Montana Code 53-6-124. Definitions
53-6-124. Definitions. As used in 53-6-125, 53-6-127, and this section, the following definitions apply:
Terms Used In Montana Code 53-6-124
- Department: means the department of public health and human services provided for in 2-15-2201. See Montana Code 53-6-155
- Medicaid: means the Montana medical assistance program established under Title 53, chapter 6. See Montana Code 53-6-155
(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)”Medicaid” means the Montana medical assistance program established under Title 53, chapter 6.
(4)”Physician” has the meaning provided in 37-3-102.
(5)”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.
(6)”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.
(7)”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.