The RBRVS for the Medicare physician fee schedule (MPFS), developed by CMS, is not a complete schedule. Medicare does not pay for certain services — these services usually are not assigned relative value units (RVUs) by CMS. Codes not valued by Medicare are referred to as “gap codes.” The Essential RBRVS Updateable gives you all the codes valued by CMS, as well as relative values for codes not valued by Medicare.
- Updateable format. Receive quarterly updates as the regulatory environment becomes increasingly dynamic.
- Medicare payment indicators included. Additional data points commonly used for Medicare and commercial claims help in fee development.
- Organized by CPT® and HCPCS codes. Easily identify values for different code sets.
- Total values and components for each code — including work, malpractice, practice expense and total RVUs.Evaluate and analyze the costs associated with a service, providing a more complete picture of your reimbursement.
- Includes the same data relied on by 70 percent of commercial payers. Negotiate stronger managed care contracts.
- Gap codes for complete fee schedule development. RVUs for many codes not valued by CMS for the Medicare Physician Fee Schedule.
CPT is a registered trademark of the American Medical Association.
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