The Essential RBRVS Updateable Data File provides physicians with a complete relative value scale for developing fee schedules and analyzing contracts.
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 codes not valued for Medicare.
Data files are provided in fixed width and tab-delimited formats.
For Use By: Physicians, Business, Payers, Public Sector
Features
& Benefits:
• Keep informed of the most recent CMS changes and updated gap values throughout the year. Quarterly updates.
• NEW! Additional data points commonly used for Medicare and commercial claims help with fee development. Medicare’s assistant at surgery table 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.
•Email alerts and Web updates. Stay covered with the most current CMS and gap code changes even if the information does not make it in time with your quarterly updates.
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