The Essential RBRVS provides physicians with a complete relative value scale for developing fee schedules and performing contract analysis. The RBRVS for the Medicare physician fee schedule (MPFS), developed by CMS, is not a complete schedule. By law, Medicare cannot 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 gives you all the codes valued by CMS, as well as relative values for all codes not valued by Medicare.
Features
& Benefits:
- NEW! Additional data points commonly used for Medicare and commercial claims help with fee development. Medicare’s assistant-at-surgery table is now included.
- Easily identify values for different code sets. Organized by CPT® and HCPCS codes.
- Evaluate and analyze the costs associated with a service, providing a more complete picture of your reimbursement. Total values and components for each CPT® code— including work, malpractice, practice expense and total RVUs.
- Negotiate stronger managed care contracts using the same data used by 70 percent of commercial payers.
- Stay informed with the most current CMS and updated gap code changes. Email alerts and Web updates.
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