Being able to calculate rvus is an essential part of ensuring that physicians in a practice are paid accurately and fairly.
What is an rvu worth.
The geographically adjusted rvus are then multiplied by a conversion factor that converts the rvu into a dollar amount which determines the price that medicare or the hmo pays.
Relative value units rvus january 12 2015 medicare uses a physician fee schedule to determine payments for over 7 500 physician services.
One rvu is worth 35 8887 for 2017 according to this ama site.
Basically relative value units rvus is a standard set by medicare to determine the amount to pay doctors depending on their productivity.
For each service a payment formula contains three rvus one for physician work one for practice expense and one for malpractice expense on average the proportion of costs for medicare are 52 44 and 4 respectively.
The work rvu calculator provides quick analysis of work relative value units associated with cpt and hcpcs level ii codes.
77 of public and private payers are utilizing the rvu system first developed for medicare.
They re a useful time saving way to handle physician payments but they require precise calculations.
This rvu conversion factor is in effect from january 1 2016 through.
The fee for each service depends on its relative value units rvus which rank on a common scale the resources used to provide each service.
These three rvu factors are then multiplied by a geographical adjustment that creates the compensation level for the service in that exact location.
Originally created as the principle unit of the rbrvs for cms rvus became the foundation of the medicare physician fee schedule mpfs as well as the basis of most commercial fee schedules.
According to this document on office of the federal registrar regarding cms 1631 p on table 60 near the bottom of the document the corrected 2016 rvu conversion factor for one rvu is 35 8043 not the previously reported 35 8279.
By entering the appropriate code and number of units associated with it you will receive the total work rvus and individual work rvu value for that code.
Total rvus medicare 2020 physician fee schedule cpt code descriptors 2019 2020 final change from 2019 to 2020 92537 caloric vstblr test w rec bithermal 1 16 1 18 2 practice expense 0 53 0 56 6 professional component 0 90 0 practice expense pc 0 28 0 29 4 technical component 0 26 0 28 8 practice expense tc 0 25 0 27 8 physician.
These resources include the physician s work the expenses of the.
It is a number that defines the volume of work doctors perform when treating patients for all procedures and services covered under the physician fee schedule.
The use of rvus to valuate medical services reformed healthcare payment systems.
