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.
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RBRVS RVU units for CPT® and HCPCS codes, including 3,000 plus gap codes not assigned RVUs by CMS. Easily establish fees for Medicare and non-Medicare services.
Comprehensive relative value scale. Improve productivity with one relative value scale for both Medicare and commercial claims.
Three values for each CPT® code — work, practice expense and malpractice expense. Evaluate and analyze the costs associated with a service, providing a more complete picture of your reimbursement.
Global periods. Identify the number of follow-up days under Medicare’s physician fee schedule.
Includes the same data many major health care organizations use to determine payment. Negotiate favorable managed care contracts by accessing the same data used by 70 percent of payers.
Web Updates. Email updates keep you current when RVU data changes occur throughout the year.
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