125 , 53-6-127 , and this section, the following definitions apply: (1) "Conversion factor" means the dollar value that is multiplied by the appropriate relative value unit to calculate a price for a service provided by a physician. (2) "Department" means the department of public health and human services. (3) "Direct patient care agreement" means an agreement for health care services as provided for in 50-4-107 . (4) "Medicaid" means the Montana medical assistance program established under Title 53, chapter 6. (5) "Physician" has the meaning provided in 37-3-102 . (6) "Policy adjuster" means a factor by which the fee determined under 53-6-125 is multiplied to increase the fee paid by medicaid for certain categories of services. (7) "Relative value unit" means a numerical value assigned in the resource-based relative value scale to each procedure code used to bill for services provided by a physician. (8) "Resource-based relative value scale" means the medicare resource-based relative value scale contained in the physician's medicare fee schedule adopted by the centers for medicare and medicaid services of the U.S. department of health and human services.